HL7 Segment Definitions

This documentation is for HL7 Segments related to:

Message Header (MSH)

SequenceLengthData TypeRequiredRepetitionName
11STREQNO_RPTField Separator
24STREQNO_RPTEncoding Characters
315STOPTNO_RPTSending Application
420STOPTNO_RPTSending Facility
515STOPTNO_RPTReceiving Application
630STOPTNO_RPTReceiving Facility
719TSOPTNO_RPTDate/Time of Message
840STOPTNO_RPTSecurity
97IDREQNO_RPTMessage Type
1020STREQNO_RPTMessage Control ID
111IDREQNO_RPTProcessing ID
128NMREQNO_RPTVersion ID
1315NMOPTNO_RPTSequence Number
14180STOPTNO_RPTContinuation Pointer
152IDOPTNO_RPTAccept Acknowledgment Type
162IDOPTNO_RPTApplication Acknowledgment Type
172IDOPTNO_RPTCountry Code
182IDOPTNO_RPTCharacter Set

Master File Identification (MFI)

SequenceLengthData TypeRequiredRepetitionName
160CEREQNO_RPTMaster File Identifier
2180HDOPTNO_RPTMaster File Application Identifier
33IDREQNO_RPTFile-Level Event Code
426TSOPTNO_RPTEntered Date/Time
526TSOPTNO_RPTEffective Date/Time
62IDREQNO_RPTResponse Level Code

Master File Entry (MFE)

SequenceLengthData TypeRequiredRepetitionName
13IDREQNO_RPTRecord-Level Event Code
220STREQNO_RPTMFN Control ID
326TSOPTNO_RPTEffective Date/Time
4200FTREQNO_MAXPrimary Key Value - MFE
53IDREQNO_MAXPrimary Key Value Type

Message Acknowledgement (MSA)

SequenceLengthData TypeRequiredRepetitionName
12IDREQNO_RPTAcknowledgement Code
220STREQNO_RPTMessage Control ID
380STOPTNO_RPTText Message
415NMOPTNO_RPTExpected Sequence Number
51IDOPTNO_RPTDelayed Ack Type

Event Type (EVN)

SequenceLengthData TypeRequiredRepetitionName
13IDREQNO_RPTEvent Type Code
219TSREQNO_RPTDate/Time of Event
319TSOPTNO_RPTDate/Time Planned Event
43IDOPTNO_RPTEvent Reason Code

Merge Patient Information (MRG)

SequenceLengthData TypeRequiredRepetitionName
1250CXREQNO_RPTPrior Patient Identifier List
2250CXOPTNO_RPTPrior Alternate Patient ID
3250CXOPTNO_RPTPrior Patient Account Number
4250CXOPTNO_RPTPrior Patient ID
5250CXOPTNO_RPTPrior Visit Number
6250CXOPTNO_RPTPrior Alternate Visit ID
7250XPNOPTNO_RPTPrior Patient Name

Patient Identification (PID)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet ID - PID
220CXOPTNO_RPTPatient ID
3250CXREQNO_MAXPatient Identifier List
420CXOPTNO_MAXAlternate Patient ID - PID
5250XPNREQNO_MAXPatient Name
6250XPNOPTNO_MAXMother's Maiden Name
726TSOPTNO_RPTDate/Time of Birth
81ISOPTNO_RPTSex
9250XPNOPTNO_MAXPatient Alias
10250CEOPTNO_MAXRace
11250XADOPTNO_MAXPatient Address
124ISOPTNO_RPTCounty Code
13250XTNOPTNO_MAXPhone Number - Home
14250XTNOPTNO_MAXPhone Number - Business
15250CEOPTNO_RPTPrimary Language
16250CEOPTNO_RPTMarital Status
17250CEOPTNO_RPTReligion
18250CXOPTNO_RPTPatient Account Number
1916STOPTNO_RPTSSN Number - Patient (not used)
2025DLNOPTNO_RPTDriver's License Number - Patient (not used)
21250CXOPTNO_MAXMother's Identifier
22250CEOPTNO_MAXEthnic Group
23250STOPTNO_RPTBirth Place
241IDOPTNO_RPTMultiple Birth Indicator
252NMOPTNO_RPTBirth Order
26250CEOPTNO_MAXCitizenship
27250CEOPTNO_RPTVeterans Military Status
28250CEOPTNO_RPTNationality
2926TSOPTNO_RPTPatient Death Date and Time
301IDOPTNO_RPTPatient Death Indicator
311IDOPTNO_RPTIdentity Unknown Indicator
3220ISOPTNO_MAXIdentity Reliability Code
3326TSOPTNO_RPTLast Update Date/Time
34241HDOPTNO_RPTLast Update Facility
35250CEOPTNO_RPTSpecies Code
36250CEOPTNO_RPTBreed Code
3780STOPTNO_RPTStrain
38250CEOPTNO_MAXProduction Class Code
39250CWEOPTNO_MAXTribal Citizenship

Patient Additional Demographics (PD1)

SequenceLengthData TypeRequiredRepetitionName
12ISOPTNO_RPTLiving Dependency
22ISOPTNO_RPTLiving Arrangement
390XONOPTNO_RPTPatient Primary Facility
490XCNOPTNO_RPTPatient Primary Care Provider Name & ID No.
52ISOPTNO_RPTStudent Indicator
62IS0PTNO_RPTHandicap
72ISOPTNO_RPTLiving Will
82ISOPTNO_RPTOrgan Donor
91IDOPTNO_RPTSeparate Bill
1020CXOPTNO_MAXDuplicate Patient
1180CEOPTNO_RPTPublicity Code
121IDOPTNO_RPTProtection Indicator

