HL7 v2.5.1 Segment Definitions Reference

Field-by-field definitions for all 152 typed segments in the HL7 v2.5.1 standard as implemented by this library.

Generated from code metadata -- do not edit by hand. Run mix hl7v2.gen_docs to regenerate.

Optionality codes: R = Required, O = Optional, C = Conditional, B = Backward compatible

Repetition: 1 = single, * = unbounded repeating

ABS -- Abstract

13 fields.

Seq	Name	Type	Opt	Rep
ABS.1	Discharge Care Provider	XCN	O	1
ABS.2	Transfer Medical Service Code	CE	O	1
ABS.3	Severity Of Illness Code	CE	O	1
ABS.4	Date Time Of Attestation	TS	O	1
ABS.5	Attested By	XCN	O	1
ABS.6	Triage Code	CE	O	1
ABS.7	Abstract Completion Date Time	TS	O	1
ABS.8	Abstracted By	XCN	O	1
ABS.9	Case Category Code	CE	O	1
ABS.10	Caesarian Section Indicator	ID	O	1
ABS.11	Gestation Category Code	CE	O	1
ABS.12	Gestation Period Weeks	NM	O	1
ABS.13	Newborn Code	CE	O	1

ACC -- Accident

11 fields.

Seq	Name	Type	Opt	Rep
ACC.1	Accident Date Time	TS	O	1
ACC.2	Accident Code	CE	O	1
ACC.3	Accident Location	ST	O	1
ACC.4	Auto Accident State	CE	O	1
ACC.5	Accident Job Related Indicator	ID	O	1
ACC.6	Accident Death Indicator	ID	O	1
ACC.7	Entered By	XCN	O	1
ACC.8	Accident Description	ST	O	1
ACC.9	Brought In By	ST	O	1
ACC.10	Police Notified Indicator	ID	O	1
ACC.11	Accident Address	XAD	O	1

ADD -- Addendum

1 fields.

Seq	Name	Type	Opt	Rep
ADD.1	Addendum Continuation Pointer	ST	O	1

AFF -- Professional Affiliation

5 fields.

Seq	Name	Type	Opt	Rep
AFF.1	Set Id	SI	R	1
AFF.2	Professional Organization	XON	R	1
AFF.3	Professional Organization Address	XAD	O	1
AFF.4	Professional Organization Affiliation Date Range	DR	O	*
AFF.5	Professional Affiliation Additional Information	ST	O	1

AIG -- Appointment Information — General Resource

14 fields.

Seq	Name	Type	Opt	Rep
AIG.1	Set Id	SI	R	1
AIG.2	Segment Action Code	ID	C	1
AIG.3	Resource Id	CE	O	1
AIG.4	Resource Type	CE	R	1
AIG.5	Resource Group	CE	O	*
AIG.6	Resource Quantity	NM	O	1
AIG.7	Resource Quantity Units	CE	O	1
AIG.8	Start Date Time	TS	O	1
AIG.9	Start Date Time Offset	NM	O	1
AIG.10	Start Date Time Offset Units	CE	O	1
AIG.11	Duration	NM	O	1
AIG.12	Duration Units	CE	O	1
AIG.13	Allow Substitution Code	IS	O	1
AIG.14	Filler Status Code	CE	O	1

AIL -- Appointment Information — Location Resource

12 fields.

Seq	Name	Type	Opt	Rep
AIL.1	Set Id	SI	R	1
AIL.2	Segment Action Code	ID	C	1
AIL.3	Location Resource Id	PL	O	*
AIL.4	Location Type	CE	O	1
AIL.5	Location Group	CE	O	1
AIL.6	Start Date Time	TS	O	1
AIL.7	Start Date Time Offset	NM	O	1
AIL.8	Start Date Time Offset Units	CE	O	1
AIL.9	Duration	NM	O	1
AIL.10	Duration Units	CE	O	1
AIL.11	Allow Substitution Code	IS	O	1
AIL.12	Filler Status Code	CE	O	1

AIP -- Appointment Information — Personnel Resource

12 fields.

Seq	Name	Type	Opt	Rep
AIP.1	Set Id	SI	R	1
AIP.2	Segment Action Code	ID	C	1
AIP.3	Personnel Resource Id	XCN	O	*
AIP.4	Resource Type	CE	O	1
AIP.5	Resource Group	CE	O	1
AIP.6	Start Date Time	TS	O	1
AIP.7	Start Date Time Offset	NM	O	1
AIP.8	Start Date Time Offset Units	CE	O	1
AIP.9	Duration	NM	O	1
AIP.10	Duration Units	CE	O	1
AIP.11	Allow Substitution Code	IS	O	1
AIP.12	Filler Status Code	CE	O	1

AIS -- Appointment Information — Service

12 fields.

Seq	Name	Type	Opt	Rep
AIS.1	Set Id	SI	R	1
AIS.2	Segment Action Code	ID	C	1
AIS.3	Universal Service Identifier	CE	R	1
AIS.4	Start Date Time	TS	O	1
AIS.5	Start Date Time Offset	NM	O	1
AIS.6	Start Date Time Offset Units	CE	O	1
AIS.7	Duration	NM	O	1
AIS.8	Duration Units	CE	O	1
AIS.9	Allow Substitution Code	IS	O	1
AIS.10	Filler Status Code	CE	O	1
AIS.11	Placer Supplemental Service Information	CE	O	*
AIS.12	Filler Supplemental Service Information	CE	O	*

AL1 -- Patient Allergy Information

6 fields.

Seq	Name	Type	Opt	Rep
AL1.1	Set Id	SI	R	1
AL1.2	Allergen Type Code	CE	O	1
AL1.3	Allergen Code	CE	R	1
AL1.4	Allergy Severity Code	CE	O	1
AL1.5	Allergy Reaction Code	ST	O	*
AL1.6	Identification Date	DT	B	1

APR -- Appointment Preferences

5 fields.

Seq	Name	Type	Opt	Rep
APR.1	Time Selection Criteria	SCV	O	*
APR.2	Resource Selection Criteria	SCV	O	*
APR.3	Location Selection Criteria	SCV	O	*
APR.4	Slot Spacing Criteria	NM	O	1
APR.5	Filler Override Criteria	SCV	O	*

ARQ -- Appointment Request

25 fields.

Seq	Name	Type	Opt	Rep
ARQ.1	Placer Appointment Id	EI	R	1
ARQ.2	Filler Appointment Id	EI	C	1
ARQ.3	Occurrence Number	NM	O	1
ARQ.4	Placer Group Number	EI	O	1
ARQ.5	Schedule Id	CE	O	1
ARQ.6	Request Event Reason	CE	O	1
ARQ.7	Appointment Reason	CE	O	1
ARQ.8	Appointment Type	CE	O	1
ARQ.9	Appointment Duration	NM	O	1
ARQ.10	Appointment Duration Units	CE	O	1
ARQ.11	Requested Start Date Time Range	DR	O	*
ARQ.12	Priority Arq	ST	O	1
ARQ.13	Repeating Interval	RI	O	1
ARQ.14	Repeating Interval Duration	ST	O	1
ARQ.15	Placer Contact Person	XCN	R	*
ARQ.16	Placer Contact Phone Number	XTN	O	*
ARQ.17	Placer Contact Address	XAD	O	*
ARQ.18	Placer Contact Location	PL	O	1
ARQ.19	Entered By Person	XCN	R	*
ARQ.20	Entered By Phone Number	XTN	O	*
ARQ.21	Entered By Location	PL	O	1
ARQ.22	Parent Placer Appointment Id	EI	O	1
ARQ.23	Parent Filler Appointment Id	EI	O	1
ARQ.24	Placer Order Number	EI	O	*
ARQ.25	Filler Order Number	EI	O	*

AUT -- Authorization Information

10 fields.

Seq	Name	Type	Opt	Rep
AUT.1	Authorizing Payor Plan Id	CE	O	1
AUT.2	Authorizing Payor Company Id	CE	R	1
AUT.3	Authorizing Payor Company Name	ST	O	1
AUT.4	Authorization Effective Date	TS	O	1
AUT.5	Authorization Expiration Date	TS	O	1
AUT.6	Authorization Identifier	EI	O	1
AUT.7	Reimbursement Limit	CP	O	1
AUT.8	Requested Number Of Treatments	NM	O	1
AUT.9	Authorized Number Of Treatments	NM	O	1
AUT.10	Process Date	TS	O	1

BHS -- Batch Header

12 fields.

Seq	Name	Type	Opt	Rep
BHS.1	Batch Field Separator	ST	R	1
BHS.2	Batch Encoding Characters	ST	R	1
BHS.3	Batch Sending Application	HD	O	1
BHS.4	Batch Sending Facility	HD	O	1
BHS.5	Batch Receiving Application	HD	O	1
BHS.6	Batch Receiving Facility	HD	O	1
BHS.7	Batch Creation Date Time	TS	O	1
BHS.8	Batch Security	ST	O	1
BHS.9	Batch Name Type Id	ST	O	1
BHS.10	Batch Comment	ST	O	1
BHS.11	Batch Control Id	ST	O	1
BHS.12	Reference Batch Control Id	ST	O	1

BLC -- Blood Code

2 fields.

Seq	Name	Type	Opt	Rep
BLC.1	Blood Product Code	CE	O	1
BLC.2	Blood Amount	CQ	O	1

BLG -- Billing

3 fields.

Seq	Name	Type	Opt	Rep
BLG.1	When To Charge	CCD	O	1
BLG.2	Charge Type	ID	O	1
BLG.3	Account Id	CX	O	1

BPO -- Blood Product Order

14 fields.

Seq	Name	Type	Opt	Rep
BPO.1	Set Id	SI	R	1
BPO.2	Bp Universal Service Id	CWE	R	1
BPO.3	Bp Processing Requirements	CWE	O	*
BPO.4	Bp Quantity	NM	R	1
BPO.5	Bp Amount	NM	O	1
BPO.6	Bp Units	CE	O	1
BPO.7	Bp Intended Use Date Time	TS	O	1
BPO.8	Bp Intended Dispense From Location	PL	O	1
BPO.9	Bp Intended Dispense From Address	XAD	O	1
BPO.10	Bp Requested Dispense Date Time	TS	O	1
BPO.11	Bp Requested Dispense To Location	PL	O	1
BPO.12	Bp Requested Dispense To Address	XAD	O	1
BPO.13	Bp Indication For Use	CWE	O	*
BPO.14	Bp Informed Consent Indicator	ID	O	1

BPX -- Blood Product Dispense Status

21 fields.

Seq	Name	Type	Opt	Rep
BPX.1	Set Id	SI	R	1
BPX.2	Bp Dispense Status	CWE	R	1
BPX.3	Bp Status	ID	R	1
BPX.4	Bp Date Time Of Status	TS	R	1
BPX.5	Bc Donation Id	EI	C	1
BPX.6	Bc Component	CNE	C	1
BPX.7	Bc Donation Type Intended	CNE	O	1
BPX.8	Cp Commercial Product	CWE	C	1
BPX.9	Cp Manufacturer	XON	C	1
BPX.10	Cp Lot Number	EI	C	1
BPX.11	Bp Blood Group	CNE	O	1
BPX.12	Bc Special Testing	CNE	O	*
BPX.13	Bp Expiration Date Time	TS	O	1
BPX.14	Bp Quantity	NM	R	1
BPX.15	Bp Amount	NM	O	1
BPX.16	Bp Units	CE	O	1
BPX.17	Bp Unique Id	EI	O	1
BPX.18	Bp Actual Dispensed To Location	PL	O	1
BPX.19	Bp Actual Dispensed To Address	XAD	O	1
BPX.20	Bp Dispensed To Receiver	XCN	O	1
BPX.21	Bp Dispensing Individual	XCN	O	1

BTS -- Batch Trailer

3 fields.

Seq	Name	Type	Opt	Rep
BTS.1	Batch Message Count	ST	O	1
BTS.2	Batch Comment	ST	O	1
BTS.3	Batch Totals	NM	O	*

BTX -- Blood Product Transfusion/Disposition

20 fields.

Seq	Name	Type	Opt	Rep
BTX.1	Set Id	SI	R	1
BTX.2	Bc Donation Id	EI	C	1
BTX.3	Bc Component	CNE	C	1
BTX.4	Bc Blood Group	CNE	O	1
BTX.5	Cp Commercial Product	CWE	C	1
BTX.6	Cp Manufacturer	XON	C	1
BTX.7	Cp Lot Number	EI	C	1
BTX.8	Bp Quantity	NM	R	1
BTX.9	Bp Amount	NM	O	1
BTX.10	Bp Units	CE	O	1
BTX.11	Bp Transfusion Disposition Status	CWE	R	1
BTX.12	Bp Message Status	ID	R	1
BTX.13	Bp Date Time Of Status	TS	R	1
BTX.14	Bp Administrator	XCN	O	1
BTX.15	Bp Verifier	XCN	O	1
BTX.16	Bp Transfusion Start Date Time Of Status	TS	O	1
BTX.17	Bp Transfusion End Date Time Of Status	TS	O	1
BTX.18	Bp Adverse Reaction Type	CWE	O	*
BTX.19	Bp Transfusion Interrupted Reason	CWE	O	1
BTX.20	Bp Unique Id	EI	C	1

CDM -- Charge Description Master

13 fields.

Seq	Name	Type	Opt	Rep
CDM.1	Primary Key Value	CE	R	1
CDM.2	Charge Code Alias	CE	O	*
CDM.3	Charge Description Short	ST	R	1
CDM.4	Charge Description Long	ST	O	1
CDM.5	Description Override Indicator	IS	O	1
CDM.6	Exploding Charges	CE	O	*
CDM.7	Procedure Code	CE	O	*
CDM.8	Active Inactive Flag	ID	O	1
CDM.9	Inventory Number	CE	O	*
CDM.10	Resource Load	NM	O	1
CDM.11	Contract Number	CX	O	*
CDM.12	Contract Organization	ST	O	*
CDM.13	Room Fee Indicator	ID	O	1

CER -- Certificate Detail

31 fields.

Seq	Name	Type	Opt	Rep
CER.1	Set Id	SI	R	1
CER.2	Serial Number	ST	O	1
CER.3	Version	ST	O	1
CER.4	Granting Authority	XON	O	1
CER.5	Issuing Authority	XCN	O	1
CER.6	Signature Of Issuing Authority	ED	O	1
CER.7	Granting Country	ID	O	1
CER.8	Granting State Province	CWE	O	1
CER.9	Granting County Parish	CWE	O	1
CER.10	Certificate Type	CWE	O	1
CER.11	Certificate Domain	CWE	O	1
CER.12	Subject Id	EI	O	1
CER.13	Subject Name	ST	R	1
CER.14	Subject Directory Attribute Extension	CWE	O	*
CER.15	Subject Public Key Info	CWE	O	1
CER.16	Authority Key Identifier	CWE	O	1
CER.17	Basic Constraint	ID	O	1
CER.18	Crl Distribution Point	CWE	O	*
CER.19	Jurisdiction Country	ID	O	1
CER.20	Jurisdiction State Province	CWE	O	1
CER.21	Jurisdiction County Parish	CWE	O	1
CER.22	Jurisdiction Breadth	CWE	O	*
CER.23	Granting Date	TS	O	1
CER.24	Issuing Date	TS	O	1
CER.25	Activation Date	TS	O	1
CER.26	Inactivation Date	TS	O	1
CER.27	Expiration Date	TS	O	1
CER.28	Renewal Date	TS	O	1
CER.29	Revocation Date	TS	O	1
CER.30	Revocation Reason Code	CE	O	1
CER.31	Certificate Status	CWE	O	1

CM0 -- Clinical Study Master

11 fields.

Seq	Name	Type	Opt	Rep
CM0.1	Set Id	SI	O	1
CM0.2	Sponsor Study Id	EI	R	1
CM0.3	Alternate Study Id	EI	O	*
CM0.4	Title Of Study	ST	R	1
CM0.5	Chairman Of Study	XCN	O	*
CM0.6	Last Iru Date	DT	O	1
CM0.7	Total Accrual To Date	NM	O	1
CM0.8	Last Accrual Date	DT	O	1
CM0.9	Contact For Study	XCN	O	*
CM0.10	Contacts Telephone Number	XTN	O	1
CM0.11	Contacts Address	XAD	O	*

CM1 -- Clinical Study Phase Master

3 fields.

Seq	Name	Type	Opt	Rep
CM1.1	Set Id	SI	R	1
CM1.2	Study Phase Identifier	CE	R	1
CM1.3	Description Of Study Phase	ST	R	1

CM2 -- Clinical Study Schedule Master

4 fields.

