A. Data Definition Tables

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-1 Final Standard. 4/3/97 A. Data Definition Tables A.1 INTRODUCTION...

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A. Data Definition Tables A.1 INTRODUCTION The HL7 specifications were prepared using a data dictionary database. Certain outputs from that database are included in the chapters that define the abstract messages. These outputs list the data fields and field notes associated with a segment. Other Data Dictionary outputs are included here to comprise appendix A. These include: •

a list of the message types that comprise the HL7 protocol



a list of the segment IDs and segment names



a list of each data element organized alphabetically by name



a list of the IDs and names of all tables of coded values



a cross reference of table IDs vs. data element names



a list of the contents of each table



a list of all data element names.

A.2 MESSAGE TYPES Message

Description

Chapter

ACK

General acknowledgment message

2

ADR

ADT response

3

ADT

ADT message

3

ARD

Ancillary RPT (display) (for backward compatibility only)

7

BAR

Add/change billing account

6

CNQ

Cancel query

2

CSU

Unsolicited clinical study data

7

DFT

Detail financial transaction

6

DSR

Display response

2

EDR

Enhanced display response

2

ERP

Event replay response

2

EQQ

Embedded query language query

2

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-1 Final Standard.

4/3/97

Appendix A: Data Definition Tables Message

Chapter

Delayed acknowledgment

2

MDM

Documentation message

9

MFN

Master files notification

8

MFK

Master files application acknowledgment

8

MFD

Master files delayed application acknowledgment

8

MFQ

Master files query

8

MFR

Master files query response

8

ORF

Observation. result/record response

7

ORM

Order message

4

ORR

Order acknowledgment message

4

ORU

Observation result/unsolicited

7

OSQ

Order status query

4

OSR

Order status response

4

QRY

Query, original Mode

2

PEX

Product experience

7

PGL

Patient goal

12

PIN

Patient information

11

PPG

Patient pathway (goal-oriented) message

12

PPP

Patient pathway (problem-oriented)