Patient Visit (PV1)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet Id
21IDREQNO_RPTPatient Class
380PLOPTNO_RPTAssigned Patient Location
42ISOPTNO_RPTAdmission Type
5250CXOPTNO_RPTPre-Admit Number
680PLOPTNO_RPTPrior Patient Location
7250XCNOPTNO_MAXAttending Doctor
8250XCNOPTNO_MAXReferring Doctor
9250XCNOPTNO_MAXConsulting Doctor (use ROL segment)
103ISOPTNO_RPTHospital Service
1180PLOPTNO_RPTTemporary Location
122ISOPTNO_RPTPre-Admit Test Indicator
132ISOPTNO_RPTRe-Admission Indicator
146ISOPTNO_RPTAdmit Source
152ISOPTNO_MAXAmbulatory Status
162ISOPTNO_RPTVIP Indicators
17250XCNOPTNO_MAXAdmitting Doctor
182ISOPTNO_RPTPatient Type
19250CXOPTNO_RPTVisit Number
2050FCOPTNO_MAXFinancial Class
212ISOPTNO_RPTCharge Price Indicator
222ISOPTNO_RPTCourtesy Code
232ISOPTNO_RPTCredit Rating
242ISOPTNO_MAXContract Code
258DTOPTNO_MAXContract Effective Date
2612NMOPTNO_MAXContract Amount
273NMOPTNO_MAXContract Period
282ISOPTNO_RPTInterest Code
294ISOPTNO_RPTTransfer to Bad Debt Code
308DTOPTNO_RPTTransfer to Bad Debt Date
3110ISOPTNO_RPTBad Debt Agency Code
3212NMOPTNO_RPTBad Debt Transfer Amount
3312NMOPTNO_RPTBad Debt Recovery Amount
341ISOPTNO_RPTDelete Account Indicator
358DTOPTNO_RPTDelete Account Date
363ISOPTNO_RPTDischarge Disposition
3747DLDOPTNO_RPTDischarged to Location
38250CEOPTNO_RPTDiet Type
392ISOPTNO_RPTServicing Facility
401ISOPTNO_RPTBed Status (not used)
412ISOPTNO_RPTAccount Status
4280PLOPTNO_RPTPending Location
4380PLOPTNO_RPTPrior Temporary Location
4426TSOPTNO_RPTAdmit Date/Time
4526TSOPTNO_MAXDischarge Date/Time
4612NMOPTNO_RPTCurrent Patient Balance
4712NMOPTNO_RPTTotal Charges
4812NMOPTNO_RPTTotal Adjustments
4912NMOPTNO_RPTTotal Payments
50250CXOPTNO_RPTAlternate Visit ID
511ISOPTNO_RPTVisit Indicator
52250XCNOPTNO_MAXOther Healthcare Provider

Patient Visit (PV1) for DFT

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet Id
21IDREQNO_RPTPatient Class
380PLOPTNO_RPTAssigned Patient Location
42ISOPTNO_RPTAdmission Type
5250CXOPTNO_RPTPre-Admit Number
680PLOPTNO_RPTPrior Patient Location
7250XCNOPTNO_MAXEncounter Performing Provider
8250XCNOPTNO_MAXBilling Provider
9250XCNOPTNO_MAXRendering Provider
103ISOPTNO_RPTSupervising Provider
1180PLOPTNO_RPTTemporary Location
122ISOPTNO_RPTPre-Admit Test Indicator
132ISOPTNO_RPTRe-Admission Indicator
146ISOPTNO_RPTAdmit Source
152ISOPTNO_MAXAmbulatory Status
162ISOPTNO_RPTVIP Indicators
17250XCNOPTNO_MAXAdmitting Doctor
182ISOPTNO_RPTPatient Type
19250CXOPTNO_RPTVisit Number
2050FCOPTNO_MAXFinancial Class
212ISOPTNO_RPTCharge Price Indicator
222ISOPTNO_RPTCourtesy Code
232ISOPTNO_RPTCredit Rating
242ISOPTNO_MAXContract Code
258DTOPTNO_MAXContract Effective Date
2612NMOPTNO_MAXContract Amount
273NMOPTNO_MAXContract Period
282ISOPTNO_RPTInterest Code
294ISOPTNO_RPTTransfer to Bad Debt Code
308DTOPTNO_RPTTransfer to Bad Debt Date
3110ISOPTNO_RPTBad Debt Agency Code
3212NMOPTNO_RPTBad Debt Transfer Amount
3312NMOPTNO_RPTBad Debt Recovery Amount
341ISOPTNO_RPTDelete Account Indicator
358DTOPTNO_RPTDelete Account Date
363ISOPTNO_RPTDischarge Disposition
3747DLDOPTNO_RPTDischarged to Location
38250CEOPTNO_RPTDiet Type
392ISOPTNO_RPTServicing Facility
401ISOPTNO_RPTBed Status (not used)
412ISOPTNO_RPTAccount Status
4280PLOPTNO_RPTPending Location
4380PLOPTNO_RPTPrior Temporary Location
4426TSOPTNO_RPTAdmit Date/Time
4526TSOPTNO_MAXDischarge Date/Time
4612NMOPTNO_RPTCurrent Patient Balance
4712NMOPTNO_RPTTotal Charges
4812NMOPTNO_RPTTotal Adjustments
4912NMOPTNO_RPTTotal Payments
50250CXOPTNO_RPTAlternate Visit ID
511ISOPTNO_RPTVisit Indicator
52250XCNOPTNO_MAXOther Healthcare Provider

Patient Visit - Additional Information (PV2)

SequenceLengthData TypeRequiredRepetitionName
180PLREQNO_RPTPrior Pending Location
260CEOPTNO_RPTAccommodation Code
360CEOPTNO_RPTAdmit Reason
460CEOPTNO_RPTTransfer Reason
525STOPTNO_MAXPatient Valuables
625STOPTNO_RPTPatient Valuables Location
72ISOPTNO_RPTVisit User Code
826TSOPTNO_RPTExpected Admit Date/Time
926TSOPTNO_RPTExpected Discharge Date/Time
103NMOPTNO_RPTEstimated Length of Inpatient Stay
113NMOPTNO_RPTActual Length of Inpatient Stay
1250STOPTNO_RPTVisit Description
1390XCNOPTNO_MAXReferral Source Code
148DTOPTNO_RPTPrevious Service Date
151IDOPTNO_RPTEmployment Illness Related Indicator
161ISOPTNO_RPTPurge Status Code
178DTOPTNO_RPTPurge Status Date
182ISOPTNO_RPTSpecial Program Code
191IDOPTNO_RPTRetention Indicator
201NMOPTNO_RPTExpected Number of Insurance Plans
211ISOPTNO_RPTVisit Publicity Code
221IDOPTNO_RPTVisit Protection Indicator
2390XONOPTNO_MAXClinic Organization Name
242ISOPTNO_RPTPatient Status Code
251ISOPTNO_RPTVisit Priority Code
268DTOPTNO_RPTPrevious Treatment Date
272ISOPTNO_RPTExpected Discharge Disposition
288DTOPTNO_RPTSignature on File Date
298DTOPTNO_RPTFirst Similar Illness Date
3080CEOPTNO_RPTPatient Charge Adjustment Code
312ISOPTNO_RPTRecurring Service Code
321IDOPTNO_RPTBilling Media Code
3326TSOPTNO_RPTExpected Surgery Date & Time
341IDOPTNO_RPTMilitary Partnership Code
351IDOPTNO_RPTMilitary Non-Availability Code
361IDOPTNO_RPTNewborn Baby Indicator
371IDOPTNO_RPTBaby Detained Indicator

Diagnosis (DG1)