Seq	Name	Type	Opt	Rep
CM2.1	Set Id	SI	O	1
CM2.2	Scheduled Time Point	CE	R	1
CM2.3	Description Of Time Point	ST	O	1
CM2.4	Number Of Sample Containers	NM	R	1

CNS -- Clear Notification

6 fields.

Seq	Name	Type	Opt	Rep
CNS.1	Starting Notification Reference Number	NM	O	1
CNS.2	Ending Notification Reference Number	NM	O	1
CNS.3	Starting Notification Date Time	TS	O	1
CNS.4	Ending Notification Date Time	TS	O	1
CNS.5	Starting Notification Code	CE	O	1
CNS.6	Ending Notification Code	CE	O	1

25 fields.

Seq	Name	Type	Opt	Rep
CON.1	Set Id	SI	R	1
CON.2	Consent Type	CWE	O	1
CON.3	Consent Form Id	ST	O	1
CON.4	Consent Form Number	EI	O	1
CON.5	Consent Text	FT	O	*
CON.6	Subject Specific Consent Text	FT	O	*
CON.7	Consent Background	FT	O	*
CON.8	Subject Specific Consent Background	FT	O	*
CON.9	Consenter Imposed Limitations	FT	O	*
CON.10	Consent Mode	CNE	O	1
CON.11	Consent Status	CNE	R	1
CON.12	Consent Discussion Date Time	TS	O	1
CON.13	Consent Decision Date Time	TS	O	1
CON.14	Consent Effective Date Time	TS	O	1
CON.15	Consent End Date Time	TS	O	1
CON.16	Subject Competence Indicator	ID	O	1
CON.17	Translator Assistance Indicator	ID	O	1
CON.18	Language Translated To	ID	O	1
CON.19	Informational Material Supplied Indicator	ID	O	1
CON.20	Consent Bypass Reason	CWE	O	1
CON.21	Consent Disclosure Level	ID	O	1
CON.22	Consent Non Disclosure Reason	CWE	O	1
CON.23	Non Subject Consenter Reason	CWE	O	1
CON.24	Consenter Id	XPN	R	*
CON.25	Relationship To Subject Table	IS	R	*

CSP -- Clinical Study Phase

4 fields.

Seq	Name	Type	Opt	Rep
CSP.1	Study Phase Identifier	CE	R	1
CSP.2	Date Time Study Phase Began	TS	R	1
CSP.3	Date Time Study Phase Ended	TS	O	1
CSP.4	Study Phase Evaluability	CE	C	1

CSR -- Clinical Study Registration

16 fields.

Seq	Name	Type	Opt	Rep
CSR.1	Sponsor Study Id	EI	R	1
CSR.2	Alternate Study Id	EI	O	1
CSR.3	Institution Registering The Patient	CE	O	1
CSR.4	Sponsor Patient Id	CX	R	1
CSR.5	Alternate Patient Id	CX	O	1
CSR.6	Date Time Of Patient Study Registration	TS	O	1
CSR.7	Person Performing Study Registration	XCN	O	*
CSR.8	Study Authorizing Provider	XCN	R	*
CSR.9	Date Time Patient Study Consent Signed	TS	O	1
CSR.10	Patient Study Eligibility Status	CE	C	1
CSR.11	Study Randomization Date Time	TS	O	*
CSR.12	Randomized Study Arm	CE	O	*
CSR.13	Stratum For Study Randomization	CE	O	*
CSR.14	Patient Evaluability Status	CE	C	1
CSR.15	Date Time Ended Study	TS	O	1
CSR.16	Reason Ended Study	CE	O	1

CSS -- Clinical Study Data Schedule Segment

3 fields.

Seq	Name	Type	Opt	Rep
CSS.1	Study Scheduled Time Point	CE	R	1
CSS.2	Study Scheduled Patient Time Point	TS	O	1
CSS.3	Study Quality Control Codes	CE	O	*

CTD -- Contact Data

7 fields.

Seq	Name	Type	Opt	Rep
CTD.1	Contact Role	CE	R	*
CTD.2	Contact Name	XPN	O	*
CTD.3	Contact Address	XAD	O	*
CTD.4	Contact Location	PL	O	1
CTD.5	Contact Communication Information	XTN	O	*
CTD.6	Preferred Method Of Contact	CE	O	1
CTD.7	Contact Identifiers	PLN	O	*

CTI -- Clinical Trial Identification

3 fields.

Seq	Name	Type	Opt	Rep
CTI.1	Sponsor Study Id	EI	R	1
CTI.2	Study Phase Identifier	CE	O	1
CTI.3	Study Scheduled Time Point	CE	O	1

DB1 -- Disability

8 fields.

Seq	Name	Type	Opt	Rep
DB1.1	Set Id	SI	R	1
DB1.2	Disabled Person Code	IS	O	1
DB1.3	Disabled Person Identifier	CX	O	*
DB1.4	Disabled Indicator	ID	O	1
DB1.5	Disability Start Date	DT	O	1
DB1.6	Disability End Date	DT	O	1
DB1.7	Disability Return To Work Date	DT	O	1
DB1.8	Disability Unable To Work Date	DT	O	1

DG1 -- Diagnosis

21 fields.

Seq	Name	Type	Opt	Rep
DG1.1	Set Id	SI	R	1
DG1.2	Diagnosis Coding Method	ID	B	1
DG1.3	Diagnosis Code	CE	O	1
DG1.4	Diagnosis Description	ST	B	1
DG1.5	Diagnosis Date Time	TS	O	1
DG1.6	Diagnosis Type	IS	R	1
DG1.7	Major Diagnostic Category	CE	B	1
DG1.8	Diagnostic Related Group	CE	B	1
DG1.9	Drg Approval Indicator	ID	B	1
DG1.10	Drg Grouper Review Code	IS	B	1
DG1.11	Outlier Type	CE	B	1
DG1.12	Outlier Days	NM	B	1
DG1.13	Outlier Cost	CP	B	1
DG1.14	Grouper Version And Type	ST	B	1
DG1.15	Diagnosis Priority	ID	O	1
DG1.16	Diagnosing Clinician	XCN	O	*
DG1.17	Diagnosis Classification	IS	O	1
DG1.18	Confidential Indicator	ID	O	1
DG1.19	Attestation Date Time	TS	O	1
DG1.20	Diagnosis Identifier	EI	C	1
DG1.21	Diagnosis Action Code	ID	C	1

11 fields.

Seq	Name	Type	Opt	Rep
DRG.1	Diagnostic Related Group	CE	O	1
DRG.2	Drg Assigned Date Time	TS	O	1
DRG.3	Drg Approval Indicator	ID	O	1
DRG.4	Drg Grouper Review Code	IS	O	1
DRG.5	Outlier Type	CE	O	1
DRG.6	Outlier Days	NM	O	1
DRG.7	Outlier Cost	CP	O	1
DRG.8	Drg Payor	IS	O	1
DRG.9	Outlier Reimbursement	CP	O	1
DRG.10	Confidential Indicator	ID	O	1
DRG.11	Drg Transfer Type	IS	O	1

DSC -- Continuation Pointer

2 fields.

Seq	Name	Type	Opt	Rep
DSC.1	Continuation Pointer	ST	O	1
DSC.2	Continuation Style	ID	O	1

DSP -- Display Data

5 fields.

Seq	Name	Type	Opt	Rep
DSP.1	Set Id	SI	O	1
DSP.2	Display Level	SI	O	1
DSP.3	Data Line	TX	R	1
DSP.4	Logical Break Point	ST	O	1
DSP.5	Result Id	TX	O	1

ECD -- Equipment Command

5 fields.

Seq	Name	Type	Opt	Rep
ECD.1	Reference Command Number	NM	R	1
ECD.2	Remote Control Command	CE	R	1
ECD.3	Response Required	ID	O	1
ECD.4	Requested Completion Time	TQ	O	1
ECD.5	Parameters	CE	O	*

ECR -- Equipment Command Response

3 fields.

Seq	Name	Type	Opt	Rep
ECR.1	Command Response	CE	R	1
ECR.2	Date Time Completed	TS	R	1
ECR.3	Command Response Parameters	ST	O	*

EDU -- Educational Detail

9 fields.

Seq	Name	Type	Opt	Rep
EDU.1	Set Id	SI	R	1
EDU.2	Academic Degree	IS	O	1
EDU.3	Academic Degree Program Date Range	DR	O	1
EDU.4	Academic Degree Program Participation Date Range	DR	O	1
EDU.5	Academic Degree Granted Date	DT	O	1
EDU.6	School	XON	O	1
EDU.7	School Type Code	CE	O	1
EDU.8	School Address	XAD	O	1
EDU.9	Major Field Of Study	CWE	O	*

EQL -- Embedded Query Language

4 fields.

Seq	Name	Type	Opt	Rep
EQL.1	Query Tag	ST	O	1
EQL.2	Query Response Format Code	ID	R	1
EQL.3	Eql Query Name	CE	R	1
EQL.4	Eql Query Statement	ST	R	1

EQP -- Equipment/log Service

5 fields.

Seq	Name	Type	Opt	Rep
EQP.1	Event Type	CE	R	1
EQP.2	File Name	ST	O	1
EQP.3	Start Date Time	TS	R	1
EQP.4	End Date Time	TS	O	1
EQP.5	Transaction Data	FT	R	1

EQU -- Equipment Detail

5 fields.

Seq	Name	Type	Opt	Rep
EQU.1	Equipment Instance Identifier	EI	R	1
EQU.2	Event Date Time	TS	R	1
EQU.3	Equipment State	CE	O	1
EQU.4	Local Remote Control State	CE	O	1
EQU.5	Alert Level	CE	O	1

ERQ -- Event Replay Query

3 fields.

Seq	Name	Type	Opt	Rep
ERQ.1	Query Tag	ST	O	1
ERQ.2	Event Identifier	CE	R	1
ERQ.3	Input Parameter List	QIP	O	*

ERR -- Error

12 fields.

Seq	Name	Type	Opt	Rep
ERR.1	Error Code And Location	ELD	B	*
ERR.2	Error Location	ERL	O	*
ERR.3	Hl7 Error Code	CWE	R	1
ERR.4	Severity	ID	R	1
ERR.5	Application Error Code	CWE	O	1
ERR.6	Application Error Parameter	ST	O	*
ERR.7	Diagnostic Information	TX	O	1
ERR.8	User Message	TX	O	1
ERR.9	Inform Person Indicator	IS	O	*
ERR.10	Override Type	CWE	O	1
ERR.11	Override Reason Code	CWE	O	*
ERR.12	Help Desk Contact Point	XTN	O	*

EVN -- Event Type

7 fields.

Seq	Name	Type	Opt	Rep
EVN.1	Event Type Code	ID	B	1
EVN.2	Recorded Date Time	TS	R	1
EVN.3	Date Time Planned Event	TS	O	1
EVN.4	Event Reason Code	IS	O	1
EVN.5	Operator Id	XCN	O	*
EVN.6	Event Occurred	TS	O	1
EVN.7	Event Facility	HD	O	1

FAC -- Facility

12 fields.

Seq	Name	Type	Opt	Rep
FAC.1	Facility Id	EI	R	1
FAC.2	Facility Type	ID	O	1
FAC.3	Facility Address	XAD	R	*
FAC.4	Facility Telecommunication	XTN	R	1
FAC.5	Contact Person	XCN	O	*
FAC.6	Contact Title	ST	O	*
FAC.7	Contact Address	XAD	O	*
FAC.8	Contact Telecommunication	XTN	O	*
FAC.9	Signature Authority	XCN	R	*
FAC.10	Signature Authority Title	ST	O	1
FAC.11	Signature Authority Address	XAD	O	*
FAC.12	Signature Authority Telecommunication	XTN	R	1

FHS -- File Header

12 fields.

Seq	Name	Type	Opt	Rep
FHS.1	File Field Separator	ST	R	1
FHS.2	File Encoding Characters	ST	R	1
FHS.3	File Sending Application	HD	O	1
FHS.4	File Sending Facility	HD	O	1
FHS.5	File Receiving Application	HD	O	1
FHS.6	File Receiving Facility	HD	O	1
FHS.7	File Creation Date Time	TS	O	1
FHS.8	File Security	ST	O	1
FHS.9	File Name Id	ST	O	1
FHS.10	File Header Comment	ST	O	1
FHS.11	File Control Id	ST	O	1
FHS.12	Reference File Control Id	ST	O	1

FT1 -- Financial Transaction

31 fields.

Seq	Name	Type	Opt	Rep
FT1.1	Set Id	SI	O	1
FT1.2	Transaction Id	ST	O	1
FT1.3	Transaction Batch Id	ST	O	1
FT1.4	Transaction Date	DR	R	1
FT1.5	Transaction Posting Date	TS	O	1
FT1.6	Transaction Type	IS	R	1
FT1.7	Transaction Code	CE	R	1
FT1.8	Transaction Description	ST	B	1
FT1.9	Transaction Description Alt	ST	B	1
FT1.10	Transaction Quantity	NM	O	1
FT1.11	Transaction Amount Extended	CP	O	1
FT1.12	Transaction Amount Unit	CP	O	1
FT1.13	Department Code	CE	O	1
FT1.14	Insurance Plan Id	CE	O	1
FT1.15	Insurance Amount	CP	O	1
FT1.16	Assigned Patient Location	PL	O	1
FT1.17	Fee Schedule	IS	O	1
FT1.18	Patient Type	IS	O	1
FT1.19	Diagnosis Code	CE	O	*
FT1.20	Performed By Code	XCN	O	*
FT1.21	Ordered By Code	XCN	O	*
FT1.22	Unit Cost	CP	O	1
FT1.23	Filler Order Number	EI	O	1
FT1.24	Entered By Code	XCN	O	*
FT1.25	Procedure Code	CE	O	1
FT1.26	Procedure Code Modifier	CE	O	*
FT1.27	Advanced Beneficiary Notice Code	CE	O	1
FT1.28	Medically Necessary Duplicate Procedure Reason	CWE	O	1
FT1.29	Ndc Code	CNE	O	1
FT1.30	Payment Reference Id	CX	O	1
FT1.31	Transaction Reference Key	SI	O	*

FTS -- File Trailer

2 fields.

Seq	Name	Type	Opt	Rep
FTS.1	File Batch Count	NM	O	1
FTS.2	File Trailer Comment	ST	O	1

GOL -- Goal Detail

21 fields.

Seq	Name	Type	Opt	Rep
GOL.1	Action Code	ID	R	1
GOL.2	Action Date Time	TS	R	1
GOL.3	Goal Id	CE	R	1
GOL.4	Goal Instance Id	EI	R	1
GOL.5	Episode Of Care Id	EI	O	1
GOL.6	Goal List Priority	NM	O	1
GOL.7	Goal Established Date Time	TS	O	1
GOL.8	Expected Goal Achieve Date Time	TS	O	1
GOL.9	Goal Classification	CE	O	1
GOL.10	Goal Management Discipline	CE	O	1
GOL.11	Current Goal Review Status	CE	O	1
GOL.12	Current Goal Review Date Time	TS	O	1
GOL.13	Next Goal Review Date Time	TS	O	1
GOL.14	Previous Goal Review Date Time	TS	O	1
GOL.15	Goal Review Interval	TQ	O	1
GOL.16	Goal Evaluation	CE	O	1
GOL.17	Goal Evaluation Comment	ST	O	*
GOL.18	Goal Life Cycle Status	CE	O	1
GOL.19	Goal Life Cycle Status Date Time	TS	O	1
GOL.20	Goal Target Type	CE	O	*
GOL.21	Goal Target Name	XPN	O	*

GP1 -- Grouping/Reimbursement — Visit

5 fields.

Seq	Name	Type	Opt	Rep
GP1.1	Type Of Bill Code	IS	R	1
GP1.2	Revenue Code	IS	O	*
GP1.3	Overall Claim Disposition Code	IS	O	1
GP1.4	Oce Edits Per Visit Code	IS	O	*
GP1.5	Outlier Cost	CP	O	1

GP2 -- Grouping/Reimbursement — Procedure Line Item

14 fields.

Seq	Name	Type	Opt	Rep
GP2.1	Revenue Code	IS	O	1
GP2.2	Number Of Service Units	NM	O	1
GP2.3	Charge	CP	O	1
GP2.4	Reimbursement Action Code	IS	O	1
GP2.5	Denial Or Rejection Code	IS	O	1
GP2.6	Oce Edit Code	IS	O	*
GP2.7	Ambulatory Payment Classification Code	CE	O	1
GP2.8	Modifier Edit Code	IS	O	*
GP2.9	Payment Adjustment Code	IS	O	1
GP2.10	Packaging Status Code	IS	O	1
GP2.11	Expected Cms Payment Amount	CP	O	1
GP2.12	Reimbursement Type Code	IS	O	1
GP2.13	Co Pay Amount	CP	O	1
GP2.14	Pay Rate Per Service Unit	NM	O	1

GT1 -- Guarantor

55 fields.