12

PPR

Patient problem

12

PPT

Patient pathway (goal oriented) response

12

PPV

Patient goal response

12

PRR

Patient problem response

12

PTR

Patient pathway (problem-oriented) response

12

RAR

Pharmacy administration information

4

RAS

Pharmacy administration message

4

RCI

Return clinical information

11

RCL

Return clinical list

11

RDE

Pharmacy encoded order message

4

RDR

Pharmacy dispense information

4

RDS

Pharmacy dispense message

4

RGV

Pharmacy give message

4

RGR

Pharmacy dose information

4

REF

Patient referral

11

RER

Pharmacy encoded order information

4

ROR

Pharmacy prescription order response

4

RPA

Return patient authorization

11

RPI

Return patient information

11

RPL

Return patient display list

11

RPR

Return patient list

11

RQA

Request patient authorization

11

RQC

Request clinical information

11

RQI

Request patient information

11

RRA

Pharmacy administration acknowledgment

4

RRD

Pharmacy dispense acknowledgment

4

RRE

Pharmacy encoded order acknowledgment

4

RRG

Pharmacy give acknowledgment

4

RRI

Return patient referral

11

Page A-2 4/3/97

Description

MCF

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Message

Description

Chapter

SIU

Schedule information unsolicited

SPQ

Stored procedure request

10 2

SQM

Schedule query

10

SQR

Schedule query response

10

SRM

Study registration

10

SRM

Schedule request

10

SRR

Scheduled request response

10

SUR

Summary product experience report

7

TBR

Tabular response

2

UDM

Unsolicited display message

2

VQQ

Virtual table query

2

VXQ

Query for vaccination record

4

VXX

Vaccination query response with multiple PID matches

4

VXR

Vaccination query record response

4

VXU

Unsolicited vaccination record update

4

A.3 SEGMENTS Segment

Description

Chapter

ACC

Accident segment

ADD

Addendum segment

6 2

AIG

Appointment information - general resource

10

AIL

Appointment information - location resource segment

10

AIP

Appointment information - personnel resource segment

10 10

AIS

Appointment information - service segment

AL1

Patient allergy information segment

3

APR

Appointment preferences segment

10

ARQ

Appointment request segment

10

AUT

Authorization information segment

11

BHS

Batch header segment

2

BLG

Billing segment

4

BTS

Batch trailer segment

2

CDM

Charge description segment

8

CM0

Clinical study master segment

8

CM1

Clinical study phase master segment

8

CM2

Clinical study schedule master segment

8

CSP

Clinical study phase segment

7

CSR

Clinical study registration segment

7

CSS

Clinical study data schedule segment

7

CTD

Contact data segment

11

CTI

Clinical trial information segment

7

DG1

Diagnosis segment

6

DRG

Diagnosis related group segment

6

DSC

Continuation pointer segment

2

DSP

Display data segment

2

EQL

Embedded query language segment

2

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-3 Final Standard.

4/3/97

Appendix A: Data Definition Tables Segment

Chapter

Event replay query segment

2

ERR

Error segment

2

EVN

Event type segment

3

FAC

Facility segment

7

FHS

File header segment

2

FT1

Financial transaction segment

6

FTS

File trailer segment

2

GT1

Guarantor segment

6

IN1

Insurance segment

6

IN2

Insurance additional information segment

6

IN3

Insurance additional information - certification segment

6

LCC

Location charge code segment

8

LCH

Location characteristic segment

8

LDP

Location department segment

8

LOC

Location identification segment

8

LRL

Location relationship segment

8

MFA

Master file acknowledgment segment

8

MFE

Master file entry segment

8

MFI

Master file identification segment

8

MRG

Merge patient information segment

3

MSA

Message acknowledgment segment

2

MSH

Message header segment

2

NK1

Next of kin / associated parties segment

3

NPU

Bed status update segment

3

NTE

Notes and comments segment

2

OBR

Observation request segment

4

OBX

Observation/result segment

7

ODS

Dietary orders, supplements, and preferences segment

4

ODT

Diet tray instructions segment

4

OM1

General segment - fields that apply to most observations

8

OM2

Numeric observation segment

8

OM3

Categorical test/observation segment

8

OM4

Observations that require specimens segment

8

OM5

Observation batteries (sets) segment

8

OM6

Observations that are calculated from other observations segment

8

ORC

Common order segment

4

PCR

Possible causal relationship segment

7

PD1

Patient demographic segment

3

PDC

Product detail country segment

7

PEO

Product experience observation segment

7

PES

Product experience sender segment

7

PID

Patient identification segment

3

PR1

Procedures segment

6

PRA

Practitioner detail segment

8

PRC

Pricing segment

8

PRD

Provider data segment

11

PSR

Product summary header segment

7

PV1

Patient visit segment

3

Page A-4 4/3/97

Description

ERQ

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Segment

Description

Chapter

PV2

Patient visit - additional information segment

3

QAK

Query acknowledgment segment

2

QRD

Original-style query definition segment

2

QRF

Original-style query filter segment

2

RDF

Table row definition segment

2

RDT

Table row data segment

2

RF1

Referral information segment

11

RQ1

Requisition detail-1 segment

4

RQD

Requisition detail segment

4

RXA

Pharmacy/treatment administration segment

4

RXC

Pharmacy/treatment component order segment

4

RXD

Pharmacy/treatment dispense segment

4

RXE

Pharmacy/treatment encoded order segment

4

RXG

Pharmacy/treatment give segment

4

RXO

Pharmacy/treatment prescription order segment

4

RXR

Pharmacy/treatment route segment

4

SCH

Schedule activity information segment

10

STF

Staff identification segment

8

SPR

Stored procedure request definition segment

2

TXA

Document notification segment

9

UB1

UB82 data segment

6

UB2

UB92 data segment

6

URD

Results/update definition segment

2

URS

Unsolicited selection segment

2

VTQ

Virtual table query request segment

2

A.4 HL7 AND USER-DEFINED TABLES - ALPHABETIC SORT For use notes, see Control section 2.4.3.7. When a table is used in an HL7 CE data type, its third component, "name of coding system" may have been adopted from some existing standard (for example, see list of tables in figures 2-2 and 2 -3). If the table is not part of an existing standard, the third component, "name of coding system" constructed by appending the table number to the string "HL7". Thus, field RXR-administrative site, is a CE data type, which refers to table xxxx. Its "name of coding system" component is HL7xxxx. Type Table