SequenceLengthData TypeRequiredRepetitionName
14SIREQNO_RPTSet ID - Diagnosis
22IDREQNO_RPTDiagnosis Coding Method
310IDOPTNO_RPTDiagnosis Code
440STOPTNO_RPTDiagnosis Description
519TSOPTNO_RPTDiagnosis Date/Time
62IDREQNO_RPTDiagnosis/DRG Type
74STOPTNO_RPTMajor Diagnostic Category
84IDOPTNO_RPTDiagnostic Related Group
92IDOPTNO_RPTDRG Approval Indicator
102IDOPTNO_RPTDRG Grouper Review Code
112IDOPTNO_RPTOutlier Type
123NMOPTNO_RPTOutlier Days
1312NMOPTNO_RPTOutlier Cost
144STOPTNO_RPTGrouper Version and Type
152NMOPTNO_RPTDiagnosis/DRG priority
1636TXOPTNO_RPTDiagnosing clinician

Financial Transaction (FT1)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPT1 Set ID - Financial Trans
212STOPTNO_RPT2 Transaction ID
35STOPTNO_RPT3 Transaction Batch ID
48DTREQNO_RPT4 Transaction Date
58DTOPTNO_RPT5 Transaction Posting Date
68IDREQNO_RPT6 Transaction Type
720IDREQNO_RPT7 Transaction Code
840STOPTNO_RPT8 Transaction Description
940STOPTNO_RPT9 Transaction Desc. - Alt
104NMOPTNO_RPT10 Transaction Quantity
1112NMOPTNO_RPT11 Transaction Amount - Ext.
1212NMOPTNO_RPT12 Transaction Amount - Unit
1316STOPTNO_RPT13 Department Code
148IDOPTNO_RPT14 Insurance Plan ID
1512NMOPTNO_RPT15 Insurance Amount
1612STOPTNO_RPT16 Patient Location
171IDOPTNO_RPT17 Fee Schedule
182IDOPTNO_RPT18 Patient Type
198IDOPTNO_RPT19 Diagnosis Code
2060CNOPTNO_RPT20 Performed by Code
2160CNOPTNO_RPT21 Ordered by Code
2212NMOPTNO_RPT22 Unit Cost
2322EIOPTNO_RPT23 Filler Order Number
24120XCNOPTNO_RPT24 Entered By Code
2580CEOPTNO_RPT25 Procedure Code
2680CEOPTNO_RPT26 Procedure Code Modifier

Guarantor (GT1)

SequenceLengthData TypeRequiredRepetitionName
14SIREQNO_RPTSet ID - Guarantor
220IDOPTNO_MAXGuarantor Number
348PNREQNO_MAXGuarantor Name
448PNOPTNO_MAXGuarantor Spouse Name
5106ADOPTNO_MAXGuarantor Address
640TNOPTNO_MAXGuarantor Phone - Home
740TNOPTNO_MAXGuarantor Phone - Bus
88DTOPTNO_RPTGuarantor Date of Birth
91IDOPTNO_RPTGuarantor Sex
102IDOPTNO_RPTGuarantor Type
112IDOPTNO_RPTGuarantor Relationship
1211STOPTNO_RPTGuarantor SSN
138DTOPTNO_RPTGuarantor Date - Begin
148DTOPTNO_RPTGuarantor Date - End
152NMOPTNO_RPTGuarantor Priority
1645STOPTNO_MAXGuarantor Employer Name
17106ADOPTNO_MAXGuarantor Employer Addr
1840TNOPTNO_MAXGuarantor Employer Phone
1920STOPTNO_MAXGuarantor Employee ID #
202IDOPTNO_RPTGuarantor Employmt Status
21130XONOPTNO_MAXGuarantor Organization Name
221IDOPTNO_RPTGuarantor Billing Hold Flag
2380CEOPTNO_RPTGuarantor Credit Rating Code
2426TSOPTNO_RPTGuarantor Death Date And Time
251IDOPTNO_RPTGuarantor Death Flag
2680CEOPTNO_RPTGuarantor Charge Adjustment Code
2710CPOPTNO_RPTGuarantor Household Annual Income
283NMOPTNO_RPTGuarantor Household Size
2920CXOPTNO_MAXGuarantor Employer ID Number
3080CEOPTNO_RPTGuarantor Marital Status Code
318DTOPTNO_RPTGuarantor Hire Effective Date
328DTOPTNO_RPTEmployment Stop Date
332ISOPTNO_RPTLiving Dependency
342ISOPTNO_MAXAmbulatory Status
3580CEOPTNO_MAXCitizenship
3660CEOPTNO_RPTPrimary Language
372ISOPTNO_RPTLiving Arrangement
3880CEOPTNO_RPTPublicity Code
391IDOPTNO_RPTProtection Indicator
402ISOPTNO_RPTStudent Indicator
4180CEOPTNO_RPTReligion
4248XPNOPTNO_MAXMother's Maiden Name
4380CEOPTNO_RPTNationality
4480CEOPTNO_MAXEthnic Group
4548XPNOPTNO_MAXContact Person's Name
4640XTNOPTNO_MAXContact Person's Telephone Number
4780CEOPTNO_RPTContact Reason
482ISOPTNO_RPTContact Relationship
4920STOPTNO_RPTJob Title
5020JCCOPTNO_RPTJob Code/Class
51130XONOPTNO_MAXGuarantor Employer's Organization Name
522ISOPTNO_RPTHandicap
532ISOPTNO_RPTJob Status
5450FCOPTNO_RPTGuarantor Financial Class
5580CEOPTNO_MAXGuarantor Race

Insurance (IN1)

SequenceLengthData TypeRequiredRepetitionName
14SIREQNO_RPTSet ID - Insurance
28IDREQNO_RPTInsurance Plan ID
38STREQNO_RPTInsurance Company ID
445STOPTNO_RPTInsurance Company Name
5106ADOPTNO_RPTInsurance Company Address
648PNOPTNO_RPTInsurance Co Contact Pers
740TNOPTNO_RPTInsurance Co Phone Number
812STOPTNO_RPTGroup Number
935STOPTNO_RPTGroup Name
1012STOPTNO_RPTInsured's Group Emp. ID
1145STOPTNO_RPTInsured's Group Emp. Name
128DTOPTNO_RPTPlan Effective Date
138DTOPTNO_RPTPlan Expiration Date
1455STOPTNO_RPTAuthorization Information
152IDOPTNO_RPTPlan Type
1648PNOPTNO_RPTName of Insured
1710IDOPTNO_RPTInsured's Relation to Pat
188DTOPTNO_RPTInsured's Date of Birth
19106ADOPTNO_RPTInsured's Address
202IDOPTNO_RPTAssignment of Benefits
212IDOPTNO_RPTCoordination of Benefits
222STOPTNO_RPTCoord. of Ben. Priority
232IDOPTNO_RPTNotice of Admission Code
248DTOPTNO_RPTNotice of Admission Date
252IDOPTNO_RPTRpt of Eligibility Code
268DTOPTNO_RPTRpt of Eligibility Date
272IDOPTNO_RPTRelease Information Code
2815STOPTNO_RPTPre-Admit Cert. (PAC)
298DTOPTNO_RPTVerification Date
3060CMOPTNO_RPTVerification By
312IDOPTNO_RPTType of Agreement Code
322IDOPTNO_RPTBilling Status
334NMOPTNO_RPTLifetime Reserve Days
344NMOPTNO_RPTDelay Before L. R. Day
358STOPTNO_RPTCompany Plan Code
3680STOPTNO_RPTPolicy Number
3712NMOPTNO_RPTPolicy Deductible
3812NMOPTNO_RPTPolicy Limit - Amount
394NMOPTNO_RPTPolicy Limit - Days
4012NMOPTNO_RPTRoom Rate - Semi-Private
4112NMOPTNO_RPTRoom Rate - Private
421IDOPTNO_RPTInsured's Employ Status
431IDOPTNO_RPTInsured's Sex
44106XADOPTNO_RPTInsured's Employer Addr
452STOPTNO_RPTVerification Status
468ISOPTNO_RPTPrior Insurance Plan ID
473ISOPTNO_RPTCoverage Type
482ISOPTNO_RPTHandicap
4912CXOPTNO_RPTInsured<92>s ID Number