Seq	Name	Type	Opt	Rep
GT1.1	Set Id	SI	R	1
GT1.2	Guarantor Number	CX	O	*
GT1.3	Guarantor Name	XPN	R	*
GT1.4	Guarantor Spouse Name	XPN	O	*
GT1.5	Guarantor Address	XAD	O	*
GT1.6	Guarantor Ph Num Home	XTN	O	*
GT1.7	Guarantor Ph Num Business	XTN	O	*
GT1.8	Guarantor Date Time Of Birth	TS	O	1
GT1.9	Guarantor Administrative Sex	IS	O	1
GT1.10	Guarantor Type	IS	O	1
GT1.11	Guarantor Relationship	CE	O	1
GT1.12	Guarantor Ssn	ST	O	1
GT1.13	Guarantor Date Begin	DT	O	1
GT1.14	Guarantor Date End	DT	O	1
GT1.15	Guarantor Priority	NM	O	1
GT1.16	Guarantor Employer Name	XPN	O	*
GT1.17	Guarantor Employer Address	XAD	O	*
GT1.18	Guarantor Employer Phone Number	XTN	O	*
GT1.19	Guarantor Employee Id Number	CX	O	*
GT1.20	Guarantor Employment Status	IS	O	1
GT1.21	Guarantor Organization Name	XON	O	*
GT1.22	Guarantor Billing Hold Flag	ID	O	1
GT1.23	Guarantor Credit Rating Code	CE	O	1
GT1.24	Guarantor Death Date And Time	TS	O	1
GT1.25	Guarantor Death Flag	ID	O	1
GT1.26	Guarantor Charge Adjustment Code	CE	O	1
GT1.27	Guarantor Household Annual Income	MO	O	1
GT1.28	Guarantor Household Size	NM	O	1
GT1.29	Guarantor Employer Id Number	CX	O	*
GT1.30	Guarantor Marital Status Code	CE	O	1
GT1.31	Guarantor Hire Effective Date	DT	O	1
GT1.32	Employment Stop Date	DT	O	1
GT1.33	Living Dependency	IS	O	1
GT1.34	Ambulatory Status	IS	O	*
GT1.35	Citizenship	CE	O	*
GT1.36	Primary Language	CE	O	1
GT1.37	Living Arrangement	IS	O	1
GT1.38	Publicity Code	CE	O	1
GT1.39	Protection Indicator	ID	O	1
GT1.40	Student Indicator	IS	O	1
GT1.41	Religion	CE	O	1
GT1.42	Mothers Maiden Name	XPN	O	*
GT1.43	Nationality	CE	O	1
GT1.44	Ethnic Group	CE	O	*
GT1.45	Contact Persons Name	XPN	O	*
GT1.46	Contact Persons Telephone Number	XTN	O	*
GT1.47	Contact Reason	CE	O	1
GT1.48	Contact Relationship	IS	O	1
GT1.49	Job Title	ST	O	1
GT1.50	Job Code Class	JCC	O	1
GT1.51	Guarantor Employers Organization Name	XON	O	*
GT1.52	Handicap	IS	O	1
GT1.53	Job Status	IS	O	1
GT1.54	Guarantor Financial Class	FC	O	1
GT1.55	Guarantor Race	CE	O	*

IAM -- Patient Adverse Reaction Information

20 fields.

Seq	Name	Type	Opt	Rep
IAM.1	Set Id	SI	R	1
IAM.2	Allergen Type Code	CE	O	1
IAM.3	Allergen Code Mnemonic Description	CE	R	1
IAM.4	Allergy Severity Code	CE	O	1
IAM.5	Allergy Reaction Code	ST	O	*
IAM.6	Allergy Action Code	CNE	R	1
IAM.7	Allergy Unique Identifier	EI	O	1
IAM.8	Action Reason	ST	O	1
IAM.9	Sensitivity To Causative Agent Code	CE	O	1
IAM.10	Allergen Group Code Mnemonic Description	CE	O	1
IAM.11	Onset Date	DT	O	1
IAM.12	Onset Date Text	ST	O	1
IAM.13	Reported Date Time	TS	O	1
IAM.14	Reported By	XPN	O	1
IAM.15	Relationship To Patient Code	CE	O	1
IAM.16	Alert Device Code	CE	O	1
IAM.17	Allergy Clinical Status Code	CE	O	1
IAM.18	Statused By Person	XCN	O	1
IAM.19	Statused By Organization	XON	O	1
IAM.20	Statused At Date Time	TS	O	1

IIM -- Inventory Item Master

15 fields.

Seq	Name	Type	Opt	Rep
IIM.1	Primary Key Value	CWE	R	1
IIM.2	Service Item Code	CWE	R	1
IIM.3	Inventory Lot Number	ST	O	1
IIM.4	Inventory Expiration Date	TS	O	1
IIM.5	Inventory Manufacturer Name	CWE	O	1
IIM.6	Inventory Location	CWE	O	1
IIM.7	Inventory Received Date	TS	O	1
IIM.8	Inventory Received Quantity	NM	O	1
IIM.9	Inventory Received Quantity Unit	CWE	O	1
IIM.10	Inventory Received Item Cost	MO	O	1
IIM.11	Inventory On Hand Date	TS	O	1
IIM.12	Inventory On Hand Quantity	NM	O	1
IIM.13	Inventory On Hand Quantity Unit	CWE	O	1
IIM.14	Procedure Code	CE	O	1
IIM.15	Procedure Code Modifier	CE	O	*

IN1 -- Insurance

53 fields.

Seq	Name	Type	Opt	Rep
IN1.1	Set Id	SI	R	1
IN1.2	Insurance Plan Id	CE	R	1
IN1.3	Insurance Company Id	CX	R	*
IN1.4	Insurance Company Name	XON	O	*
IN1.5	Insurance Company Address	XAD	O	*
IN1.6	Insurance Co Contact Person	XPN	O	*
IN1.7	Insurance Co Phone Number	XTN	O	*
IN1.8	Group Number	ST	O	1
IN1.9	Group Name	XON	O	*
IN1.10	Insureds Group Emp Id	CX	O	*
IN1.11	Insureds Group Emp Name	XON	O	*
IN1.12	Plan Effective Date	DT	O	1
IN1.13	Plan Expiration Date	DT	O	1
IN1.14	Authorization Information	AUI	O	1
IN1.15	Plan Type	IS	O	1
IN1.16	Name Of Insured	XPN	O	*
IN1.17	Insureds Relationship To Patient	CE	O	1
IN1.18	Insureds Date Of Birth	TS	O	1
IN1.19	Insureds Address	XAD	O	*
IN1.20	Assignment Of Benefits	IS	O	1
IN1.21	Coordination Of Benefits	IS	O	1
IN1.22	Coord Of Ben Priority	ST	O	1
IN1.23	Notice Of Admission Flag	ID	O	1
IN1.24	Notice Of Admission Date	DT	O	1
IN1.25	Report Of Eligibility Flag	ID	O	1
IN1.26	Report Of Eligibility Date	DT	O	1
IN1.27	Release Information Code	IS	O	1
IN1.28	Pre Admit Cert	ST	O	1
IN1.29	Verification Date Time	TS	O	1
IN1.30	Verification By	XCN	O	*
IN1.31	Type Of Agreement Code	IS	O	1
IN1.32	Billing Status	IS	O	1
IN1.33	Lifetime Reserve Days	NM	O	1
IN1.34	Delay Before Lr Day	NM	O	1
IN1.35	Company Plan Code	IS	O	1
IN1.36	Policy Number	ST	O	1
IN1.37	Policy Deductible	MO	O	1
IN1.38	Policy Limit Amount	MO	B	1
IN1.39	Policy Limit Days	NM	O	1
IN1.40	Room Rate Semi Private	MO	B	1
IN1.41	Room Rate Private	MO	B	1
IN1.42	Insureds Employment Status	CE	O	1
IN1.43	Insureds Administrative Sex	IS	O	1
IN1.44	Insureds Employers Address	XAD	O	*
IN1.45	Verification Status	ST	O	1
IN1.46	Prior Insurance Plan Id	IS	O	1
IN1.47	Coverage Type	IS	O	1
IN1.48	Handicap	IS	O	1
IN1.49	Insureds Id Number	CX	O	*
IN1.50	Signature Code	IS	O	1
IN1.51	Signature Code Date	DT	O	1
IN1.52	Insureds Birth Place	ST	O	1
IN1.53	Vip Indicator	IS	O	1

IN2 -- Insurance Additional Information

72 fields.

Seq	Name	Type	Opt	Rep
IN2.1	Insured Employee Id	CX	O	*
IN2.2	Insured Social Security Number	ST	O	1
IN2.3	Insured Employer Name And Id	XCN	O	*
IN2.4	Employer Information Data	IS	O	1
IN2.5	Mail Claim Party	IS	O	*
IN2.6	Medicare Health Ins Card Number	ST	O	1
IN2.7	Medicaid Case Name	XPN	O	*
IN2.8	Medicaid Case Number	ST	O	1
IN2.9	Military Sponsor Name	XPN	O	*
IN2.10	Military Id Number	ST	O	1
IN2.11	Dependent Of Military Recipient	CE	O	1
IN2.12	Military Organization	ST	O	1
IN2.13	Military Station	ST	O	1
IN2.14	Military Service	IS	O	1
IN2.15	Military Rank Grade	IS	O	1
IN2.16	Military Status	IS	O	1
IN2.17	Military Retire Date	DT	O	1
IN2.18	Military Non Avail Cert On File	ID	O	1
IN2.19	Baby Coverage	ID	O	1
IN2.20	Combine Baby Bill	ID	O	1
IN2.21	Blood Deductible	ST	O	1
IN2.22	Special Coverage Approval Name	XPN	O	*
IN2.23	Special Coverage Approval Title	ST	O	1
IN2.24	Non Covered Insurance Code	IS	O	*
IN2.25	Payor Id	CX	O	*
IN2.26	Payor Subscriber Id	CX	O	*
IN2.27	Eligibility Source	IS	O	1
IN2.28	Room Coverage Type Amount	RMC	O	*
IN2.29	Policy Type Amount	PTA	O	*
IN2.30	Daily Deductible	DDI	O	1
IN2.31	Living Dependency	IS	O	1
IN2.32	Ambulatory Status	IS	O	*
IN2.33	Citizenship	CE	O	*
IN2.34	Primary Language	CE	O	1
IN2.35	Living Arrangement	IS	O	1
IN2.36	Publicity Code	CE	O	1
IN2.37	Protection Indicator	ID	O	1
IN2.38	Student Indicator	IS	O	1
IN2.39	Religion	CE	O	1
IN2.40	Mothers Maiden Name	XPN	O	*
IN2.41	Nationality	CE	O	1
IN2.42	Ethnic Group	CE	O	*
IN2.43	Marital Status	CE	O	*
IN2.44	Insureds Employment Start Date	DT	O	1
IN2.45	Employment Stop Date	DT	O	1
IN2.46	Job Title	ST	O	1
IN2.47	Job Code Class	JCC	O	1
IN2.48	Job Status	IS	O	1
IN2.49	Employer Contact Person Name	XPN	O	*
IN2.50	Employer Contact Person Phone Number	XTN	O	*
IN2.51	Employer Contact Reason	IS	O	1
IN2.52	Insureds Contact Persons Name	XPN	O	*
IN2.53	Insureds Contact Person Phone Number	XTN	O	*
IN2.54	Insureds Contact Person Reason	IS	O	*
IN2.55	Relationship To The Patient Start Date	DT	O	1
IN2.56	Relationship To The Patient Stop Date	DT	O	*
IN2.57	Insurance Co Contact Reason	IS	O	1
IN2.58	Insurance Co Contact Phone Number	XTN	O	*
IN2.59	Policy Scope	IS	O	1
IN2.60	Policy Source	IS	O	1
IN2.61	Patient Member Number	CX	O	1
IN2.62	Guarantors Relationship To Insured	CE	O	1
IN2.63	Insureds Phone Number Home	XTN	O	*
IN2.64	Insureds Employer Phone Number	XTN	O	*
IN2.65	Military Handicapped Program	CE	O	1
IN2.66	Suspend Flag	ID	O	1
IN2.67	Copay Limit Flag	ID	O	1
IN2.68	Stoploss Limit Flag	ID	O	1
IN2.69	Insured Organization Name And Id	XON	O	*
IN2.70	Insured Employer Organization Name And Id	XON	O	*
IN2.71	Race	CE	O	*
IN2.72	Cms Patients Relationship To Insured	CE	O	1

IN3 -- Insurance Additional Information, Certification

28 fields.

Seq	Name	Type	Opt	Rep
IN3.1	Set Id	SI	R	1
IN3.2	Certification Number	CX	O	1
IN3.3	Certified By	XCN	O	*
IN3.4	Certification Required	ID	O	1
IN3.5	Penalty	MO	O	1
IN3.6	Certification Date Time	TS	O	1
IN3.7	Certification Modify Date Time	TS	O	1
IN3.8	Operator	XCN	O	*
IN3.9	Certification Begin Date	DT	O	1
IN3.10	Certification End Date	DT	O	1
IN3.11	Days	DTN	O	1
IN3.12	Non Concur Code Description	CE	O	1
IN3.13	Non Concur Effective Date Time	TS	O	1
IN3.14	Physician Reviewer	XCN	O	*
IN3.15	Certification Contact	ST	O	1
IN3.16	Certification Contact Phone Number	XTN	O	*
IN3.17	Appeal Reason	CE	O	1
IN3.18	Certification Agency	CE	O	1
IN3.19	Certification Agency Phone Number	XTN	O	*
IN3.20	Pre Certification Requirement	ICD	O	*
IN3.21	Case Manager	ST	O	1
IN3.22	Second Opinion Date	DT	O	1
IN3.23	Second Opinion Status	IS	O	1
IN3.24	Second Opinion Documentation Received	IS	O	*
IN3.25	Second Opinion Physician	XCN	O	*
IN3.26	Certification Type	IS	O	1
IN3.27	Certification Category	IS	O	1
IN3.28	Field 28	CE	O	1

INV -- Inventory Detail

20 fields.

Seq	Name	Type	Opt	Rep
INV.1	Substance Identifier	CE	R	1
INV.2	Substance Status	CE	R	*
INV.3	Substance Type	CE	O	1
INV.4	Inventory Container Identifier	CE	O	1
INV.5	Container Carrier Identifier	CE	O	1
INV.6	Position On Carrier	CE	O	1
INV.7	Initial Quantity	NM	O	1
INV.8	Current Quantity	NM	O	1
INV.9	Available Quantity	NM	O	1
INV.10	Consumption Quantity	NM	O	1
INV.11	Quantity Units	CE	O	1
INV.12	Expiration Date Time	TS	O	1
INV.13	First Used Date Time	TS	O	1
INV.14	On Board Stability Duration	TQ	O	1
INV.15	On Board Stability Time	TS	O	1
INV.16	Test Fluid Identifier	CE	O	*
INV.17	Manufacturer Lot Number	ST	O	1
INV.18	Manufacturer Identifier	CE	O	1
INV.19	Supplier Identifier	CE	O	1
INV.20	On Board Stability Time 2	CQ	O	1

IPC -- Imaging Procedure Control Segment

9 fields.

Seq	Name	Type	Opt	Rep
IPC.1	Accession Identifier	EI	R	1
IPC.2	Requested Procedure Id	EI	R	1
IPC.3	Study Instance Uid	EI	R	1
IPC.4	Scheduled Procedure Step Id	EI	R	1
IPC.5	Modality	CE	O	1
IPC.6	Protocol Code	CE	O	*
IPC.7	Scheduled Station Name	EI	O	1
IPC.8	Scheduled Procedure Step Location List	CE	O	*
IPC.9	Scheduled Ae Title	ST	O	1

ISD -- Interaction Status Detail

3 fields.

Seq	Name	Type	Opt	Rep
ISD.1	Reference Interaction Number	NM	R	1
ISD.2	Interaction Type Identifier	CE	O	1
ISD.3	Interaction Active State	CE	R	1

LAN -- Language Detail

4 fields.

Seq	Name	Type	Opt	Rep
LAN.1	Set Id	SI	R	1
LAN.2	Language Code	CE	R	1
LAN.3	Language Ability Code	CE	O	*
LAN.4	Language Proficiency Code	CE	O	1

LCC -- Location Charge Code

4 fields.