Name

Used

HL7

0078

Abnormal Flags

OBX-8

HL7

0155

Accept/Application Acknowledgment Conditions

MSH-15, MSH-16

User

0050

Accident Code

ACC-2

User

0129

Accommodation Code

PV2-2

User

0117

Account Status

PV1-41

HL7

0008

Acknowledgment Code

MSA-1

HL7

0323

Action Code

RXA-22

HL7

0287

Action Code

GOL-1, PRB-1, ROL-2, PTH-1

HL7

0251

Action Taken in Response to the Event

PCR-21

HL7

0183

Active/Inactive

STF-7, CDM-8, PRC-16

HL7

0190

Address Type

AD data type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-5 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type Table

Name

Used

HL7

0165

Administration Method

RXR-4

HL7

0163

Administrative Site

RXR-2

HL7

0164

Administration Device

RXR-3

User

0007

Admission Type

PV1-4

User

0023

Admit Source

PV1-14

User

0128

Allergy Severity

AL1-4

User

0127

Allergy Type

AL1-2

HL7

0161

Allow Substitution

RXO-9

User

0279

Allow Substitution Codes

AIS-8, AIG-12, AIL-10, AIP-10

HL7

0211

Alternate Character Sets

MSH-18

User

0009

Ambulatory Status

PV1-15, NK1-18, GT1-34, IN2-34

User

0193

Amount Class

IN2-29^2

User

0146

Amount Type

IN2-28^2

User

0019

Anesthesia Code

PR1-9

User

0317

Annotations

ANO waveform

User

0276

Appointment Reason Codes

ARQ-7, SCH-7

User

0277

Appointment Type Codes

ARQ-8, SCH-8

User

0135

Assignment of Benefits

IN1-20

User

0021

Bad Debt Agency Code

PV1-31

User

0116

Bed Status

PV1-40, NPU-2

User

0293

Billing Category

PRC-15

User

0022

Billing Status

IN1-32

HL7

0252

Causality Observations

PCR-22

User

0288

Census Tract

XAD data type

HL7

0337

Certification Status

User

0141

Champus Rank/Grade

IN2-15

User

0140

Champus Service

IN2-14

User

0142

Champus Status

IN2-16

User

0218

Charge Adjustment

PV2-30, GT1-26

User

0269

Charge on Indicator

PRC-18

HL7

0122

Charge Type

BLG-2

User

0032

Charge/Price Indicator

PV1-21

HL7

0061

Check Digit Scheme

CK data type

User

0171

Citizenship

PID-26, NK1-19, GT1-35, IN2-33

User

0042

Company Plan Code

IN1-35

HL7

0322

Completion Status

RXA-21

User

0043

Condition Code

UB1-7, UB2-3

User

0177

Confidentiality code

OM1-30

HL7

0318

Confirmation Provided By

PEO-23

User

0059

Consent Code

PR1-13

User

0222

Contact Reason

NK1-29, GT1-47, IN2-54, IN2-51

User

0131

Contact Role

NK1-7, CTD-1

User

0044

Contract Code

PV1-24

User

0173

Coordination of Benefits

IN1-21

User

0289

County/parish

XAD data type

User

0045

Courtesy Code

PV1-22

User

0309

Coverage Type

IN1-47

User

0046

Credit Rating

PV1-23

Page A-6 4/3/97

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type Table

Name

Used

HL7

0158

Date/Time Selection Qualifier

QRF-8, URS-8

HL7

0267

Days of the Week

LDP-14

User

0149

Days Type

IN3-11

HL7

0107

Deferred Response Type

QRD-5

HL7

0102

Delayed Acknowledgment Type

MSA-5

User

0111

Delete Account Code

PV1-34

User

0184

Department

STF-8

User

0049

Department Code

FT1-13

User

0319

Department Cost Center

RQD-7

HL7