Insurance - Additional Information (IN2)

SequenceLengthData TypeRequiredRepetitionName
159CXOPTNO_MAXInsured's Employee ID
211STOPTNO_RPTInsured's Social Security Number
3130XCNOPTNO_MAXInsured's Employer's Name and ID
41ISOPTNO_RPTEmployer Information Data
51ISOPTNO_MAXMail Claim Party
615STOPTNO_RPTMedicare Health Ins Card Number
748XPNOPTNO_MAXMedicaid Case Name
815STOPTNO_RPTMedicaid Case Number
948XPNOPTNO_MAXMilitary Sponsor Name
1020STOPTNO_RPTMilitary ID Number
1180CEOPTNO_RPTDependent Of Military Recipient
1225STOPTNO_RPTMilitary Organization
1325STOPTNO_RPTMilitary Station
1414ISOPTNO_RPTMilitary Service
152ISOPTNO_RPTMilitary Rank/Grade
163ISOPTNO_RPTMilitary Status
178DTOPTNO_RPTMilitary Retire Date
181IDOPTNO_RPTMilitary Non-Avail Cert On File
191IDOPTNO_RPTBaby Coverage
201IDOPTNO_RPTCombine Baby Bill
211STOPTNO_RPTBlood Deductible
2248XPNOPTNO_MAXSpecial Coverage Approval Name
2330STOPTNO_RPTSpecial Coverage Approval Title
248ISOPTNO_MAXNon-Covered Insurance Code
2559CXOPTNO_MAXPayor ID
2659CXOPTNO_MAXPayor Subscriber ID
271ISOPTNO_RPTEligibility Source
2825CMOPTNO_MAXRoom Coverage Type/Amount
2925CMOPTNO_MAXPolicy Type/Amount
3025CMOPTNO_RPTDaily Deductible
312ISOPTNO_RPTLiving Dependency
322ISOPTNO_MAXAmbulatory Status
3380CEOPTNO_MAXCitizenship
3460CEOPTNO_RPTPrimary Language
352ISOPTNO_RPTLiving Arrangement
3680CEOPTNO_RPTPublicity Code
371IDOPTNO_RPTProtection Indicator
382ISOPTNO_RPTStudent Indicator
3980CEOPTNO_RPTReligion
4048XPNOPTNO_MAXMother's Maiden Name
4180CEOPTNO_RPTNationality
4280CEOPTNO_MAXEthnic Group
4380CEOPTNO_MAXMarital Status
448DTOPTNO_RPTInsured's Employment Start Date
458DTOPTNO_RPTEmployment Stop Date
4620STOPTNO_RPTJob Title
4720JCCOPTNO_RPTJob Code/Class
482ISOPTNO_RPTJob Status
4948XPNOPTNO_MAXEmployer Contact Person Name
5040XTNOPTNO_MAXEmployer Contact Person Phone Number
512ISOPTNO_RPTEmployer Contact Reason
5248XPNOPTNO_MAXInsured's Contact Person's Name
5340XTNOPTNO_MAXInsured's Contact Person Phone Number
542ISOPTNO_MAXInsured's Contact Person Reason
558DTOPTNO_RPTRelationship To The Patient Start Date
568DTOPTNO_MAXRelationship To The Patient Stop Date
572ISOPTNO_RPTInsurance Co. Contact Reason
5840XTNOPTNO_RPTInsurance Co Contact Phone Number
592ISOPTNO_RPTPolicy Scope
602ISOPTNO_RPTPolicy Source
6160CXOPTNO_RPTPatient Member Number
6280CEOPTNO_RPTGuarantor's Relationship To Insured
6340XTNOPTNO_MAXInsured's Phone Number - Home
6440XTNOPTNO_MAXInsured's Employer Phone Number
6560CEOPTNO_RPTMilitary Handicapped Program
661IDOPTNO_RPTSuspend Flag
671IDOPTNO_RPTCopay Limit Flag
681IDOPTNO_RPTStoploss Limit Flag
69130XONOPTNO_MAXInsured Organization Name And ID
70130XONOPTNO_MAXInsured Employer Organization Name And ID
7180CEOPTNO_MAXRace
7260CEOPTNO_RPTHCFA Patient's Relationship to Insured

Insurance - Additional Information, Certification (IN3)

SequenceLengthData TypeRequiredRepetitionName
14SIREQNO_RPTSet ID - IN3
259CXOPTNO_RPTCertification Number
360XCNOPTNO_MAXCertified By
41IDOPTNO_RPTCertification Required
510CMOPTNO_RPTPenalty
626TSOPTNO_RPTCertification Date/Time
726TSOPTNO_RPTCertification Modify Date/Time
860XCNOPTNO_MAXOperator
98DTOPTNO_RPTCertification Begin Date
108DTOPTNO_RPTCertification End Date
113CMOPTNO_RPTDays
1260CEOPTNO_RPTNon-Concur Code/Description
1326TSOPTNO_RPTNon-Concur Effective Date/Time
1460XCNOPTNO_MAXPhysician Reviewer
1548STOPTNO_RPTCertification Contact
1640XTNOPTNO_MAXCertification Contact Phone Number
1760CEOPTNO_RPTAppeal Reason
1860CEOPTNO_RPTCertification Agency
1940XTNOPTNO_MAXCertification Agency Phone Number
2040CMOPTNO_MAXPre-Certification Req/Window
2148STOPTNO_RPTCase Manager
228DTOPTNO_RPTSecond Opinion Date
231ISOPTNO_RPTSecond Opinion Status
241ISOPTNO_MAXSecond Opinion Documentation Received
2560XCNOPTNO_MAXSecond Opinion Physician

Procedures (PR1)