Seq	Name	Type	Opt	Rep
LCC.1	Primary Key Value	PL	R	1
LCC.2	Location Department	CE	R	1
LCC.3	Accommodation Type	CE	O	*
LCC.4	Charge Code	CE	R	*

LCH -- Location Characteristic

4 fields.

Seq	Name	Type	Opt	Rep
LCH.1	Primary Key Value	PL	R	1
LCH.2	Segment Unique Key	EI	O	1
LCH.3	Location Characteristic Id	CE	R	1
LCH.4	Location Characteristic Value	CE	R	1

LDP -- Location Department

12 fields.

Seq	Name	Type	Opt	Rep
LDP.1	Primary Key Value	PL	R	1
LDP.2	Location Department	CE	R	1
LDP.3	Location Service	IS	O	*
LDP.4	Specialty Type	CE	O	*
LDP.5	Valid Patient Classes	IS	O	*
LDP.6	Active Inactive Flag	ID	O	1
LDP.7	Activation Date Ldp	TS	O	1
LDP.8	Inactivation Date Ldp	TS	O	1
LDP.9	Inactivated Reason	ST	O	1
LDP.10	Visiting Hours	VH	O	*
LDP.11	Contact Phone	XTN	O	1
LDP.12	Location Cost Center	CE	O	1

LOC -- Location Identification

9 fields.

Seq	Name	Type	Opt	Rep
LOC.1	Primary Key Value	PL	R	1
LOC.2	Location Description	ST	O	1
LOC.3	Location Type	IS	O	*
LOC.4	Organization Name Loc	XON	O	*
LOC.5	Location Address	XAD	O	*
LOC.6	Location Phone	XTN	O	*
LOC.7	License Number	CE	O	*
LOC.8	Location Equipment	IS	O	*
LOC.9	Location Service Code	IS	O	1

LRL -- Location Relationship

6 fields.

Seq	Name	Type	Opt	Rep
LRL.1	Primary Key Value	PL	R	1
LRL.2	Segment Unique Key	EI	O	1
LRL.3	Location Relationship Id	CE	R	1
LRL.4	Location Relationship Value	XON	O	*
LRL.5	Organizational Location Relationship Value	XAD	O	*
LRL.6	Patient Location Relationship Value	PL	O	1

MFA -- Master File Acknowledgment

6 fields.

Seq	Name	Type	Opt	Rep
MFA.1	Record Level Event Code	ID	R	1
MFA.2	Mfn Control Id	ST	C	1
MFA.3	Event Completion Date Time	TS	O	1
MFA.4	Mfn Record Level Error Return	CE	R	1
MFA.5	Primary Key Value Mfe	CE	R	*
MFA.6	Primary Key Value Type Mfe	ID	R	*

MFE -- Master File Entry

5 fields.

Seq	Name	Type	Opt	Rep
MFE.1	Record Level Event Code	ID	R	1
MFE.2	Mfn Control Id	ST	C	1
MFE.3	Effective Date Time	TS	O	1
MFE.4	Primary Key Value	CE	R	*
MFE.5	Primary Key Value Type	ID	R	*

MFI -- Master File Identification

6 fields.

Seq	Name	Type	Opt	Rep
MFI.1	Master File Identifier	CE	R	1
MFI.2	Master File Application Identifier	HD	O	*
MFI.3	File Level Event Code	ID	R	1
MFI.4	Entered Date Time	TS	O	1
MFI.5	Effective Date Time	TS	O	1
MFI.6	Response Level Code	ID	R	1

MRG -- Merge Patient Information

7 fields.

Seq	Name	Type	Opt	Rep
MRG.1	Prior Patient Identifier List	CX	R	*
MRG.2	Prior Alternate Patient Id	CX	O	*
MRG.3	Prior Patient Account Number	CX	O	1
MRG.4	Prior Patient Id	CX	O	1
MRG.5	Prior Visit Number	CX	O	1
MRG.6	Prior Alternate Visit Id	CX	O	1
MRG.7	Prior Patient Name	XPN	O	*

MSA -- Message Acknowledgment

6 fields.

Seq	Name	Type	Opt	Rep
MSA.1	Acknowledgment Code	ID	R	1
MSA.2	Message Control Id	ST	R	1
MSA.3	Text Message	ST	O	1
MSA.4	Expected Sequence Number	NM	O	1
MSA.5	Delayed Acknowledgment Type	ID	B	1
MSA.6	Error Condition	CE	B	1

MSH -- Message Header

21 fields.

Seq	Name	Type	Opt	Rep
MSH.1	Field Separator	ST	R	1
MSH.2	Encoding Characters	ST	R	1
MSH.3	Sending Application	HD	O	1
MSH.4	Sending Facility	HD	O	1
MSH.5	Receiving Application	HD	O	1
MSH.6	Receiving Facility	HD	O	1
MSH.7	Date Time Of Message	TS	R	1
MSH.8	Security	ST	O	1
MSH.9	Message Type	MSG	R	1
MSH.10	Message Control Id	ST	R	1
MSH.11	Processing Id	PT	R	1
MSH.12	Version Id	VID	R	1
MSH.13	Sequence Number	NM	O	1
MSH.14	Continuation Pointer	ST	O	1
MSH.15	Accept Acknowledgment Type	ID	O	1
MSH.16	Application Acknowledgment Type	ID	O	1
MSH.17	Country Code	ID	O	1
MSH.18	Character Set	ID	O	*
MSH.19	Principal Language Of Message	CE	O	1
MSH.20	Alternate Character Set Handling Scheme	ID	O	1
MSH.21	Message Profile Identifier	EI	O	*

NCK -- System Clock

1 fields.

Seq	Name	Type	Opt	Rep
NCK.1	System Date Time	TS	R	1

NDS -- Notification Detail

4 fields.

Seq	Name	Type	Opt	Rep
NDS.1	Notification Reference Number	NM	R	1
NDS.2	Notification Date Time	TS	R	1
NDS.3	Notification Alert Severity	NM	R	1
NDS.4	Notification Code	CE	R	1

NK1 -- Next of Kin / Associated Parties

39 fields.

Seq	Name	Type	Opt	Rep
NK1.1	Set Id	SI	R	1
NK1.2	Nk Name	XPN	O	*
NK1.3	Relationship	CE	O	1
NK1.4	Address	XAD	O	*
NK1.5	Phone Number	XTN	O	*
NK1.6	Business Phone Number	XTN	O	*
NK1.7	Contact Role	CE	O	1
NK1.8	Start Date	DT	O	1
NK1.9	End Date	DT	O	1
NK1.10	Next Of Kin Job Title	ST	O	1
NK1.11	Next Of Kin Job Code Class	JCC	O	1
NK1.12	Next Of Kin Employee Number	CX	O	1
NK1.13	Organization Name	XON	O	*
NK1.14	Marital Status	CE	O	1
NK1.15	Administrative Sex	IS	O	1
NK1.16	Date Time Of Birth	TS	O	1
NK1.17	Living Dependency	IS	O	*
NK1.18	Ambulatory Status	IS	O	*
NK1.19	Citizenship	CE	O	*
NK1.20	Primary Language	CE	O	1
NK1.21	Living Arrangement	IS	O	1
NK1.22	Publicity Code	CE	O	1
NK1.23	Protection Indicator	ID	O	1
NK1.24	Student Indicator	IS	O	1
NK1.25	Religion	CE	O	1
NK1.26	Mothers Maiden Name	XPN	O	*
NK1.27	Nationality	CE	O	1
NK1.28	Ethnic Group	CE	O	*
NK1.29	Contact Reason	CE	O	*
NK1.30	Contact Persons Name	XPN	O	*
NK1.31	Contact Persons Telephone Number	XTN	O	*
NK1.32	Contact Persons Address	XAD	O	*
NK1.33	Next Of Kin Identifiers	CX	O	*
NK1.34	Job Status	IS	O	1
NK1.35	Race	CE	O	*
NK1.36	Handicap	IS	O	1
NK1.37	Contact Person Social Security Number	ST	O	1
NK1.38	Next Of Kin Birth Place	ST	O	1
NK1.39	Vip Indicator	IS	O	1

NPU -- Bed Status Update

2 fields.

Seq	Name	Type	Opt	Rep
NPU.1	Bed Location	PL	R	1
NPU.2	Bed Status	IS	O	1

NSC -- Application Status Change

9 fields.

Seq	Name	Type	Opt	Rep
NSC.1	Application Change Type	IS	R	1
NSC.2	Current Cpu	ST	O	1
NSC.3	Current Fileserver	ST	O	1
NSC.4	Current Application	HD	O	1
NSC.5	Current Facility	HD	O	1
NSC.6	New Cpu	ST	O	1
NSC.7	New Fileserver	ST	O	1
NSC.8	New Application	HD	O	1
NSC.9	New Facility	HD	O	1

NST -- Application Control Level Statistics

15 fields.

Seq	Name	Type	Opt	Rep
NST.1	Statistics Available	ID	R	1
NST.2	Source Identifier	ST	O	1
NST.3	Source Type	ID	O	1
NST.4	Statistics Start	TS	O	1
NST.5	Statistics End	TS	O	1
NST.6	Receive Character Count	NM	O	1
NST.7	Send Character Count	NM	O	1
NST.8	Messages Received	NM	O	1
NST.9	Messages Sent	NM	O	1
NST.10	Checksum Errors Received	NM	O	1
NST.11	Length Errors Received	NM	O	1
NST.12	Other Errors Received	NM	O	1
NST.13	Connect Timeouts	NM	O	1
NST.14	Receive Timeouts	NM	O	1
NST.15	Application Control Level Errors	NM	O	1

NTE -- Notes and Comments

4 fields.

Seq	Name	Type	Opt	Rep
NTE.1	Set Id	SI	O	1
NTE.2	Source Of Comment	ID	O	1
NTE.3	Comment	FT	O	*
NTE.4	Comment Type	CE	O	1

OBR -- Observation Request

49 fields.

Seq	Name	Type	Opt	Rep
OBR.1	Set Id	SI	O	1
OBR.2	Placer Order Number	EI	C	1
OBR.3	Filler Order Number	EI	C	1
OBR.4	Universal Service Identifier	CE	R	1
OBR.5	Priority	ID	B	1
OBR.6	Requested Date Time	TS	B	1
OBR.7	Observation Date Time	TS	C	1
OBR.8	Observation End Date Time	TS	O	1
OBR.9	Collection Volume	CQ	O	1
OBR.10	Collector Identifier	XCN	O	*
OBR.11	Specimen Action Code	ID	O	1
OBR.12	Danger Code	CE	O	1
OBR.13	Relevant Clinical Information	ST	O	1
OBR.14	Specimen Received Date Time	TS	B	1
OBR.15	Specimen Source	SPS	B	1
OBR.16	Ordering Provider	XCN	O	*
OBR.17	Order Callback Phone Number	XTN	O	*
OBR.18	Placer Field 1	ST	O	1
OBR.19	Placer Field 2	ST	O	1
OBR.20	Filler Field 1	ST	O	1
OBR.21	Filler Field 2	ST	O	1
OBR.22	Results Rpt Status Chng Date Time	TS	C	1
OBR.23	Charge To Practice	MOC	O	1
OBR.24	Diagnostic Serv Sect Id	ID	O	1
OBR.25	Result Status	ID	C	1
OBR.26	Parent Result	PRL	O	1
OBR.27	Quantity Timing	TQ	B	*
OBR.28	Result Copies To	XCN	O	*
OBR.29	Parent	EIP	O	1
OBR.30	Transportation Mode	ID	O	1
OBR.31	Reason For Study	CE	O	*
OBR.32	Principal Result Interpreter	NDL	O	1
OBR.33	Assistant Result Interpreter	NDL	O	*
OBR.34	Technician	NDL	O	*
OBR.35	Transcriptionist	NDL	O	*
OBR.36	Scheduled Date Time	TS	O	1
OBR.37	Number Of Sample Containers	NM	O	1
OBR.38	Transport Logistics Of Collected Sample	CE	O	*
OBR.39	Collectors Comment	CE	O	*
OBR.40	Transport Arrangement Responsibility	CE	O	1
OBR.41	Transport Arranged	ID	O	1
OBR.42	Escort Required	ID	O	1
OBR.43	Planned Patient Transport Comment	CE	O	*
OBR.44	Procedure Code	CE	O	1
OBR.45	Procedure Code Modifier	CE	O	*
OBR.46	Placer Supplemental Service Information	CE	O	*
OBR.47	Filler Supplemental Service Information	CE	O	*
OBR.48	Medically Necessary Duplicate Procedure Reason	CWE	O	1
OBR.49	Result Handling	IS	O	1

OBX -- Observation/Result

19 fields.

Seq	Name	Type	Opt	Rep
OBX.1	Set Id	SI	O	1
OBX.2	Value Type	ID	C	1
OBX.3	Observation Identifier	CE	R	1
OBX.4	Observation Sub Id	ST	C	1
OBX.5	Observation Value	varies	C	*
OBX.6	Units	CE	O	1
OBX.7	References Range	ST	O	1
OBX.8	Abnormal Flags	IS	O	*
OBX.9	Probability	NM	O	1
OBX.10	Nature Of Abnormal Test	ID	O	*
OBX.11	Observation Result Status	ID	R	1
OBX.12	Effective Date Of Reference Range	TS	O	1
OBX.13	User Defined Access Checks	ST	O	1
OBX.14	Date Time Of The Observation	TS	O	1
OBX.15	Producers Id	CE	O	1
OBX.16	Responsible Observer	XCN	O	*
OBX.17	Observation Method	CE	O	*
OBX.18	Equipment Instance Identifier	EI	O	*
OBX.19	Date Time Of The Analysis	TS	O	1

ODS -- Dietary Orders, Supplements, and Preferences

4 fields.

Seq	Name	Type	Opt	Rep
ODS.1	Type	ID	R	1
ODS.2	Service Period	CE	O	*
ODS.3	Diet Supplement Or Preference Code	CE	R	*
ODS.4	Text Instruction	ST	O	*

ODT -- Diet Tray Instructions

3 fields.

Seq	Name	Type	Opt	Rep
ODT.1	Tray Type	CE	R	1
ODT.2	Service Period	CE	O	*
ODT.3	Text Instruction	ST	O	1

OM1 -- General Segment

47 fields.

Seq	Name	Type	Opt	Rep
OM1.1	Sequence Number	NM	R	1
OM1.2	Producers Service Test Observation Id	CE	R	1
OM1.3	Permitted Data Types	ID	O	*
OM1.4	Specimen Required	ID	R	1
OM1.5	Producer Id	CE	R	1
OM1.6	Observation Description	TX	O	1
OM1.7	Other Service Test Observation Ids For The Observation	CE	O	1
OM1.8	Other Names	ST	R	*
OM1.9	Preferred Report Name	ST	O	1
OM1.10	Preferred Short Name	ST	O	1
OM1.11	Preferred Long Name	ST	O	1
OM1.12	Orderability	ID	O	1
OM1.13	Identity Of Instrument Used To Perform This Study	CE	O	*
OM1.14	Coded Representation Of Method	CE	O	*
OM1.15	Portable Device Indicator	ID	O	1
OM1.16	Observation Producing Department Section	CE	O	*
OM1.17	Telephone Number Of Section	XTN	O	1
OM1.18	Nature Of Service Test Observation	IS	R	1
OM1.19	Report Subheader	CE	O	1
OM1.20	Report Display Order	ST	O	1
OM1.21	Date Time Stamp For Any Change In Definition For The Observation	TS	O	1
OM1.22	Effective Date Time Of Change	TS	O	1
OM1.23	Typical Turn Around Time	NM	O	1
OM1.24	Processing Time	NM	O	1
OM1.25	Processing Priority	ID	O	*
OM1.26	Reporting Priority	ID	O	1
OM1.27	Outside Site	CE	O	*
OM1.28	Address Of Outside Site	XAD	O	*
OM1.29	Phone Number Of Outside Site	XTN	O	1
OM1.30	Confidentiality Code	CWE	O	1
OM1.31	Observations Required To Interpret The Observation	CE	O	1
OM1.32	Interpretation Of Observations	TX	O	1
OM1.33	Contraindications To Observations	CE	O	1
OM1.34	Reflex Tests Observations	CE	O	*
OM1.35	Rules That Trigger Reflex Testing	TX	O	1
OM1.36	Fixed Canned Message	CE	O	1
OM1.37	Patient Preparation	TX	O	1
OM1.38	Procedure Medication	CE	O	1
OM1.39	Factors That May Affect The Observation	TX	O	1
OM1.40	Service Test Observation Performance Schedule	ST	O	*
OM1.41	Description Of Test Methods	TX	O	1
OM1.42	Kind Of Quantity Observed	CE	O	1
OM1.43	Point Versus Interval	CE	O	1
OM1.44	Challenge Information	TX	O	1
OM1.45	Relationship Modifier	CE	O	1
OM1.46	Target Anatomic Site Of Test	CE	O	1
OM1.47	Modality Of Imaging Measurement	CE	O	1

OM2 -- Numeric Observation

10 fields.