0170

Derived Specimen

OM4-2

User

0228

Diagnosis Classification

DG1-19

User

0051

Diagnosis Code

FT1-19

HL7

0053

Diagnosis Coding Method

DG1-2

User

0052

Diagnosis Type

DG1-6

HL7

0074

Diagnostic Service Section ID

OBR-24

User

0114

Diet Type

PV1-38

HL7

0159

Diet Type

ODS-1

User

0334

Disabled Person

User

0112

Discharged Disposition

PV1-36, PV2-27

User

0113

Discharged to Location

PV1-37

HL7

0321

Dispense Method

RXE-30, RXD-24

HL7

0273

Document Availability Status

TXA-19

HL7

0314

Document Change Reason

TXA-21

HL7

0271

Document Completion Status

TXA-17

HL7

0272

Document Confidentiality Status

TXA-18

HL7

0274

Document Modification Status

NO LONGER USED

HL7

0275

Document Storage Status

TXA-20

User

0270

Document Type

TXA-2

User

0055

DRG Code

DG1-8, DRG-1

User

0056

DRG Grouper Review Code

DG1-10, DRG-4

HL7

0255

Duration Categories

OM1-43

User

0144

Eligibility Source

IN2-27

User

0328

Employee Classification

NK1-11

User

0139

Employer Information Data

IN2-4

User

0066

Employment Status

GT1-20, IN1-42

HL7

0225

Escort Required

OBR-42

User

0189

Ethnic Group

PID-22, NK1-28, GT1-44, IN2-42

HL7

0240

Event Consequence

PEO-11

HL7

0239

Event Expected

PEO-10

HL7

0237

Event Qualification

PEO-8

User

0062

Event Reason

EVN-4

HL7

0238

Event Seriousness

PEO-9

HL7

0003

Event Type

MSH-9^2

HL7

0331

Facility Type

FAC-2

User

0024

Fee Schedule

FT1-17

HL7

0178

File Level Event Code

MFI-3

User

0278

Filler Status Codes

SCH-22, AIS-9, AIG-13, AIL-11, AIP-11

User

0064

Financial Class

PV1-20

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-7 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type Table

Name

Used

User

0266

Gender Indicator

LDP-13

User

0249

Generic Product

PCR-2

User

0068

Guarantor Type

GT1-10

User

0295

Handicap

NK1-36

User

0310

Handicap

IN1-48

User

0069

Hospital Service

PV1-10

User

0203

Identifier Type

CK data type

HL7

0243

Identity may be Divulged

PEO-25

HL7

0253

Indirect Exposure Mechanism

PCR-23

User

0232

Insurance Company Contact Reason

IN2-57

User

0285

Insurance Company ID Codes

AUT-2

User

0072

Insurance Plan ID

FT1-14, IN1-46, AUT-1, IN1-2

User

0073

Interest Rate Code

PV1-28

User

0320

Item Natural Account Code

RQD-8

User

0327

Job Class

NK1-11

User

0311

Job Status

NK1-34, GT1-53, IN2-48

HL7

0254

Kind of Quantity

OM1-42

User

0296

Language

NK1-20

User

0263

Level of Care

LOC-14

User

0220

Living Arrangement

NK1-21, PD1-2, GT1-37, IN2-35

User

0223

Living Dependency

NK1-17, PD1-1, GT1-33, IN2-33

HL7

0315

Living Will

PD1-7

User

0079

Location

NPU-1

User

0324

Location Characteristic ID

LCH-4

User

0264

Location Department

LDP-2, LCC-2

User

0261

Location Equipment

LOC-11

User

0325

Location Relationship ID

LRL-4

User

0137

Mail Claim Party

IN2-5

HL7

0191

Main Type of Reference Data

TXA-3

User

0118

Major Diagnostic Category

DG1-7

HL7

0227

Manufacturers of vaccines (code = MVX)