SequenceLengthData TypeRequiredRepetitionName
14SIREQNO_MAXSet ID - Procedure
22IDREQNO_MAXProcedure Coding Method
310IDREQNO_MAXProcedure Code
440STOPTNO_MAXProcedure Description
519TSREQNO_RPTProcedure Date/Time
62IDREQNO_RPTProcedure Type
74NMOPTNO_RPTProcedure Minutes
860CNOPTNO_RPTAnesthesiologist
92IDOPTNO_RPTAnesthesia Code
104NMOPTNO_RPTAnesthesia Minutes
1160CNOPTNO_RPTSurgeon
1260CNOPTNO_RPTResident Code
132IDOPTNO_RPTConsent Code

Error (ERR)

SequenceLengthData TypeRequiredRepetitionName
180IDREQNO_MAXError Code and Location

ZIL

SequenceLengthData TypeRequiredRepetitionName
164IDOPTNO_MAXDicom Study Ins UID

ZTN

SequenceLengthData TypeRequiredRepetitionName
1100STREQNO_RPTSystem Handle
2100STREQNO_RPTSystem OID
3300TNOPTNO_MAXTranslations used

ZDG

SequenceLengthData TypeRequiredRepetitionName
120STREQNO_RPTDebug Message Type
2500STOPTNO_RPTDebug Message

Notes and Comments (NTE)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet ID
28IDOPTNO_RPTSource of Comment
364000TXREQNO_MAXComment
460CEOPTNO_RPTComment Type

Scheduling Activity Information (SCH)

SequenceLengthData TypeRequiredRepetitionName
175EIOPTNO_RPTPlacer Appointment ID
275EIREQNO_RPTFiller Appointment ID
35NMOPTNO_RPTOccurrence Number
422EIOPTNO_RPTPlacer Group Number
5200CEOPTNO_RPTSchedule ID
6200CEOPTNO_RPTEvent Reason
7200CEOPTNO_RPTAppointment Reason
8200CEOPTNO_RPTAppointment Type
920NMOPTNO_RPTAppointment Duration
10200CEOPTNO_RPTAppointment Duration Units
11200TQREQNO_RPTAppointment Timing Quantity
1248XCNOPTNO_RPTPlacer Contact Person
1340XTNOPTNO_RPTPlacer Contact Phone Number
14106XADOPTNO_RPTPlacer Contact Address
1580PLOPTNO_RPTPlacer Contact Location
1638XCNOPTNO_RPTFiller Contact Person
1740XTNOPTNO_RPTFiller Contact Phone Number
18106XADOPTNO_RPTFiller Contact Address
1980PLOPTNO_RPTFiller Contact Location
2048XCNOPTNO_RPTEntered by Person
2140XTNOPTNO_RPTEntered by Phone Number
2280PLOPTNO_RPTEntered by Location
2375EIOPTNO_RPTParent Placer Appointment ID
2475EIOPTNO_RPTParent Filler Appointment ID
25200CEOPTNO_RPTFiller Status Code

Resource Group (RGS)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet ID
23IDOPTNO_RPTSegment Action Code
3200CEOPTNO_RPTResource Group ID

Appointment Information - Location resource (AIL)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet ID
21IDOPTNO_RPTSegment Action Code
380PLOPTNO_RPTLocation Resource ID
4200CEREQNO_RPTLocation Type
5200CEOPTNO_RPTLocation Group
626TSOPTNO_RPTStart Date/Time
720NMOPTNO_RPTStart Date/Time Offset
8200CEOPTNO_RPTStart Date/Time Offset Units
920NMOPTNO_RPTDuration
10200CEOPTNO_RPTDuration Units
1110ISOPTNO_RPTAllow Substitution Code
12200CEOPTNO_RPTFiller Status Code

Appointment Information - Personnel Resource (AIP)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet ID
23IDOPTNO_RPTSegment Action code
3200XCNREQNO_RPTPersonnel Resource ID
4200CEOPTNO_RPTResource Role
5200CEOPTNO_RPTResource Group
626TSOPTNO_RPTStart Date/Time
720NMOPTNO_RPTStart Date/Time Offset
8200CEOPTNO_RPTStart Date/Time Offset Units
920NMOPTNO_RPTDuration
10200CEOPTNO_RPTDuration Units
1110ISOPTNO_RPTAllow Substitution Code
12200CEOPTNO_RPTFiller Status Code

Appointment Information - General Resource (AIG)

SequenceLengthData TypeRequiredRepetitionName
14SIREQNO_RPTSet ID - AIG
23IDOPTNO_RPTSegment Action Code
3200CEREQNO_RPTResource ID
4200CEREQNO_RPTResource Type
5200CEOPTNO_MAXResource Group
65NMOPTNO_RPTResource Quantity
7200CEOPTNO_RPTResource Quantity Units
826TSOPTNO_RPTStart Date/Time
920NMOPTNO_RPTStart Date/Time Offset
10200CEOPTNO_RPTStart Date/Time Offset Units
1120NMOPTNO_RPTDuration
12200CEOPTNO_RPTDuration Units
1310ISOPTNO_RPTAllow Substitution Code
14200CEOPTNO_RPTFiller Status Code

Accident (ACC)

SequenceLengthData TypeRequiredRepetitionName
126TSOPTNO_RPTAccident Date/Time
260CEOPTNO_RPTAccident Code
325STOPTNO_RPTAccident Location
460CEOPTNO_RPTAuto Accident State
51IDOPTNO_RPTAccident Job Related Indicator
612IDOPTNO_RPTAccident Death Indicator

UB82 (UB1)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet ID - UB1
21NMOPTNO_RPTBlood Deductible
32NMOPTNO_RPTBlood Furnished-Pints Of
42NMOPTNO_RPTBlood Replaced-Pints
52NMOPTNO_RPTBlood Not Replaced-Pints
62NMOPTNO_RPTCo-Insurance Days
714ISOPTNO_MAXCondition Code
83NMOPTNO_RPTCovered Days -
93NMOPTNO_RPTNon Covered Days
1012CMOPTNO_MAXValue Amount & Code
112NMOPTNO_RPTNumber Of Grace Days
1260CEOPTNO_RPTSpecial Program Indicator
1360CEOPTNO_RPTPSRO/UR Approval Indicator
148DTOPTNO_RPTPSRO/UR Approved Stay-Fm
158DTOPTNO_RPTPSRO/UR Approved Stay-To
1620CMOPTNO_MAXOccurrence
1760CEOPTNO_RPTOccurrence Span
188DTOPTNO_RPTSpan Start Date
198DTOPTNO_RPTSpan End Date
2030STOPTNO_RPTUB-82 Locator
217STOPTNO_RPTUB-82 Locator
228STOPTNO_RPTUB-82 Locator
2317STOPTNO_RPTUB-82 Locator