Seq	Name	Type	Opt	Rep
OM2.1	Sequence Number	NM	O	1
OM2.2	Units Of Measure	CE	O	1
OM2.3	Range Of Decimal Precision	NM	O	*
OM2.4	Corresponding Si Units Of Measure	CE	O	1
OM2.5	Si Conversion Factor	TX	O	1
OM2.6	Reference Normal Range Ordinal And Continuous Observations	RFR	O	*
OM2.7	Critical Range For Ordinal And Continuous Observations	RFR	O	*
OM2.8	Absolute Range For Ordinal And Continuous Observations	RFR	O	1
OM2.9	Delta Check Criteria	DLT	O	*
OM2.10	Minimum Meaningful Increments	NM	O	1

OM3 -- Categorical Service/Test/Observation

7 fields.

Seq	Name	Type	Opt	Rep
OM3.1	Sequence Number	NM	O	1
OM3.2	Preferred Coding System	CE	O	1
OM3.3	Valid Coded Answers	CE	O	*
OM3.4	Normal Text Codes For Categorical Results	CE	O	*
OM3.5	Abnormal Text Codes For Categorical Results	CE	O	*
OM3.6	Critical Text Codes For Categorical Results	CE	O	*
OM3.7	Value Type	ID	O	1

OM4 -- Observations that Require Specimens

14 fields.

Seq	Name	Type	Opt	Rep
OM4.1	Sequence Number	NM	O	1
OM4.2	Derived Specimen	ID	O	1
OM4.3	Container Description	TX	O	1
OM4.4	Container Volume	NM	O	1
OM4.5	Container Units	CE	O	1
OM4.6	Specimen	CE	O	1
OM4.7	Additive	CWE	O	1
OM4.8	Preparation	TX	O	1
OM4.9	Special Handling Requirements	TX	O	1
OM4.10	Normal Collection Volume	CQ	O	1
OM4.11	Minimum Collection Volume	CQ	O	1
OM4.12	Specimen Requirements	TX	O	1
OM4.13	Specimen Priorities	ID	O	*
OM4.14	Specimen Retention Time	CQ	O	1

OM5 -- Observation Batteries (Sets)

3 fields.

Seq	Name	Type	Opt	Rep
OM5.1	Sequence Number	NM	O	1
OM5.2	Test Observations Included Within An Ordered Test Battery	CE	O	*
OM5.3	Observation Id Suffixes	ST	O	1

OM6 -- Observations Calculated from Other Observations

1 fields.

Seq	Name	Type	Opt	Rep
OM6.1	Derivation Rule	TX	O	1

OM7 -- Additional Basic Attributes

24 fields.

Seq	Name	Type	Opt	Rep
OM7.1	Sequence Number	NM	R	1
OM7.2	Universal Service Identifier	CE	R	1
OM7.3	Category Identifier	CE	O	*
OM7.4	Category Description	TX	O	1
OM7.5	Category Synonym	ST	O	*
OM7.6	Effective Test Service Start Date Time	TS	O	1
OM7.7	Effective Test Service End Date Time	TS	O	1
OM7.8	Test Service Default Duration Quantity	NM	O	1
OM7.9	Test Service Default Duration Units	CE	O	1
OM7.10	Test Service Default Frequency	IS	O	1
OM7.11	Consent Indicator	ID	O	1
OM7.12	Consent Identifier	CE	O	1
OM7.13	Consent Effective Start Date Time	TS	O	1
OM7.14	Consent Effective End Date Time	TS	O	1
OM7.15	Consent Interval Quantity	NM	O	1
OM7.16	Consent Interval Units	CE	O	1
OM7.17	Consent Waiting Period Quantity	NM	O	1
OM7.18	Consent Waiting Period Units	CE	O	1
OM7.19	Effective Date Time Of Change	TS	O	1
OM7.20	Entered By	XCN	O	1
OM7.21	Orderable At Location	PL	O	*
OM7.22	Formulary Status	IS	O	1
OM7.23	Special Order Indicator	ID	O	1
OM7.24	Primary Key Value Cdm	CE	O	*

ORC -- Common Order

31 fields.

Seq	Name	Type	Opt	Rep
ORC.1	Order Control	ID	R	1
ORC.2	Placer Order Number	EI	C	1
ORC.3	Filler Order Number	EI	C	1
ORC.4	Placer Group Number	EI	O	1
ORC.5	Order Status	ID	O	1
ORC.6	Response Flag	ID	O	1
ORC.7	Quantity Timing	TQ	B	*
ORC.8	Parent	EIP	O	1
ORC.9	Date Time Of Transaction	TS	O	1
ORC.10	Entered By	XCN	O	*
ORC.11	Verified By	XCN	O	*
ORC.12	Ordering Provider	XCN	O	*
ORC.13	Enterers Location	PL	O	1
ORC.14	Call Back Phone Number	XTN	O	*
ORC.15	Order Effective Date Time	TS	O	1
ORC.16	Order Control Code Reason	CE	O	1
ORC.17	Entering Organization	CE	O	1
ORC.18	Entering Device	CE	O	1
ORC.19	Action By	XCN	O	*
ORC.20	Advanced Beneficiary Notice Code	CE	O	1
ORC.21	Ordering Facility Name	XON	O	*
ORC.22	Ordering Facility Address	XAD	O	*
ORC.23	Ordering Facility Phone Number	XTN	O	*
ORC.24	Ordering Provider Address	XAD	O	*
ORC.25	Order Status Modifier	CWE	O	1
ORC.26	Advanced Beneficiary Notice Override Reason	CWE	O	1
ORC.27	Fillers Expected Availability Date Time	TS	O	1
ORC.28	Confidentiality Code	CWE	O	1
ORC.29	Order Type	CWE	O	1
ORC.30	Enterer Authorization Mode	CNE	O	1
ORC.31	Parent Universal Service Identifier	CWE	O	1

ORG -- Practitioner Organization Unit

12 fields.

Seq	Name	Type	Opt	Rep
ORG.1	Set Id	SI	R	1
ORG.2	Organization Unit Code	CE	O	1
ORG.3	Organization Unit Type Code	CE	O	1
ORG.4	Primary Org Unit Indicator	ID	O	1
ORG.5	Practitioner Org Unit Identifier	CX	O	1
ORG.6	Health Care Provider Type Code	CE	O	1
ORG.7	Health Care Provider Classification Code	CE	O	1
ORG.8	Health Care Provider Area Of Specialization Code	CE	O	1
ORG.9	Effective Date Range	DR	O	1
ORG.10	Employment Status Code	CE	O	1
ORG.11	Board Approval Indicator	ID	O	1
ORG.12	Primary Care Physician Indicator	ID	O	1

OVR -- Override Segment

5 fields.

Seq	Name	Type	Opt	Rep
OVR.1	Business Rule Override Type	CWE	O	1
OVR.2	Business Rule Override Code	CWE	O	1
OVR.3	Override Comments	TX	O	1
OVR.4	Override Entered By	XCN	O	1
OVR.5	Override Authorized By	XCN	O	1

PCR -- Possible Causal Relationship

23 fields.

Seq	Name	Type	Opt	Rep
PCR.1	Implicated Product	CE	R	1
PCR.2	Generic Product	IS	O	1
PCR.3	Product Class	CE	O	1
PCR.4	Total Duration Of Therapy	CQ	O	1
PCR.5	Product Manufacture Date	TS	O	1
PCR.6	Product Expiration Date	TS	O	1
PCR.7	Product Implantation Date	TS	O	1
PCR.8	Product Explantation Date	TS	O	1
PCR.9	Single Use Device	IS	O	1
PCR.10	Indication For Product Use	CE	O	1
PCR.11	Product Problem	IS	O	1
PCR.12	Product Serial Lot Number	ST	O	*
PCR.13	Product Available For Inspection	IS	O	1
PCR.14	Product Evaluation Performed	CE	O	1
PCR.15	Product Evaluation Status	CE	O	1
PCR.16	Product Evaluation Results	CE	O	1
PCR.17	Evaluated Product Source	ID	O	1
PCR.18	Date Product Returned To Manufacturer	TS	O	1
PCR.19	Device Operator Qualifications	ID	O	1
PCR.20	Relatedness Assessment	ID	O	1
PCR.21	Action Taken In Response To The Event	ID	O	*
PCR.22	Event Causality Observations	ID	O	*
PCR.23	Indirect Exposure Mechanism	ID	O	*

PD1 -- Patient Additional Demographic

21 fields.

Seq	Name	Type	Opt	Rep
PD1.1	Living Dependency	IS	O	*
PD1.2	Living Arrangement	IS	O	1
PD1.3	Patient Primary Facility	XON	O	*
PD1.4	Patient Primary Care Provider Name And Id No	XCN	B	*
PD1.5	Student Indicator	IS	O	1
PD1.6	Handicap	IS	O	1
PD1.7	Living Will Code	IS	O	1
PD1.8	Organ Donor Code	IS	O	1
PD1.9	Separate Bill	ID	O	1
PD1.10	Duplicate Patient	CX	O	*
PD1.11	Publicity Code	CE	O	1
PD1.12	Protection Indicator	ID	O	1
PD1.13	Protection Indicator Effective Date	DT	O	1
PD1.14	Place Of Worship	XON	O	*
PD1.15	Advance Directive Code	CE	O	*
PD1.16	Immunization Registry Status	IS	O	1
PD1.17	Immunization Registry Status Effective Date	DT	O	1
PD1.18	Publicity Code Effective Date	DT	O	1
PD1.19	Military Branch	IS	O	1
PD1.20	Military Rank Grade	IS	O	1
PD1.21	Military Status	IS	O	1

PDA -- Patient Death and Autopsy

9 fields.

Seq	Name	Type	Opt	Rep
PDA.1	Death Cause Code	CE	O	*
PDA.2	Death Location	PL	O	1
PDA.3	Death Certified Indicator	ID	O	1
PDA.4	Death Certificate Signed Date Time	TS	O	1
PDA.5	Death Certified By	XCN	O	1
PDA.6	Autopsy Indicator	ID	O	1
PDA.7	Autopsy Start And End Date Time	DR	O	1
PDA.8	Autopsy Performed By	XCN	O	1
PDA.9	Coroner Indicator	ID	O	1

PDC -- Product Detail Country

15 fields.

Seq	Name	Type	Opt	Rep
PDC.1	Manufacturer Distributor	XON	R	*
PDC.2	Country	CE	R	1
PDC.3	Brand Name	ST	R	1
PDC.4	Device Family Name	ST	O	1
PDC.5	Generic Name	CE	O	1
PDC.6	Model Identifier	ST	O	*
PDC.7	Catalogue Identifier	ST	O	1
PDC.8	Other Identifier	ST	O	*
PDC.9	Product Code	CE	O	1
PDC.10	Marketing Basis	ID	O	1
PDC.11	Marketing Approval Id	ST	O	1
PDC.12	Labeled Shelf Life	CQ	O	1
PDC.13	Expected Shelf Life	CQ	O	1
PDC.14	Date First Marketed	TS	O	1
PDC.15	Date Last Marketed	TS	O	1

PEO -- Product Experience Observation

25 fields.

Seq	Name	Type	Opt	Rep
PEO.1	Event Identifiers Used	CE	O	*
PEO.2	Event Symptom Diagnosis Code	CE	O	*
PEO.3	Event Onset Date Time	TS	R	1
PEO.4	Event Exacerbation Date Time	TS	O	1
PEO.5	Event Improved Date Time	TS	O	1
PEO.6	Event Ended Data Time	TS	O	1
PEO.7	Event Location Occurred Address	XAD	O	*
PEO.8	Event Qualification	ID	O	*
PEO.9	Event Serious	ID	O	1
PEO.10	Event Expected	ID	O	1
PEO.11	Event Outcome	ID	O	*
PEO.12	Patient Outcome	ID	O	1
PEO.13	Event Description From Others	FT	O	*
PEO.14	Event From Original Reporter	FT	O	*
PEO.15	Event Description From Patient	FT	O	*
PEO.16	Event Description From Practitioner	FT	O	*
PEO.17	Event Description From Autopsy	FT	O	*
PEO.18	Cause Of Death	CE	O	*
PEO.19	Primary Observer Name	XPN	O	*
PEO.20	Primary Observer Address	XAD	O	*
PEO.21	Primary Observer Telephone	XTN	O	*
PEO.22	Primary Observers Qualification	ID	O	1
PEO.23	Confirmation Provided By	ID	O	1
PEO.24	Primary Observer Aware Date Time	TS	O	1
PEO.25	Primary Observers Identity May Be Divulged	ID	O	1

PES -- Product Experience Sender

13 fields.

Seq	Name	Type	Opt	Rep
PES.1	Sender Organization Name	XON	O	*
PES.2	Sender Individual Name	XCN	O	*
PES.3	Sender Address	XAD	O	*
PES.4	Sender Telephone	XTN	O	*
PES.5	Sender Event Identifier	EI	O	1
PES.6	Sender Sequence Number	NM	O	1
PES.7	Sender Event Description	FT	O	*
PES.8	Sender Comment	FT	O	1
PES.9	Sender Aware Date Time	TS	O	1
PES.10	Event Report Date	TS	R	1
PES.11	Event Report Timing Type	ID	O	*
PES.12	Event Report Source	ID	O	1
PES.13	Event Reported To	ID	O	*

PID -- Patient Identification

39 fields.

Seq	Name	Type	Opt	Rep
PID.1	Set Id	SI	O	1
PID.2	Patient Id	CX	B	1
PID.3	Patient Identifier List	CX	R	*
PID.4	Alternate Patient Id	CX	B	*
PID.5	Patient Name	XPN	R	*
PID.6	Mothers Maiden Name	XPN	O	*
PID.7	Date Time Of Birth	TS	O	1
PID.8	Administrative Sex	IS	O	1
PID.9	Patient Alias	XPN	B	*
PID.10	Race	CE	O	*
PID.11	Patient Address	XAD	O	*
PID.12	County Code	IS	B	1
PID.13	Phone Number Home	XTN	O	*
PID.14	Phone Number Business	XTN	O	*
PID.15	Primary Language	CE	O	1
PID.16	Marital Status	CE	O	1
PID.17	Religion	CE	O	1
PID.18	Patient Account Number	CX	O	1
PID.19	Ssn Number	ST	B	1
PID.20	Drivers License Number	DLN	B	1
PID.21	Mothers Identifier	CX	O	*
PID.22	Ethnic Group	CE	O	*
PID.23	Birth Place	ST	O	1
PID.24	Multiple Birth Indicator	ID	O	1
PID.25	Birth Order	NM	O	1
PID.26	Citizenship	CE	O	*
PID.27	Veterans Military Status	CE	O	1
PID.28	Nationality	CE	B	1
PID.29	Patient Death Date And Time	TS	O	1
PID.30	Patient Death Indicator	ID	O	1
PID.31	Identity Unknown Indicator	ID	O	1
PID.32	Identity Reliability Code	IS	O	*
PID.33	Last Update Date Time	TS	O	1
PID.34	Last Update Facility	HD	O	1
PID.35	Species Code	CE	C	1
PID.36	Breed Code	CE	C	1
PID.37	Strain	ST	O	1
PID.38	Production Class Code	CE	O	1
PID.39	Tribal Citizenship	CWE	O	*

PR1 -- Procedures

20 fields.

Seq	Name	Type	Opt	Rep
PR1.1	Set Id	SI	R	1
PR1.2	Procedure Coding Method	IS	B	1
PR1.3	Procedure Code	CE	R	1
PR1.4	Procedure Description	ST	B	1
PR1.5	Procedure Date Time	TS	R	1
PR1.6	Procedure Functional Type	IS	O	1
PR1.7	Procedure Minutes	NM	O	1
PR1.8	Anesthesiologist	XCN	B	*
PR1.9	Anesthesia Code	IS	O	1
PR1.10	Anesthesia Minutes	NM	O	1
PR1.11	Surgeon	XCN	B	*
PR1.12	Procedure Practitioner	XCN	B	*
PR1.13	Consent Code	CE	O	1
PR1.14	Procedure Priority	ID	O	1
PR1.15	Associated Diagnosis Code	CE	O	1
PR1.16	Procedure Code Modifier	CE	O	*
PR1.17	Procedure Drg Type	IS	O	1
PR1.18	Tissue Type Code	CE	O	*
PR1.19	Procedure Identifier	EI	O	1
PR1.20	Procedure Action Code	ID	O	1

PRA -- Practitioner Detail

12 fields.