RXA-17

User

0002

Marital Status

PID-16, NK1-14, GT1-30, IN2-43

HL7

0330

Marketing Basis

PDC-10

User

0176

Master File Application Identifier

MFI-2

HL7

0175

Master File Identifier Code

MFI-1

HL7

0076

Message Type

MSH-9^1

User

0181

MFN Record Level Error Return

MFA-4

HL7

0290

MIME base64 encoding Characters

ED data type

User

0259

Modality

OM1-47

HL7

0200

Name Type

XPN data type

User

0212

Nationality

PID-28, NK1-27, GT1-43, IN2-41

HL7

0080

Nature of Abnormal Testing

OBX-10

HL7

0257

Nature of Challenge

OM1-44

HL7

0174

Nature of Test/Observation

OM1-18

HL7

0332

Network Source Type

NST-3

User

0233

Non-concur Code/Description

IN3-12

User

0143

Non-covered Insurance Code

IN2-24

HL7

0085

Observation Result Status Codes Interpretation

OBX-11

Page A-8 4/3/97

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type Table

Name

Used

User

0188

Operator ID

EVN-5

HL7

0119

Order Control Code

ORC-1

HL7

0038

Order Status

ORC-5

HL7

0316

Organ Donor

PD1-8

User

0204

Organizational Name Type

XON data type

User

0083

Outlier Type

DG1-11, DRG-5

User

0229

Outlier Type

DG1-11, DRG-5

User

0268

Override

CDM-5, PRC-13

User

0004

Patient Class

PV1-2

User

0260

Patient Location Type

LOC-3

HL7

0241

Patient Outcome

PEO-12

User

0216

Patient Status

PV2-24

User

0018

Patient Type

PV1-18, FT1-18

User

0148

Penalty Type

IN3-5

User

0084

Performed By

FT1-20

User

0010

Physician ID

various XCN

User

0086

Plan ID

IN1-15

User

0312

Policy Scope

IN2-59

User

0313

Policy Source

IN2-60

User

0147

Policy Type

IN2-29^1

User

0186

Practitioner Category

PRA-4

User

0338

Practitioner ID number type

User

0087

Pre-admit Test Indicator

PV1-12

User

0150

Pre-certification Patient Type

IN3-20

HL7

0185

Preferred Method of Contact

STF-16, PRD-7

HL7

0205

Price Type

CP data type

HL7

0242

Primary Observer's Qualification

PEO-22, PCR-19

HL7

0027

Priority

OM4-13

User

0262

Privacy Level

LOC-13

User

0088

Procedure Code

PR1-3

User

0089

Procedure Coding Method

PR1-2

User

0230

Procedure Functional Type

PR1-6

User

0133

Procedure Practitioner Identifier Code Type

PR1-12

HL7

0103

Processing ID

MSH-11^1

HL7

0207

Processing Mode

MSH-11^2

HL7

0168

Processing Priority

OM1-25

User

0246

Product Available for Inspection

PCR-13

User

0245

Product Problem

PCR-11

HL7

0248

Product Source

PCR-17

HL7

0187

Provider Billing

PRA-4

User

0286

Provider Role

PRD-1

User

0215

Publicity Code

PV2-21, NK1-22, GT1-38, IN2-36

User

0213

Purge Status

PV2-16

HL7

0126

Quantity Limited Request

QRD-7

HL7

0329

Quantity Method

PSH-8

HL7

0091

Query Priority

QRD-3

User

0208

Query Response Status

QAK-2

HL7

0108

Query Results Level

QRD-12, URD-7

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-9 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type Table