UB92 Data (UB2)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet ID - UB2
23STOPTNO_MAXCo-Insurance Days
32ISOPTNO_RPTCondition Code
43STOPTNO_RPTCovered Days
54STOPTNO_RPTNon-Covered Days
611CMOPTNO_MAXValue Amount & Code
711CMOPTNO_MAXOccurrence Code & Date
828CMOPTNO_MAXOccurrence Span Code/Dates
929STOPTNO_MAXUB92 Locator 2 (State)
1012STOPTNO_MAXUB92 Locator 11 (State)
115STOPTNO_RPTUB92 Locator 31 (National)
1223STOPTNO_MAXDocument Control Number
134STOPTNO_MAXUB92 Locator 49 (National)
1414STOPTNO_MAXUB92 Locator 56 (State)
1527STOPTNO_RPTUB92 Locator 57 (National)
162STOPTNO_MAXUB92 Locator 78 (State)
173NMOPTNO_RPTSpecial Visit Count

Next of Kin/Associated Parties (NK1)

SequenceLengthData TypeRequiredRepetitionName
14SIREQNO_RPTSet ID - NK1
248XPNOPTNO_MAXName
360CEOPTNO_RPTRelationship
4106XADOPTNO_MAXAddress
540XTNOPTNO_MAXPhone Number
640XTNOPTNO_MAXBusiness Phone Number
760CEOPTNO_RPTContact Role
88DTOPTNO_RPTStart Date
98DTOPTNO_RPTEnd Date
1060STOPTNO_RPTNext of Kin / Associated Parties Job Title
1120JCCOPTNO_RPTNext of Kin / Associated Parties JobCode/Class
1220CXOPTNO_RPTNext of Kin / Associated Parties EmployeeNumber
1390XONOPTNO_MAXOrganization Name - NK1
1480CEOPTNO_RPTMarital Status
151ISOPTNO_RPTSex
1626TSOPTNO_RPTDate/Time of Birth
172ISOPTNO_MAXLiving Dependency
182ISOPTNO_MAXAmbulatory Status
1980CEOPTNO_MAXCitizenship
2060CEOPTNO_RPTPrimary Language
212ISOPTNO_RPTLiving Arrangement
2280CEOPTNO_RPTPublicity Code
231IDOPTNO_RPTProtection Indicator
242ISOPTNO_RPTStudent Indicator
2480CEOPTNO_RPTReligion
2548XPNOPTNO_MAXMother's Maiden Name
2680CEOPTNO_RPTNationality
2780CEOPTNO_MAXEthnic Group
2880CEOPTNO_MAXContact Reason
2948XPNOPTNO_MAXContact Person's Name
3040XTNOPTNO_MAXContact Person's Telephone Number
31106XADOPTNO_MAXContact Person's Address
3232CXOPTNO_MAXNext of Kin/Associated Party's Identifiers
332ISOPTNO_RPTJob Status
3480CEOPTNO_MAXRace
352ISOPTNO_RPTHandicap
3616STOPTNO_RPTContact Person Social Security Number

ZMF

SequenceLengthData TypeRequiredRepetitionName
130STOPTNO_RPTAccount Balance
230STOPTNO_RPTAccount Balance Forward
330STOPTNO_RPTAccount Unapplied Credit
430STOPTNO_RPTAccount Creation Date
530STOPTNO_RPTAccount Bill Type
630STOPTNO_RPTAccount Monthly Payment Amount
730STOPTNO_RPTAccount Date Last Payment
830STOPTNO_RPTAccount Amount Last Payment
1030STOPTNO_RPTAccount Date Last Bill
1130STOPTNO_RPTAccount Amount Last Statement
1230STOPTNO_RPTAccount YTD Charges
1330STOPTNO_RPTAccount Patient Due AR
1430STOPTNO_RPTAccount Account Status
1530STOPTNO_RPTAccount Discount Percent
1630STOPTNO_RPTAccount Date Last Procedure Posting
1730STOPTNO_RPTAccount Patient Class
1830STOPTNO_RPTAccount Patient Hist Balance
1930STOPTNO_RPTAccount Days before Enter Call
2030STOPTNO_RPTAccount Collection Priority

Common Order (ORC)

SequenceLengthData TypeRequiredRepetitionName
12IDREQNO_RPTOrder Control Code
222EIOPTNO_RPTPlacer Order Number
322EIOPTNO_RPTFiller Order Number
422EIOPTNO_RPTPlacer Group Number
52IDOPTNO_RPTOrder Status
61IDOPTNO_RPTResponse Flag
7200TQOPTNO_RPTQuantity/Timing
8200CMREQNO_RPTParent
926TSOPTNO_RPTTransaction Date/Time
10120XCNOPTNO_MAXEntered By
11120XCNOPTNO_MAXVerified By
12120XCNOPTNO_MAXOrdering Provider
1380PLOPTNO_RPTEnterer's Location
1440XTNOPTNO_RPTCall Back Phone Number
1526TSOPTNO_RPTOrder Effective Date/Time
16200CEOPTNO_RPTOrder Control Code Reason
1760CEOPTNO_RPTEntering Organization
1860CEOPTNO_RPTEntering Device
19120XCNOPTNO_MAXAction By
2040CEOPTNO_RPTAdvanced Beneficiary Notice Code
2160XONOPTNO_MAXOrdering Facility Name
22106XADOPTNO_MAXOrdering Facility Address
2348XTNOPTNO_MAXOrdering Facility Phone Number
24106XADOPTNO_MAXOrdering Provider Address

Observation request (OBR)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet ID
222EIOPTNO_RPTPlacer Order Number
322EIREQNO_RPTFiller Order Number
4200CEREQNO_RPTUniversal Service ID
52IDOPTNO_RPTPriority
626TSREQNO_RPTRequested Date/Time
726TSREQNO_RPTObservation Date/Time
826TSOPTNO_RPTObservation End Date/Time
920CQOPTNO_RPTCollection Volume
1060XCNOPTNO_MAXCollector Identifier
111IDOPTNO_RPTSpecimen Action Code
1260CEOPTNO_RPTDanger Code
13300STOPTNO_RPTRelevant Clinical Info
1426TSREQNO_RPTSpecimen Received Date/Time
15300CMOPTNO_RPTSpecimen Source
16120XCNOPTNO_MAXOrdering Provider
1740XTNOPTNO_RPTOrder Callback Phone Number
1860STOPTNO_RPTPlacer Field 1
1960STOPTNO_RPTPlacer Field 2
2060STOPTNO_RPTFiller Field 1
2160STOPTNO_RPTFiller Field 2
2226TSOPTNO_RPTResults Rpt/Change Date/Time
2340CMOPTNO_RPTCharge to Practice
2410IDOPTNO_RPTDiagnostic Serv Sect ID
251IDOPTNO_RPTResult Status
26200CMOPTNO_RPTParent Result
27200TQOPTNO_MAXQuantity/Timing
28150XCNOPTNO_RPTResult Copies To
29200CMOPTNO_RPTParent
3020IDOPTNO_RPTTransportation Mode
31300CEOPTNO_MAXReason for Study
32200CMOPTNO_RPTPrincipal Result Interpreter
33200CMOPTNO_RPTAssistant Result Interpreter
34200CMOPTNO_RPTTechnician
35200CMOPTNO_MAXTranscriptionist
3626TSOPTNO_RPTScheduled Date/Time
374NMOPTNO_RPTNumber of Sample Containers
3860CEOPTNO_MAXTransport Logistics of Collected Samples
39200CEOPTNO_MAXCollector's Comment
4060CEOPTNO_RPTTransport Arrangement Responsibility
4130IDOPTNO_RPTTransport Arranged
421IDOPTNO_RPTEscort Required
43200CEOPTNO_MAXPlanned Patient Transport Comment
4480CEOPTNO_RPTProcedure Code
4580CEOPTNO_MAXProcedure Code Modifier