Seq	Name	Type	Opt	Rep
PRA.1	Primary Key Value	CE	C	1
PRA.2	Practitioner Group	CE	O	*
PRA.3	Practitioner Category	IS	O	*
PRA.4	Provider Billing	ID	O	1
PRA.5	Specialty	SPD	O	*
PRA.6	Practitioner Id Numbers	PLN	O	*
PRA.7	Privileges	PIP	O	*
PRA.8	Date Entered Practice	DT	O	1
PRA.9	Institution	CE	O	1
PRA.10	Date Left Practice	DT	O	1
PRA.11	Government Reimbursement Billing Eligibility	CE	O	*
PRA.12	Set Id	SI	C	1

PRB -- Problem Details

25 fields.

Seq	Name	Type	Opt	Rep
PRB.1	Action Code	ID	R	1
PRB.2	Action Date Time	TS	R	1
PRB.3	Problem Id	CE	R	1
PRB.4	Problem Instance Id	EI	R	1
PRB.5	Episode Of Care Id	EI	O	1
PRB.6	Problem List Priority	NM	O	1
PRB.7	Problem Established Date Time	TS	O	1
PRB.8	Anticipated Problem Resolution Date Time	TS	O	1
PRB.9	Actual Problem Resolution Date Time	TS	O	1
PRB.10	Problem Classification	CE	O	1
PRB.11	Problem Management Discipline	CE	O	*
PRB.12	Problem Persistence	CE	O	1
PRB.13	Problem Confirmation Status	CE	O	1
PRB.14	Problem Life Cycle Status	CE	O	1
PRB.15	Problem Life Cycle Status Date Time	TS	O	1
PRB.16	Problem Date Of Onset	TS	O	1
PRB.17	Problem Onset Text	ST	O	1
PRB.18	Problem Ranking	CE	O	1
PRB.19	Certainty Of Problem	CE	O	1
PRB.20	Probability Of Problem	NM	O	1
PRB.21	Individual Awareness Of Problem	CE	O	1
PRB.22	Problem Prognosis	CE	O	1
PRB.23	Individual Awareness Of Prognosis	CE	O	1
PRB.24	Family Significant Other Awareness Of Problem Prognosis	ST	O	1
PRB.25	Security Sensitivity	CE	O	1

PRC -- Pricing

18 fields.

Seq	Name	Type	Opt	Rep
PRC.1	Primary Key Value	CE	R	1
PRC.2	Facility Id	CE	O	*
PRC.3	Department	CE	O	*
PRC.4	Valid Patient Classes	IS	O	*
PRC.5	Price	CP	O	*
PRC.6	Formula	ST	O	*
PRC.7	Minimum Quantity	NM	O	1
PRC.8	Maximum Quantity	NM	O	1
PRC.9	Minimum Price	MO	O	1
PRC.10	Maximum Price	MO	O	1
PRC.11	Effective Start Date	TS	O	1
PRC.12	Effective End Date	TS	O	1
PRC.13	Price Override Flag	IS	O	1
PRC.14	Billing Category	CE	O	*
PRC.15	Chargeable Flag	ID	O	1
PRC.16	Active Inactive Flag	ID	O	1
PRC.17	Cost	MO	O	1
PRC.18	Charge On Indicator	IS	O	1

PRD -- Provider Data

9 fields.

Seq	Name	Type	Opt	Rep
PRD.1	Provider Role	CE	R	*
PRD.2	Provider Name	XPN	O	*
PRD.3	Provider Address	XAD	O	1
PRD.4	Provider Location	PL	O	1
PRD.5	Provider Communication Information	XTN	O	*
PRD.6	Preferred Method Of Contact	CE	O	1
PRD.7	Provider Identifiers	PLN	O	*
PRD.8	Effective Start Date Of Provider Role	TS	O	1
PRD.9	Effective End Date Of Provider Role	TS	O	*

PSH -- Product Summary Header

14 fields.

Seq	Name	Type	Opt	Rep
PSH.1	Report Type	ST	R	1
PSH.2	Report Form Identifier	ST	O	1
PSH.3	Report Date	TS	R	1
PSH.4	Report Interval Start Date	TS	O	1
PSH.5	Report Interval End Date	TS	O	1
PSH.6	Quantity Manufactured	CQ	O	1
PSH.7	Quantity Distributed	CQ	O	1
PSH.8	Quantity Distributed Method	ID	O	1
PSH.9	Quantity Distributed Comment	FT	O	1
PSH.10	Quantity In Use	CQ	O	1
PSH.11	Quantity In Use Method	ID	O	1
PSH.12	Quantity In Use Comment	FT	O	1
PSH.13	Number Of Product Experience Reports Filed By Facility	NM	O	*
PSH.14	Number Of Product Experience Reports Filed By Distributor	NM	O	*

PTH -- Pathway

6 fields.

Seq	Name	Type	Opt	Rep
PTH.1	Action Code	ID	R	1
PTH.2	Pathway Id	CE	R	1
PTH.3	Pathway Instance Id	EI	R	1
PTH.4	Pathway Established Date Time	TS	R	1
PTH.5	Pathway Life Cycle Status	CE	O	1
PTH.6	Change Pathway Life Cycle Status Date Time	TS	O	1

PV1 -- Patient Visit

52 fields.

Seq	Name	Type	Opt	Rep
PV1.1	Set Id	SI	O	1
PV1.2	Patient Class	IS	R	1
PV1.3	Assigned Patient Location	PL	O	1
PV1.4	Admission Type	IS	O	1
PV1.5	Preadmit Number	CX	O	1
PV1.6	Prior Patient Location	PL	O	1
PV1.7	Attending Doctor	XCN	O	*
PV1.8	Referring Doctor	XCN	O	*
PV1.9	Consulting Doctor	XCN	O	*
PV1.10	Hospital Service	IS	O	1
PV1.11	Temporary Location	PL	O	1
PV1.12	Preadmit Test Indicator	IS	O	1
PV1.13	Re Admission Indicator	IS	O	1
PV1.14	Admit Source	IS	O	1
PV1.15	Ambulatory Status	IS	O	*
PV1.16	Vip Indicator	IS	O	1
PV1.17	Admitting Doctor	XCN	O	*
PV1.18	Patient Type	IS	O	1
PV1.19	Visit Number	CX	O	1
PV1.20	Financial Class	FC	O	*
PV1.21	Charge Price Indicator	IS	O	1
PV1.22	Courtesy Code	IS	O	1
PV1.23	Credit Rating	IS	O	1
PV1.24	Contract Code	IS	O	*
PV1.25	Contract Effective Date	DT	O	*
PV1.26	Contract Amount	NM	O	*
PV1.27	Contract Period	NM	O	*
PV1.28	Interest Code	IS	O	1
PV1.29	Transfer To Bad Debt Code	IS	O	1
PV1.30	Transfer To Bad Debt Date	DT	O	1
PV1.31	Bad Debt Agency Code	IS	O	1
PV1.32	Bad Debt Transfer Amount	NM	O	1
PV1.33	Bad Debt Recovery Amount	NM	O	1
PV1.34	Delete Account Indicator	IS	O	1
PV1.35	Delete Account Date	DT	O	1
PV1.36	Discharge Disposition	IS	O	1
PV1.37	Discharged To Location	DLD	O	1
PV1.38	Diet Type	CE	O	1
PV1.39	Servicing Facility	IS	O	1
PV1.40	Bed Status	IS	B	1
PV1.41	Account Status	IS	O	1
PV1.42	Pending Location	PL	O	1
PV1.43	Prior Temporary Location	PL	O	1
PV1.44	Admit Date Time	TS	O	1
PV1.45	Discharge Date Time	TS	O	*
PV1.46	Current Patient Balance	NM	O	1
PV1.47	Total Charges	NM	O	1
PV1.48	Total Adjustments	NM	O	1
PV1.49	Total Payments	NM	O	1
PV1.50	Alternate Visit Id	CX	O	1
PV1.51	Visit Indicator	IS	O	1
PV1.52	Other Healthcare Provider	XCN	B	*

PV2 -- Patient Visit — Additional Information

49 fields.

Seq	Name	Type	Opt	Rep
PV2.1	Prior Pending Location	PL	C	1
PV2.2	Accommodation Code	CE	O	1
PV2.3	Admit Reason	CE	O	1
PV2.4	Transfer Reason	CE	O	1
PV2.5	Patient Valuables	ST	O	*
PV2.6	Patient Valuables Location	ST	O	1
PV2.7	Visit User Code	IS	O	*
PV2.8	Expected Admit Date Time	TS	O	1
PV2.9	Expected Discharge Date Time	TS	O	1
PV2.10	Estimated Length Of Inpatient Stay	NM	O	1
PV2.11	Actual Length Of Inpatient Stay	NM	O	1
PV2.12	Visit Description	ST	O	1
PV2.13	Referral Source Code	XCN	O	*
PV2.14	Previous Service Date	DT	O	1
PV2.15	Employment Illness Related Indicator	ID	O	1
PV2.16	Purge Status Code	IS	O	1
PV2.17	Purge Status Date	DT	O	1
PV2.18	Special Program Code	IS	O	1
PV2.19	Retention Indicator	ID	O	1
PV2.20	Expected Number Of Insurance Plans	NM	O	1
PV2.21	Visit Publicity Code	IS	O	1
PV2.22	Visit Protection Indicator	ID	O	1
PV2.23	Clinic Organization Name	XON	O	*
PV2.24	Patient Status Code	IS	O	1
PV2.25	Visit Priority Code	IS	O	1
PV2.26	Previous Treatment Date	DT	O	1
PV2.27	Expected Discharge Disposition	IS	O	1
PV2.28	Signature On File Date	DT	O	1
PV2.29	First Similar Illness Date	DT	O	1
PV2.30	Patient Charge Adjustment Code	CE	O	1
PV2.31	Recurring Service Code	IS	O	1
PV2.32	Billing Media Code	ID	O	1
PV2.33	Expected Surgery Date And Time	TS	O	1
PV2.34	Military Partnership Code	ID	O	1
PV2.35	Military Non Availability Code	ID	O	1
PV2.36	Newborn Baby Indicator	ID	O	1
PV2.37	Baby Detained Indicator	ID	O	1
PV2.38	Mode Of Arrival Code	CE	O	1
PV2.39	Recreational Drug Use Code	CE	O	*
PV2.40	Admission Level Of Care Code	CE	O	1
PV2.41	Precaution Code	CE	O	*
PV2.42	Patient Condition Code	CE	O	1
PV2.43	Living Will Code	IS	O	1
PV2.44	Organ Donor Code	IS	O	1
PV2.45	Advance Directive Code	CE	O	*
PV2.46	Patient Status Effective Date	DT	O	1
PV2.47	Expected Loa Return Date Time	TS	O	1
PV2.48	Expected Pre Admission Testing Date Time	TS	O	1
PV2.49	Notify Clergy Code	IS	O	*

QAK -- Query Acknowledgment

6 fields.

Seq	Name	Type	Opt	Rep
QAK.1	Query Tag	ST	C	1
QAK.2	Query Response Status	ID	O	1
QAK.3	Message Query Name	CE	O	1
QAK.4	Hit Count Total	NM	O	1
QAK.5	This Payload	NM	O	1
QAK.6	Hits Remaining	NM	O	1

QID -- Query Identification

2 fields.

Seq	Name	Type	Opt	Rep
QID.1	Query Tag	ST	R	1
QID.2	Message Query Name	CE	R	1

QPD -- Query Parameter Definition

3 fields.

Seq	Name	Type	Opt	Rep
QPD.1	Message Query Name	CE	R	1
QPD.2	Query Tag	ST	R	1
QPD.3	User Parameters In Successive Fields	varies	O	1

QRD -- Original-Style Query Definition

12 fields.

Seq	Name	Type	Opt	Rep
QRD.1	Query Date Time	TS	R	1
QRD.2	Query Format Code	ID	R	1
QRD.3	Query Priority	ID	R	1
QRD.4	Query Id	ST	R	1
QRD.5	Deferred Response Type	ID	O	1
QRD.6	Deferred Response Date Time	TS	O	1
QRD.7	Quantity Limited Request	CQ	R	1
QRD.8	Who Subject Filter	XCN	R	*
QRD.9	What Subject Filter	CE	R	*
QRD.10	What Department Data Code	CE	R	*
QRD.11	What Data Code Value Qual	VR	O	*
QRD.12	Query Results Level	ID	O	1

QRF -- Original Style Query Filter

10 fields.

Seq	Name	Type	Opt	Rep
QRF.1	Where Subject Filter	ST	R	*
QRF.2	When Data Start Date Time	TS	O	1
QRF.3	When Data End Date Time	TS	O	1
QRF.4	What User Qualifier	ST	O	*
QRF.5	Other Qry Subject Filter	ST	O	*
QRF.6	Which Date Time Qualifier	ID	O	*
QRF.7	Which Date Time Status Qualifier	ID	O	*
QRF.8	Date Time Selection Qualifier	ID	O	*
QRF.9	When Quantity Timing Qualifier	TQ	O	1
QRF.10	Search Confidence Threshold	NM	O	1

QRI -- Query Response Instance

3 fields.

Seq	Name	Type	Opt	Rep
QRI.1	Candidate Confidence	NM	O	1
QRI.2	Match Reason Code	IS	O	*
QRI.3	Algorithm Descriptor	CE	O	1

RCP -- Response Control Parameter

7 fields.

Seq	Name	Type	Opt	Rep
RCP.1	Query Priority	ID	O	1
RCP.2	Quantity Limited Request	CQ	O	1
RCP.3	Response Modality	CE	O	1
RCP.4	Execution And Delivery Time	TS	O	1
RCP.5	Modify Indicator	ID	O	1
RCP.6	Sort By Field	SRT	O	*
RCP.7	Segment Group Inclusion	ST	O	*

RDF -- Table Row Definition

2 fields.

Seq	Name	Type	Opt	Rep
RDF.1	Number Of Columns Per Row	NM	R	1
RDF.2	Column Description	RCD	R	*

RDT -- Table Row Data

1 fields.

Seq	Name	Type	Opt	Rep
RDT.1	Column Value	varies	R	1

RF1 -- Referral Information

11 fields.

Seq	Name	Type	Opt	Rep
RF1.1	Referral Status	CE	O	1
RF1.2	Referral Priority	CE	O	1
RF1.3	Referral Type	CE	O	1
RF1.4	Referral Disposition	CE	O	*
RF1.5	Referral Category	CE	O	1
RF1.6	Originating Referral Identifier	EI	R	1
RF1.7	Effective Date	TS	O	1
RF1.8	Expiration Date	TS	O	1
RF1.9	Process Date	TS	O	1
RF1.10	Referral Reason	CE	O	*
RF1.11	External Referral Identifier	EI	O	*

RGS -- Resource Group

3 fields.

Seq	Name	Type	Opt	Rep
RGS.1	Set Id	SI	R	1
RGS.2	Segment Action Code	ID	C	1
RGS.3	Resource Group Id	CE	O	1

RMI -- Risk Management Incident

3 fields.

Seq	Name	Type	Opt	Rep
RMI.1	Risk Management Incident Code	CE	O	1
RMI.2	Date Time Incident	TS	O	1
RMI.3	Incident Type Code	CE	O	1

ROL -- Role

12 fields.

Seq	Name	Type	Opt	Rep
ROL.1	Role Instance Id	EI	O	1
ROL.2	Action Code	ID	R	1
ROL.3	Role	CE	R	1
ROL.4	Role Person	XCN	R	*
ROL.5	Role Begin Date Time	TS	O	1
ROL.6	Role End Date Time	TS	O	1
ROL.7	Role Duration	CE	O	1
ROL.8	Role Action Reason	CE	O	1
ROL.9	Provider Type	CE	O	*
ROL.10	Organization Unit Type	CE	O	1
ROL.11	Office Home Address Birthplace	XAD	O	*
ROL.12	Phone	XTN	O	*

RQ1 -- Requisition Detail-1

7 fields.

Seq	Name	Type	Opt	Rep
RQ1.1	Anticipated Price	ST	O	1
RQ1.2	Manufacturer Identifier	CE	O	1
RQ1.3	Manufacturers Catalog	ST	O	1
RQ1.4	Vendor Id	CE	O	1
RQ1.5	Vendor Catalog	ST	O	1
RQ1.6	Taxable	ID	O	1
RQ1.7	Substitute Allowed	ID	O	1

RQD -- Requisition Detail

10 fields.

Seq	Name	Type	Opt	Rep
RQD.1	Requisition Line Number	SI	O	1
RQD.2	Item Code Internal	CE	O	1
RQD.3	Item Code External	CE	O	1
RQD.4	Hospital Item Code	CE	O	1
RQD.5	Requisition Quantity	NM	O	1
RQD.6	Requisition Unit Of Measure	CE	O	1
RQD.7	Dept Cost Center	IS	O	1
RQD.8	Item Natural Account Code	IS	O	1
RQD.9	Deliver To Id	CE	O	1
RQD.10	Date Needed	DT	O	1

RXA -- Pharmacy/Treatment Administration

26 fields.

Seq	Name	Type	Opt	Rep
RXA.1	Give Sub Id Counter	NM	R	1
RXA.2	Administration Sub Id Counter	NM	R	1
RXA.3	Date Time Start Of Administration	TS	R	1
RXA.4	Date Time End Of Administration	TS	O	1
RXA.5	Administered Code	CE	R	1
RXA.6	Administered Amount	NM	R	1
RXA.7	Administered Units	CE	O	1
RXA.8	Administered Dosage Form	CE	O	1
RXA.9	Administration Notes	CE	O	*
RXA.10	Administering Provider	XCN	O	*
RXA.11	Administered At Location	LA2	O	1
RXA.12	Administered Per Time Unit	ST	O	1
RXA.13	Administered Strength	NM	O	1
RXA.14	Administered Strength Units	CE	O	1
RXA.15	Substance Lot Number	ST	O	*
RXA.16	Substance Expiration Date	TS	O	*
RXA.17	Substance Manufacturer Name	CE	O	*
RXA.18	Substance Treatment Refusal Reason	CE	O	*
RXA.19	Indication	CE	O	*
RXA.20	Completion Status	ID	O	1
RXA.21	Action Code	ID	O	1
RXA.22	System Entry Date Time	TS	O	1
RXA.23	Administered Drug Strength Volume	NM	O	1
RXA.24	Administered Drug Strength Volume Units	CWE	O	1
RXA.25	Administered Barcode Identifier	CWE	O	1
RXA.26	Pharmacy Order Type	ID	O	1

RXC -- Pharmacy/Treatment Component Order

9 fields.

Seq	Name	Type	Opt	Rep
RXC.1	Rx Component Type	ID	R	1
RXC.2	Component Code	CE	R	1
RXC.3	Component Amount	NM	R	1
RXC.4	Component Units	CE	R	1
RXC.5	Component Strength	NM	O	1
RXC.6	Component Strength Units	CE	O	1
RXC.7	Supplementary Code	CE	O	*
RXC.8	Component Drug Strength Volume	NM	O	1
RXC.9	Component Drug Strength Volume Units	CWE	O	1

RXD -- Pharmacy/Treatment Dispense

33 fields.

Seq	Name	Type	Opt	Rep
RXD.1	Dispense Sub Id Counter	NM	R	1
RXD.2	Dispense Give Code	CE	R	1
RXD.3	Date Time Dispensed	TS	R	1
RXD.4	Actual Dispense Amount	NM	R	1
RXD.5	Actual Dispense Units	CE	O	1
RXD.6	Actual Dosage Form	CE	O	1
RXD.7	Prescription Number	ST	R	1
RXD.8	Number Of Refills Remaining	NM	O	1
RXD.9	Dispense Notes	ST	O	*
RXD.10	Dispensing Provider	XCN	O	*
RXD.11	Substitution Status	ID	O	1
RXD.12	Total Daily Dose	CQ	O	1
RXD.13	Dispense To Location	LA1	O	1
RXD.14	Needs Human Review	ID	O	1
RXD.15	Pharmacy Treatment Suppliers Special Dispensing Instructions	CE	O	*
RXD.16	Actual Strength	NM	O	1
RXD.17	Actual Strength Unit	CE	O	1
RXD.18	Substance Lot Number	ST	O	*
RXD.19	Substance Expiration Date	TS	O	*
RXD.20	Substance Manufacturer Name	CE	O	*
RXD.21	Indication	CE	O	*
RXD.22	Dispense Package Size	NM	O	1
RXD.23	Dispense Package Size Unit	CE	O	1
RXD.24	Dispense Package Method	ID	O	1
RXD.25	Supplementary Code	CE	O	*
RXD.26	Initiating Location	CE	O	1
RXD.27	Packaging Assembly Location	CE	O	1
RXD.28	Actual Drug Strength Volume	NM	O	1
RXD.29	Actual Drug Strength Volume Units	CWE	O	1
RXD.30	Dispense To Pharmacy	CWE	O	1
RXD.31	Dispense To Pharmacy Address	XAD	O	1
RXD.32	Pharmacy Order Type	ID	O	1
RXD.33	Dispense Type	CWE	O	1

RXE -- Pharmacy/Treatment Encoded Order

44 fields.

Seq	Name	Type	Opt	Rep
RXE.1	Quantity Timing	TQ	O	1
RXE.2	Give Code	CE	R	1
RXE.3	Give Amount Minimum	NM	R	1
RXE.4	Give Amount Maximum	NM	O	1
RXE.5	Give Units	CE	R	1
RXE.6	Give Dosage Form	CE	O	1
RXE.7	Providers Administration Instructions	CE	O	*
RXE.8	Deliver To Location	LA1	O	1
RXE.9	Substitution Status	ID	O	1
RXE.10	Dispense Amount	NM	O	1
RXE.11	Dispense Units	CE	O	1
RXE.12	Number Of Refills	NM	O	1
RXE.13	Ordering Providers Dea Number	XCN	O	*
RXE.14	Pharmacist Treatment Suppliers Verifier Id	XCN	O	*
RXE.15	Prescription Number	ST	O	1
RXE.16	Number Of Refills Remaining	NM	O	1
RXE.17	Number Of Refills Doses Dispensed	NM	O	1
RXE.18	Dt Of Most Recent Refill	TS	O	1
RXE.19	Total Daily Dose	CQ	O	1
RXE.20	Needs Human Review	ID	O	1
RXE.21	Pharmacy Treatment Suppliers Special Dispensing Instructions	CE	O	*
RXE.22	Give Per Time Unit	ST	O	1
RXE.23	Give Rate Amount	ST	O	1
RXE.24	Give Rate Units	CE	O	1
RXE.25	Give Strength	NM	O	1
RXE.26	Give Strength Units	CE	O	1
RXE.27	Give Indication	CE	O	*
RXE.28	Dispense Package Size	NM	O	1
RXE.29	Dispense Package Size Unit	CE	O	1
RXE.30	Dispense Package Method	ID	O	1
RXE.31	Supplementary Code	CE	O	*
RXE.32	Original Order Date Time	TS	O	1
RXE.33	Give Drug Strength Volume	NM	O	1
RXE.34	Give Drug Strength Volume Units	CWE	O	1
RXE.35	Controlled Substance Schedule	CWE	O	1
RXE.36	Formulary Status	ID	O	1
RXE.37	Pharmaceutical Substance Alternative	CWE	O	*
RXE.38	Pharmacy Of Most Recent Fill	CWE	O	1
RXE.39	Initial Dispense Amount	NM	O	1
RXE.40	Dispensing Pharmacy	CWE	O	1
RXE.41	Dispensing Pharmacy Address	XAD	O	1
RXE.42	Deliver To Patient Location	PL	O	1
RXE.43	Deliver To Address	XAD	O	1
RXE.44	Pharmacy Order Type	ID	O	1

RXG -- Pharmacy/Treatment Give

27 fields.

Seq	Name	Type	Opt	Rep
RXG.1	Give Sub Id Counter	NM	R	1
RXG.2	Dispense Sub Id Counter	NM	O	1
RXG.3	Quantity Timing	TQ	O	1
RXG.4	Give Code	CE	R	1
RXG.5	Give Amount Minimum	NM	R	1
RXG.6	Give Amount Maximum	NM	O	1
RXG.7	Give Units	CE	R	1
RXG.8	Give Dosage Form	CE	O	1
RXG.9	Administration Notes	CE	O	*
RXG.10	Substitution Status	ID	O	1
RXG.11	Dispense To Location	LA1	O	1
RXG.12	Needs Human Review	ID	O	1
RXG.13	Pharmacy Treatment Suppliers Special Dispensing Instructions	CE	O	*
RXG.14	Give Per Time Unit	ST	O	1
RXG.15	Give Strength	NM	O	1
RXG.16	Give Strength Units	CE	O	1
RXG.17	Substance Lot Number	ST	O	*
RXG.18	Substance Expiration Date	TS	O	*
RXG.19	Substance Manufacturer Name	CE	O	*
RXG.20	Indication	CE	O	*
RXG.21	Give Drug Strength Volume	NM	O	1
RXG.22	Give Drug Strength Volume Units	CWE	O	1
RXG.23	Give Barcode Identifier	CWE	O	1
RXG.24	Pharmacy Order Type	ID	O	1
RXG.25	Dispense To Pharmacy	CWE	O	1
RXG.26	Dispense To Pharmacy Address	XAD	O	1
RXG.27	Deliver To Patient Location	PL	O	1

RXO -- Pharmacy/Treatment Order

25 fields.

Seq	Name	Type	Opt	Rep
RXO.1	Requested Give Code	CE	R	1
RXO.2	Requested Give Amount Minimum	NM	O	1
RXO.3	Requested Give Amount Maximum	NM	O	1
RXO.4	Requested Give Units	CE	R	1
RXO.5	Requested Dosage Form	CE	O	1
RXO.6	Providers Pharmacy Treatment Instructions	CE	O	*
RXO.7	Providers Administration Instructions	CE	O	*
RXO.8	Deliver To Location	LA1	O	1
RXO.9	Allow Substitutions	ID	O	1
RXO.10	Requested Dispense Code	CE	O	1
RXO.11	Requested Dispense Amount	NM	O	1
RXO.12	Requested Dispense Units	CE	O	1
RXO.13	Number Of Refills	NM	O	1
RXO.14	Ordering Providers Dea Number	XCN	O	*
RXO.15	Pharmacist Treatment Suppliers Verifier Id	XCN	O	*
RXO.16	Needs Human Review	ID	O	1
RXO.17	Requested Give Per Time Unit	ST	O	1
RXO.18	Requested Give Strength	NM	O	1
RXO.19	Requested Give Strength Units	CE	O	1
RXO.20	Indication	CE	O	*
RXO.21	Requested Give Rate Amount	ST	O	1
RXO.22	Requested Give Rate Units	CE	O	1
RXO.23	Total Daily Dose	CQ	O	1
RXO.24	Supplementary Code	CE	O	*
RXO.25	Requested Drug Strength Volume	NM	O	1

RXR -- Pharmacy/Treatment Route

6 fields.

Seq	Name	Type	Opt	Rep
RXR.1	Route	CE	R	1
RXR.2	Administration Site	CWE	O	1
RXR.3	Administration Device	CE	O	1
RXR.4	Administration Method	CWE	O	1
RXR.5	Routing Instruction	CE	O	1
RXR.6	Administration Site Modifier	CWE	O	1

SAC -- Specimen Container Detail

44 fields.

Seq	Name	Type	Opt	Rep
SAC.1	External Accession Identifier	EI	O	1
SAC.2	Accession Identifier	EI	O	1
SAC.3	Container Identifier	EI	O	1
SAC.4	Primary Parent Container Identifier	EI	O	1
SAC.5	Equipment Container Identifier	EI	O	1
SAC.6	Specimen Source	SPS	O	1
SAC.7	Registration Date Time	TS	O	1
SAC.8	Container Status	CE	O	1
SAC.9	Carrier Type	CE	O	1
SAC.10	Carrier Identifier	EI	O	1
SAC.11	Position In Carrier	CE	O	1
SAC.12	Tray Type	CE	O	1
SAC.13	Tray Identifier	EI	O	1
SAC.14	Position In Tray	CE	O	1
SAC.15	Location	CE	O	*
SAC.16	Container Height	NM	O	1
SAC.17	Container Diameter	NM	O	1
SAC.18	Barrier Delta	NM	O	1
SAC.19	Bottom Delta	NM	O	1
SAC.20	Container Height Diameter Delta Units	CE	O	1
SAC.21	Container Volume	NM	O	1
SAC.22	Available Specimen Volume	NM	O	1
SAC.23	Initial Specimen Volume	NM	O	1
SAC.24	Volume Units	CE	O	1
SAC.25	Separator Type	CE	O	1
SAC.26	Cap Type	CE	O	1
SAC.27	Additive	CWE	O	*
SAC.28	Specimen Component	CE	O	1
SAC.29	Dilution Factor	SN	O	1
SAC.30	Treatment	CE	O	1
SAC.31	Temperature	SN	O	1
SAC.32	Hemolysis Index	NM	O	1
SAC.33	Hemolysis Index Units	CE	O	1
SAC.34	Lipemia Index	NM	O	1
SAC.35	Lipemia Index Units	CE	O	1
SAC.36	Icterus Index	NM	O	1
SAC.37	Icterus Index Units	CE	O	1
SAC.38	Fibrin Index	NM	O	1
SAC.39	Fibrin Index Units	CE	O	1
SAC.40	System Induced Contaminants	CE	O	*
SAC.41	Drug Interference	CE	O	*
SAC.42	Artificial Blood	CE	O	1
SAC.43	Special Handling Code	CWE	O	*
SAC.44	Other Environmental Factors	CE	O	*

SCD -- Anti-Microbial Cycle Data (v2.6)

36 fields.

Seq	Name	Type	Opt	Rep
SCD.1	Cycle Start Time	TS	O	1
SCD.2	Cycle Count	NM	O	1
SCD.3	Temp Max	CQ	O	1
SCD.4	Temp Min	CQ	O	1
SCD.5	Load Number	NM	O	1
SCD.6	Condition Time	CQ	O	1
SCD.7	Sterilize Time	CQ	O	1
SCD.8	Exhaust Time	CQ	O	1
SCD.9	Total Cycle Time	CQ	O	1
SCD.10	Device Status	CWE	O	1
SCD.11	Cycle Start Date Time	TS	O	1
SCD.12	Dry Time	CQ	O	1
SCD.13	Leak Rate	CQ	O	1
SCD.14	Control Temperature	CQ	O	1
SCD.15	Sterilizer Temperature	CQ	O	1
SCD.16	Cycle Complete Time	TS	O	1
SCD.17	Under Temperature	CQ	O	1
SCD.18	Over Temperature	CQ	O	1
SCD.19	Abort Cycle	CNE	O	1
SCD.20	Alarm	CNE	O	1
SCD.21	Long In Charge Phase	CNE	O	1
SCD.22	Long In Exhaust Phase	CNE	O	1
SCD.23	Long In Fast Exhaust Phase	CNE	O	1
SCD.24	Reset	CNE	O	1
SCD.25	Operator Unload	XCN	O	1
SCD.26	Door Open	CNE	O	1
SCD.27	Reading Failure	CNE	O	1
SCD.28	Cycle Type	CWE	O	1
SCD.29	Thermal Rinse Time	CQ	O	1
SCD.30	Wash Time	CQ	O	1
SCD.31	Injection Rate	CQ	O	1
SCD.32	Procedure Code	CNE	O	1
SCD.33	Patient Identifier List	CX	O	*
SCD.34	Attending Doctor	XCN	O	1
SCD.35	Dilution Factor	SN	O	1
SCD.36	Fill Time	CQ	O	1

SCH -- Scheduling Activity Information

27 fields.

Seq	Name	Type	Opt	Rep
SCH.1	Placer Appointment Id	EI	C	1
SCH.2	Filler Appointment Id	EI	C	1
SCH.3	Occurrence Number	NM	C	1
SCH.4	Placer Group Number	EI	O	1
SCH.5	Schedule Id	CE	O	1
SCH.6	Event Reason	CE	R	1
SCH.7	Appointment Reason	CE	O	1
SCH.8	Appointment Type	CE	O	1
SCH.9	Appointment Duration	NM	O	1
SCH.10	Appointment Duration Units	CE	O	1
SCH.11	Appointment Timing Quantity	TQ	B	*
SCH.12	Placer Contact Person	XCN	O	*
SCH.13	Placer Contact Phone Number	XTN	O	1
SCH.14	Placer Contact Address	XAD	O	*
SCH.15	Placer Contact Location	PL	O	1
SCH.16	Filler Contact Person	XCN	R	*
SCH.17	Filler Contact Phone Number	XTN	O	1
SCH.18	Filler Contact Address	XAD	O	*
SCH.19	Filler Contact Location	PL	O	1
SCH.20	Entered By Person	XCN	R	*
SCH.21	Entered By Phone Number	XTN	O	*
SCH.22	Entered By Location	PL	O	1
SCH.23	Parent Placer Appointment Id	EI	O	1
SCH.24	Parent Filler Appointment Id	EI	O	1
SCH.25	Filler Status Code	CE	C	1
SCH.26	Placer Order Number	EI	O	*
SCH.27	Filler Order Number	EI	O	*

SDD -- Sterilization Device Data (v2.6)

7 fields.