Observation/Result (OBX)

SequenceLengthData TypeRequiredRepetitionName
14SIOPTNO_RPTSet ID
23IDOPTNO_RPTValue Type
380CEREQNO_RPTObservation Identifier
420STOPTNO_RPTObservation Sub-Id
565536FTOPTNO_RPTObservation Value
660CEOPTNO_RPTUnits
760STOPTNO_RPTReference Range
85IDOPTNO_RPTAbnormal Flags
95NMOPTNO_RPTProbability
102IDOPTNO_RPTNature of Abnormal Test
111IDREQNO_RPTObservation Result Status
1226TSOPTNO_RPTDate Last Obs Normal Value
1320STOPTNO_RPTUser Defined Access Checks
1426TSOPTNO_RPTDate/Time of the Observation
1560CEOPTNO_RPTProducer's ID
1680XCNOPTNO_RPTResponsible Observer
1760CEOPTNO_RPTObservation Method

Pharmacy/Treatment Administration (RXA)

SequenceLengthData TypeRequiredRepetitionName
14NMREQNO_RPTGive Sub-ID Counter
24NMREQNO_RPTAdministration Sub-ID Counter
326TSREQNO_RPTDate/Time Start of Administration
426TSREQNO_RPTDate/Time End of Administration
5100CEREQNO_RPTAdministered Code ^CVX (CDC DB)
620NMREQNO_RPTAdministered Amount
760CEOPTNO_RPTAdministered Units
860CEOPTNO_RPTAdministered Dosage Form
9200CEOPTNO_MAXAdministration Notes
10200XCNOPTNO_MAXAdministering Provider
11200CMOPTNO_RPTAdministered-at Location
1220STOPTNO_RPTAdministered Per (Time Unit)
1320NMOPTNO_RPTAdministered Strength
1460CEOPTNO_RPTAdministered Strength Units
1520STOPTNO_MAXSubstance Lot Number
1627TSOPTNO_MAXSubstance Expiration Date
1760CEOPTNO_MAXSubstance Manufacturer Name ^MVX
18200CEOPTNO_MAXSubstance Refusal Reason
19200CEOPTNO_MAXIndication
202IDOPTNO_RPTCompletion Status
212IDOPTNO_RPTAction Code-RXA
2226TSOPTNO_RPTSystem Entry Date/Time

Pharmacy/Treatment Route (RXR)

SequenceLengthData TypeRequiredRepetitionName
160CEREQNO_RPTRoute (p351 in pdf)
260CEOPTNO_RPTSite (possibly SNOMED)
360CEOPTNO_RPTAdministration Device (p352 in pdf)
460CEOPTNO_RPTAdministration Method
560CEOPTNO_RPTRouting Instruction

Transcription Document Header (TXA)

SequenceLengthData TypeRequiredRepetitionName
14SIREQNO_RPTSet ID- TXA
230ISREQNO_RPTDocument Type
32IDOPTNO_RPTDocument Content Presentation
426TSOPTNO_RPTActivity Date/Time
560XCNOPTNO_MAXPrimary Activity Provider Code/Name
626TSOPTNO_RPTOrigination Date/Time
726TSOPTNO_RPTTranscription Date/Time
826TSOPTNO_MAXEdit Date/Time
960XCNOPTNO_MAXOriginator Code/Name
1060XCNOPTNO_MAXAssigned Document Authenticator
1148XCNOPTNO_MAXTranscriptionist Code/Name
1230EIREQNO_RPTUnique Document Number
1330EIOPTNO_RPTParent Document Number
1422EIOPTNO_MAXPlacer Order Number
1522EIOPTNO_RPTFiller Order Number
1630STOPTNO_RPTUnique Document File Name
172IDREQNO_RPTDocument Completion Status
182IDOPTNO_RPTDocument Confidentiality Status
192IDOPTNO_RPTDocument Availability Status
202IDOPTNO_RPTDocument Storage Status
2130STOPTNO_RPTDocument Change Reason
2260PPNOPTNO_MAXAuthentication Person, Time Stamp
2360XCNOPTNO_MAXDistributed Copies (Code and Name of Recipients)

Query Acknowledgement (QAK)

SequenceLengthData TypeRequiredRepetitionName
132STOPTNO_RPTQuery Tag
260CEREQNO_RPTEvent Identifier
3256QIPOPTNO_MAXInput Parameter List

Original Style Query Definition (QRD)

SequenceLengthData TypeRequiredRepetitionName
126TSREQNO_RPTQuery Date/Time
21IDREQNO_RPTQuery Format Code - usually: R
31IDREQNO_RPTQuery Priority - usually: I
410STREQNO_RPTQuery ID (unique ID assigned by querying app)
51IDOPTNO_RPTDeferred Response Type (not used w/ .3 == I)
626TSOPTNO_RPTDeferred Response Date/Time (not used w/ .3 == I)
710CQREQNO_RPTQuantity Limited Request (not used)
860XCNREQNO_MAXWho Subject Filter (Queried Patient information)
960CEREQNO_MAXWhat Subject Filter - usually: VXI
1060CEREQNO_MAXWhat Department Data Code (specific for VXI)
1120CMOPTNO_MAXWhat Data Code Value Qual (result range criteria)
121IDOPTNO_RPTQuery Results Level

Original Style Query Filter (QRF)

SequenceLengthData TypeRequiredRepetitionName
120STREQNO_MAXWhere Subject Filter (department,system,etc: LAB~HEMO)
226TSOPTNO_RPTWhen Data Start Date/Time - Backwards only
326TSOPTNO_RPTWhen Data End Date/Time - Backwards only
460STOPTNO_MAXWhat User Qualifier (extra limitation)
560STOPTNO_MAXOther QRY Subject Filter (limit of 10 repeats for VXQ) see hl7_notes.txt
612IDOPTNO_MAXWhich Date/Time Qualifier (range of .2/.3) - usually: ANY
712IDOPTNO_MAXWhich Date/Time Status Qualifier - usually: CFN or FIN (current final value, final only)
812IDOPTNO_MAXDate/Time Selection Qualifier (value ordering (1ST,LST,ALL,REV) - usually:REV (reverse cronological)
960TQOPTNO_RPTWhen Quantity/Timing Qualifier (replaces .2/.3)

ZCL

SequenceLengthData TypeRequiredRepetitionName
1255STOPTNO_RPTHeight
2255STOPTNO_RPTWeight
3255STOPTNO_RPTUrine Collection
4255STOPTNO_RPTFasting

ZBL

SequenceLengthData TypeRequiredRepetitionName
1255STREQNO_RPTPatient Race
2255STREQNO_RPTHispanic
3255STREQNO_RPTBlood Lead Type
4255STOPTNO_RPTBlood Lead Purpose
5255STOPTNO_RPTBlood Lead County

ZCY

SequenceLengthData TypeRequiredRepetitionName
1255STREQNO_RPTCervical
2255STREQNO_RPTEndocervical
3255STREQNO_RPTLabia-Vulva
4255STREQNO_RPTVaginal
5255STREQNO_RPTEndometrial
6255STREQNO_RPTSwab-Spatula
7255STREQNO_RPTBrush-Spatula
8255STREQNO_RPTSpatula-Alone
9255STREQNO_RPTBrush-Alone
10255STREQNO_RPTBroom-Alone
11255STREQNO_RPTOther Collection Technique
12255STREQNO_RPTLMP-Meno Date
13255STREQNO_RPTPrev Treatment
14255STREQNO_RPTHyst-Prev Treatment
15255STREQNO_RPTConiza-Prev Treatment
16255STREQNO_RPTColp-BX-Prev Treatment
17255STREQNO_RPTLaser Vap-Prev Treatment
18255STREQNO_RPTCyro-Prev Treatment
19255STREQNO_RPTRadiation-Prev Treatment
20255STREQNO_RPTDates Results-prev cyto inf
21255STREQNO_RPTPregnant
22255STREQNO_RPTLactating
23255STREQNO_RPTOral Contraceptive
24255STREQNO_RPTMenopausal
25255STREQNO_RPTEstro-RX
26255STREQNO_RPTPMP-Bleeding
27255STREQNO_RPTPost-Part
28255STREQNO_RPTIUD
29255STREQNO_RPTAll Other Pat Info
30255STREQNO_RPTNegative prev cyto info
31255STREQNO_RPTAtypical prev cyto info
32255STREQNO_RPTDysplasia prev cyto info
33255STREQNO_RPTCa-In-Situ prev cyto info
34255STREQNO_RPTInvasive prev cyto info
35255STREQNO_RPTOther prev cyto info

ZSA

SequenceLengthData TypeRequiredRepetitionName
1255STREQNO_RPTInsulin Dependent
2255STREQNO_RPTGestational Age
3255STREQNO_RPTGest Age by LMP
4255STREQNO_RPTGest Age by Ultrasound
5255STREQNO_RPTGest Age by Est Date of Delivery
6255STREQNO_RPTType of Pregnancy
7255STREQNO_RPTRoutine Screening
8255STREQNO_RPTPrev Neural Tube Defects
9255STREQNO_RPTAdvanced Maternal Age
10255STREQNO_RPTHistory of Down Syndrome
11255STREQNO_RPTHist of Cystic Fibrosis
12255STREQNO_RPTOther Indications
13255STREQNO_RPTHand Written AFP Info
14255STREQNO_RPTReason for Repeat: Elevated
15255STREQNO_RPTEarly GA
16255STREQNO_RPTHemolyzed

ZPS

SequenceLengthData TypeRequiredRepetitionName
1255STREQNO_RPTSequence Number
2255STREQNO_RPTFacility Mnemonic
3255STREQNO_RPTFacility Name
4255STREQNO_RPTFacility Address Info
5255STREQNO_RPTFacility Phone num
6255STREQNO_RPTFacility Contact
7255STREQNO_RPTFacility Director

ZSV

SequenceLengthData TypeRequiredRepetitionName
160CEOPTNO_RPTUnused
260CEOPTNO_RPTUnused
360CEOPTNO_RPTUnused
460CEOPTNO_RPTUnused
560CEOPTNO_RPTUnused
660CEOPTNO_RPTUnused
760CEOPTNO_RPTVFC Code

ZPA

SequenceLengthData TypeRequiredRepetitionName
110CEOPTNO_RPTemployee_group
210CEOPTNO_RPTemployee_class
310CEOPTNO_RPTjob_code
410CEOPTNO_RPTcompany_code
510CEOPTNO_RPTcost_center_code
610CEOPTNO_RPTfacility_code
710CEOPTNO_RPTbuilding_code
810CEOPTNO_RPTfloor_code
926TSOPTNO_RPThire_datetime
1026TSOPTNO_RPTrehire_datetime
1126TSOPTNO_RPTretirement_datetime
1226TSOPTNO_RPTtermination_datetime
138CEOPTNO_RPTwork_schedule_code
1426TSOPTNO_RPTonboard_datetime
1530STOPTNO_RPTsupervisor_mrn
1610STOPTNO_RPTsupervisor_id
1730STOPTNO_RPTadmin_assist_mrn
1810STOPTNO_RPTadmin_assist_id
19100STOPTNO_RPThr_rsn_typ_nm
202STOPTNO_RPThr_actn_typ_cd
21100STOPTNO_RPThr_actn_typ_nm
2226TSOPTNO_RPTactn_begin_dt
2326TSOPTNO_RPTactn_end_dt
2410STOPTNO_RPTclinic_location
2510CEOPTNO_RPTcapacity_utilization_level
265STOPTNO_RPThours_worked_per_day
275STOPTNO_RPTdays_worked_per_week
284CEOPTNO_RPTstatus_code
2926TSOPTNO_RPTedl_start_datetime
3026TSOPTNO_RPTedl_end_datetime
315STOPTNO_RPTpersonnel_area_code
325STOPTNO_RPTpersonnel_area_text
3310STOPTNO_RPTlocation
3450CEOPTNO_RPTemployee_union
3520STOPTNO_RPThourlyrate
3626TSOPTNO_RPTseniority_date

Data Types

TN

The TN Data Type is an MIE Extension designed for notifying a sending system of translations used in the processing of the message. This can be thought of as an incremental approach to maintaining a MFN interface.

NameData TypeRequiredUse
From IDIDREQthe requesting system's local identifier (external vendor)
To IDIDREQthe creating system's local identifier (webchart)
TypeSTREQindication of type of translation created: user, or one of the WCMAP_ family of #defines
ContextSTOPToptional indication of the context of the translation created. for users, an indication of originating, authenticating, etc.

Sending HL7 Messages to System Sample HL7 Messages


Enterprise Health Documentation

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