Seq	Name	Type	Opt	Rep
SDD.1	Lot Number	EI	O	1
SDD.2	Device Number	EI	O	1
SDD.3	Device Name	ST	O	1
SDD.4	Device Data State	IS	O	1
SDD.5	Load Status	IS	O	1
SDD.6	Control Code	NM	O	1
SDD.7	Operator Name	ST	O	1

SFT -- Software Segment

6 fields.

Seq	Name	Type	Opt	Rep
SFT.1	Software Vendor Organization	XON	R	1
SFT.2	Software Certified Version Or Release Number	ST	R	1
SFT.3	Software Product Name	ST	R	1
SFT.4	Software Binary Id	ST	R	1
SFT.5	Software Product Information	TX	O	1
SFT.6	Software Install Date	TS	O	1

SID -- Substance Identifier

4 fields.

Seq	Name	Type	Opt	Rep
SID.1	Application Method Identifier	CE	C	1
SID.2	Substance Lot Number	ST	O	1
SID.3	Substance Container Identifier	ST	O	1
SID.4	Substance Manufacturer Identifier	CE	C	1

SPM -- Specimen

30 fields.

Seq	Name	Type	Opt	Rep
SPM.1	Set Id	SI	O	1
SPM.2	Specimen Id	EIP	O	1
SPM.3	Specimen Parent Ids	EIP	O	*
SPM.4	Specimen Type	CWE	R	1
SPM.5	Specimen Type Modifier	CWE	O	*
SPM.6	Specimen Additives	CWE	O	*
SPM.7	Specimen Collection Method	CWE	O	1
SPM.8	Specimen Source Site	CWE	O	1
SPM.9	Specimen Source Site Modifier	CWE	O	*
SPM.10	Specimen Collection Site	CWE	O	1
SPM.11	Specimen Role	CWE	O	*
SPM.12	Specimen Collection Amount	CQ	O	1
SPM.13	Grouped Specimen Count	NM	O	1
SPM.14	Specimen Description	ST	O	*
SPM.15	Specimen Handling Code	CWE	O	*
SPM.16	Specimen Risk Code	CWE	O	*
SPM.17	Specimen Collection Date Time	DR	O	1
SPM.18	Specimen Received Date Time	TS	O	1
SPM.19	Specimen Expiration Date Time	TS	O	1
SPM.20	Specimen Availability	ID	O	1
SPM.21	Specimen Reject Reason	CWE	O	*
SPM.22	Specimen Quality	CWE	O	1
SPM.23	Specimen Appropriateness	CWE	O	1
SPM.24	Specimen Condition	CWE	O	*
SPM.25	Specimen Current Quantity	CQ	O	1
SPM.26	Number Of Specimen Containers	NM	O	1
SPM.27	Container Type	CWE	O	1
SPM.28	Container Condition	CWE	O	1
SPM.29	Specimen Child Role	CWE	O	1
SPM.30	Field 30	CWE	O	1

SPR -- Stored Procedure Request Definition

4 fields.

Seq	Name	Type	Opt	Rep
SPR.1	Query Tag	ST	O	1
SPR.2	Query Response Format Code	ID	R	1
SPR.3	Stored Procedure Name	CE	R	1
SPR.4	Input Parameter List	QIP	O	*

STF -- Staff Identification

38 fields.

Seq	Name	Type	Opt	Rep
STF.1	Primary Key Value	CE	C	1
STF.2	Staff Identifier List	CX	O	*
STF.3	Staff Name	XPN	O	*
STF.4	Staff Type	IS	O	*
STF.5	Administrative Sex	IS	O	1
STF.6	Date Time Of Birth	TS	O	1
STF.7	Active Inactive Flag	ID	O	1
STF.8	Department	CE	O	*
STF.9	Hospital Service	CE	O	*
STF.10	Phone	XTN	O	*
STF.11	Office Home Address Birthplace	XAD	O	*
STF.12	Institution Activation Date	DIN	O	*
STF.13	Institution Inactivation Date	DIN	O	*
STF.14	Backup Person Id	CE	O	*
STF.15	E Mail Address	ST	O	*
STF.16	Preferred Method Of Contact	CE	O	1
STF.17	Marital Status	CE	O	1
STF.18	Job Title	ST	O	1
STF.19	Job Code Class	JCC	O	1
STF.20	Employment Status Code	CE	O	1
STF.21	Additional Insured On Auto	ID	O	1
STF.22	Drivers License Number Staff	DLN	O	1
STF.23	Copy Auto Ins	ID	O	1
STF.24	Auto Ins Expires	DT	O	1
STF.25	Date Last Dmv Review	DT	O	1
STF.26	Date Next Dmv Review	DT	O	1
STF.27	Race	CE	O	1
STF.28	Ethnic Group	CE	O	1
STF.29	Re Activation Approval Indicator	ID	O	1
STF.30	Citizenship	CE	O	*
STF.31	Death Date And Time	TS	O	1
STF.32	Death Indicator	ID	O	1
STF.33	Institution Relationship Type Code	CWE	O	1
STF.34	Institution Relationship Period	DR	O	1
STF.35	Expected Return Date	DT	O	1
STF.36	Cost Center Code	CWE	O	*
STF.37	Generic Classification Indicator	ID	O	1
STF.38	Inactive Reason Code	CWE	O	1

TCC -- Test Code Configuration

14 fields.

Seq	Name	Type	Opt	Rep
TCC.1	Universal Service Identifier	CE	R	1
TCC.2	Test Application Identifier	EI	R	1
TCC.3	Specimen Source	SPS	O	1
TCC.4	Auto Dilution Factor Default	SN	O	1
TCC.5	Rerun Dilution Factor Default	SN	O	1
TCC.6	Pre Dilution Factor Default	SN	O	1
TCC.7	Endogenous Content Of Pre Dilution Diluent	SN	O	1
TCC.8	Inventory Limits Warning Level	NM	O	1
TCC.9	Automatic Rerun Allowed	ID	O	1
TCC.10	Automatic Repeat Allowed	ID	O	1
TCC.11	Automatic Reflex Allowed	ID	O	1
TCC.12	Equipment Dynamic Range	SN	O	1
TCC.13	Units	CE	O	1
TCC.14	Processing Type	CE	O	1

TCD -- Test Code Detail

8 fields.

Seq	Name	Type	Opt	Rep
TCD.1	Universal Service Identifier	CE	R	1
TCD.2	Auto Dilution Factor	SN	O	1
TCD.3	Rerun Dilution Factor	SN	O	1
TCD.4	Pre Dilution Factor	SN	O	1
TCD.5	Endogenous Content Of Pre Dilution Diluent	SN	O	1
TCD.6	Automatic Repeat Allowed	ID	O	1
TCD.7	Reflex Allowed	ID	O	1
TCD.8	Analyte Repeatability	CE	O	1

TQ1 -- Timing/Quantity

14 fields.

Seq	Name	Type	Opt	Rep
TQ1.1	Set Id	SI	O	1
TQ1.2	Quantity	CQ	O	1
TQ1.3	Repeat Pattern	RPT	O	*
TQ1.4	Explicit Time	TM	O	*
TQ1.5	Relative Time And Units	CQ	O	*
TQ1.6	Service Duration	CQ	O	1
TQ1.7	Start Date Time	TS	O	1
TQ1.8	End Date Time	TS	O	1
TQ1.9	Priority	CWE	O	*
TQ1.10	Condition Text	TX	O	1
TQ1.11	Text Instruction	TX	O	1
TQ1.12	Conjunction	ID	O	1
TQ1.13	Occurrence Duration	CQ	O	1
TQ1.14	Total Occurrences	NM	O	1

TQ2 -- Timing/Quantity Relationship

10 fields.

Seq	Name	Type	Opt	Rep
TQ2.1	Set Id	SI	O	1
TQ2.2	Sequence Results Flag	ID	O	1
TQ2.3	Related Placer Number	EI	O	*
TQ2.4	Related Filler Number	EI	O	*
TQ2.5	Related Placer Group Number	EI	O	*
TQ2.6	Sequence Condition Code	ID	O	1
TQ2.7	Cyclic Entry Exit Indicator	ID	O	1
TQ2.8	Sequence Condition Time Interval	CQ	O	1
TQ2.9	Cyclic Group Maximum Number Of Repeats	NM	O	1
TQ2.10	Special Service Request Relationship	ID	O	1

TXA -- Transcription Document Header

23 fields.

Seq	Name	Type	Opt	Rep
TXA.1	Set Id	SI	R	1
TXA.2	Document Type	IS	R	1
TXA.3	Document Content Presentation	ID	O	1
TXA.4	Activity Date Time	TS	O	1
TXA.5	Primary Activity Provider Code	XCN	O	*
TXA.6	Origination Date Time	TS	O	1
TXA.7	Transcription Date Time	TS	O	1
TXA.8	Edit Date Time	TS	O	*
TXA.9	Originator Code Name	XCN	O	*
TXA.10	Assigned Document Authenticator	XCN	O	*
TXA.11	Transcriptionist Code Name	XCN	O	*
TXA.12	Unique Document Number	EI	R	1
TXA.13	Parent Document Number	EI	O	1
TXA.14	Placer Order Number	EI	O	*
TXA.15	Filler Order Number	EI	O	1
TXA.16	Unique Document File Name	ST	O	1
TXA.17	Document Completion Status	ID	O	1
TXA.18	Document Confidentiality Status	ID	O	1
TXA.19	Document Availability Status	ID	O	1
TXA.20	Document Storage Status	ID	O	1
TXA.21	Document Change Reason	ST	O	1
TXA.22	Authentication Person Time Stamp	XCN	O	*
TXA.23	Distributed Copies	XCN	O	*

UB1 -- UB82

23 fields.

Seq	Name	Type	Opt	Rep
UB1.1	Set Id	SI	O	1
UB1.2	Blood Deductible	NM	B	1
UB1.3	Blood Furnished Pints Of	NM	B	1
UB1.4	Blood Replaced Pints	NM	B	1
UB1.5	Blood Not Replaced Pints	NM	B	1
UB1.6	Co Insurance Days	NM	B	1
UB1.7	Condition Code	IS	O	7
UB1.8	Covered Days	NM	B	1
UB1.9	Non Covered Days	NM	B	1
UB1.10	Value Amount And Code	UVC	B	*
UB1.11	Number Of Grace Days	NM	B	1
UB1.12	Special Program Indicator	CE	B	1
UB1.13	Psro Ur Approval Indicator	CE	B	1
UB1.14	Priority	ID	O	1
UB1.15	Psro Ur Approved Stay To	DT	B	1
UB1.16	Number Of Grace Days 16	NM	O	1
UB1.17	Admit Date	DT	B	1
UB1.18	Discharge Date	DT	B	1
UB1.19	Discharge Diagnosis	CE	B	1
UB1.20	Discharge Diagnosis Date	DT	B	1
UB1.21	Facility Id	ST	B	1
UB1.22	Health Plan Id	IS	B	1
UB1.23	Special Program Code	ID	B	1

UB2 -- UB92 Data

17 fields.

Seq	Name	Type	Opt	Rep
UB2.1	Set Id	SI	O	1
UB2.2	Co Insurance Days	ST	O	1
UB2.3	Condition Code	IS	O	7
UB2.4	Covered Days	ST	O	1
UB2.5	Non Covered Days	ST	O	1
UB2.6	Value Amount And Code	UVC	O	*
UB2.7	Occurrence Code And Date	OCD	O	*
UB2.8	Occurrence Span Code Dates	OSP	O	*
UB2.9	Ub92 Locator 2 State	ST	O	1
UB2.10	Ub92 Locator 11 State	ST	O	*
UB2.11	Ub92 Locator 31 National	ST	O	1
UB2.12	Document Control Number	ST	O	*
UB2.13	Ub92 Locator 49 National	ST	O	*
UB2.14	Ub92 Locator 56 State	ST	O	*
UB2.15	Ub92 Locator 57 National	ST	O	1
UB2.16	Ub92 Locator 78 State	ST	O	*
UB2.17	Special Visit Count	NM	O	1

URD -- Results/Update Definition

7 fields.

Seq	Name	Type	Opt	Rep
URD.1	R U Date Time	TS	O	1
URD.2	Report Priority	ID	O	1
URD.3	R U Who Subject Definition	XCN	R	*
URD.4	R U What Subject Definition	CE	O	*
URD.5	R U What Department Code	CE	O	*
URD.6	R U Display Print Locations	ST	O	*
URD.7	R U Results Level	ID	O	1

URS -- Unsolicited Selection

8 fields.

Seq	Name	Type	Opt	Rep
URS.1	R U Where Subject Definition	ST	R	*
URS.2	R U When Data Start Date Time	TS	O	1
URS.3	R U When Data End Date Time	TS	O	1
URS.4	R U What User Qualifier	ST	O	*
URS.5	R U Other Results Subject Definition	ST	O	*
URS.6	R U Which Date Time Qualifier	ID	O	*
URS.7	R U Which Date Time Status Qualifier	ID	O	*
URS.8	R U Date Time Selection Qualifier	ID	O	*

VAR -- Variance

6 fields.

Seq	Name	Type	Opt	Rep
VAR.1	Variance Instance Id	EI	R	1
VAR.2	Documented Date Time	TS	R	1
VAR.3	Stated Variance Date Time	TS	O	1
VAR.4	Variance Originator	XCN	O	*
VAR.5	Variance Classification	CE	O	1
VAR.6	Variance Description	ST	O	*

VTQ -- Virtual Table Query Request

5 fields.

Seq	Name	Type	Opt	Rep
VTQ.1	Query Tag	ST	O	1
VTQ.2	Query Response Format Code	ID	R	1
VTQ.3	Vtq Query Name	CE	R	1
VTQ.4	Virtual Table Name	CE	R	1
VTQ.5	Selection Criteria	QSC	O	*

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Next Page → HL7 v2.5.1 Data Type Definitions

HL7 v2.5.1 Segment Definitions Reference

ABS -- Abstract

ACC -- Accident

ADD -- Addendum

AFF -- Professional Affiliation

AIG -- Appointment Information — General Resource

AIL -- Appointment Information — Location Resource

AIP -- Appointment Information — Personnel Resource

AIS -- Appointment Information — Service

AL1 -- Patient Allergy Information

APR -- Appointment Preferences

ARQ -- Appointment Request

AUT -- Authorization Information

BHS -- Batch Header

BLC -- Blood Code

BLG -- Billing

BPO -- Blood Product Order

BPX -- Blood Product Dispense Status

BTS -- Batch Trailer

BTX -- Blood Product Transfusion/Disposition

CDM -- Charge Description Master

CER -- Certificate Detail

CM0 -- Clinical Study Master

CM1 -- Clinical Study Phase Master

CM2 -- Clinical Study Schedule Master

CNS -- Clear Notification

CON -- Consent Segment

CSP -- Clinical Study Phase

CSR -- Clinical Study Registration

CSS -- Clinical Study Data Schedule Segment

CTD -- Contact Data

CTI -- Clinical Trial Identification

DB1 -- Disability

DG1 -- Diagnosis

DRG -- Diagnosis Related Group

DSC -- Continuation Pointer

DSP -- Display Data

ECD -- Equipment Command

ECR -- Equipment Command Response

EDU -- Educational Detail

EQL -- Embedded Query Language

EQP -- Equipment/log Service

EQU -- Equipment Detail

ERQ -- Event Replay Query

ERR -- Error

EVN -- Event Type

FAC -- Facility

FHS -- File Header

FT1 -- Financial Transaction

FTS -- File Trailer

GOL -- Goal Detail

GP1 -- Grouping/Reimbursement — Visit

GP2 -- Grouping/Reimbursement — Procedure Line Item

GT1 -- Guarantor

IAM -- Patient Adverse Reaction Information

IIM -- Inventory Item Master

IN1 -- Insurance

IN2 -- Insurance Additional Information

IN3 -- Insurance Additional Information, Certification

INV -- Inventory Detail

IPC -- Imaging Procedure Control Segment

ISD -- Interaction Status Detail

LAN -- Language Detail

LCC -- Location Charge Code

LCH -- Location Characteristic

LDP -- Location Department

LOC -- Location Identification

LRL -- Location Relationship

MFA -- Master File Acknowledgment

MFE -- Master File Entry

MFI -- Master File Identification

MRG -- Merge Patient Information

MSA -- Message Acknowledgment

MSH -- Message Header

NCK -- System Clock

NDS -- Notification Detail

NK1 -- Next of Kin / Associated Parties

NPU -- Bed Status Update

NSC -- Application Status Change

NST -- Application Control Level Statistics