Name

Used

HL7

0106

Query/Response Format Code

QRD-2, EQL-2, VTQ-2, SPR-2

User

0005

Race

PID-10, NK1-35, GT1-46, IN2-71

User

0092

Re-admission Indicator

PV1-13

HL7

0180

Record Level Event Code

MFE-1, MFA -1

User

0219

Recurring Service

PV2-31

User

0284

Referral Category

RF1-5

User

0282

Referral Disposition

RF1-4

User

0280

Referral Priority

RF1-2

User

0283

Referral Status

RF1-1

User

0281

Referral Type

RF1-3

HL7

0250

Relatedness Assessment

PCR-20

HL7

0210

Relational Conjunction

VTQ-5

HL7

0209

Relational Operator

VTQ-5

User

0063

Relationship

NK1-3, NK1-31, GT1-11, IN1-17, IN2-62

HL7

0258

Relationship Modifier

OM1-45

User

0093

Release Information

IN1-27

User

0006

Religion

PID-17, NK1-25, GT1-41, IN2-39

HL7

0109

Report Priority

URD-2

HL7

0235

Report Source

PES-12

HL7

0234

Report Timing

PES-11

HL7

0236

Reported To

PES-13

HL7

0169

Reporting Priority

OM1-26

HL7

0121

Response Flag

ORC-6

HL7

0179

Response Level

MFI-6

HL7

0123

Result Status

OBR-25

User

0145

Room Type

IN2-28^1

HL7

0162

Route of Administration

RXR-1

HL7

0166

RX Component Type

RXC-1

User

0152

Second Opinion Documentation Received

IN3-24

User

0151

Second Opinion Status

IN3-23

HL7

0206

Segment Action Code

IN2-31, IN3-26

User

0115

Servicing Facility

PV1-39

User

0001

Sex

PID-8, NK1-15, GT1-9, IN1-43, STF-5

User

0244

Single Use Device

PCR-9

HL7

0105

Source of Comment

NTE-2

User

0214

Special Program Codes

PV2-18

User

0265

Specialty Type

LDP-4

HL7

0065

Specimen Action Code

OBR-11

HL7

0070

Specimen Source Codes

OBR-15

User

0182

Staff Type

STF-4

HL7

0247

Start of Evaluation

PCR-15

User

0231

Student Status

GT1-40, IN2-38, NK1-24

HL7

0167

Substitution Status

RXE-9, RXD-11, RXG-10

HL7

0291

Subtype of Referenced Data

RP data type

HL7

0202

Telecommunication Equipment Type

XTN data type

HL7

0201

Telecommunication Use Code

XTN data type

HL7

0256

Time Delay Post Challenge

OM1-44

User

0294

Time Selection Criteria Parameter Class Codes

APR-1

Page A-10 4/3/97

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type Table

Name

Used

User

0132

Transaction Code

FT1-7, CDM-1, PRC-1

User

0017

Transaction Type

FT1-6

User

0110

Transfer to Bad Debt Code

PV1-29

HL7

0224

Transport Arranged

OBR-41

HL7

0124

Transportation Mode

OBR-30

HL7

0160

Tray Type

ODT-1

User

0098

Type of Agreement

IN1-31

User

0098

Type of agreement

IN1-31

HL7

0292

Vaccines Administered

RXA-5

User

0153

Value Code

UB1-10, UB2-6

HL7

0125

Value Type

OBX-2, OM1-3

HL7

0104

Version ID

MSH-12

User

0172

Veterans Military Status

PID-27

User

0099

VIP Indicator

PV1-16

User

0192

Visit ID Type

PV1-50

User

0326

Visit Indicator

PV1-51

User

0217

Visit Priority

PV2-25

User

0130

Visit User Code

PV2-7

HL7

0048

What Subject Filter

QRD-9, URD-4

HL7

0100

When to Charge

BLG-1

HL7

0156

Which Date/Time Qualifier

QRF-6, URS-6

HL7

0157

Which Date/Time Status Qualifier

QRF-7, URS-7

HL7

0136

Yes/No Indicator

A.5 HL7 AND USER-DEFINED TABLES - NUMERIC SORT Type

Table

Name

User

0001

Sex

User

HL7

Value

Description

0001

F

Female

0001

M

Male

0001

O

Other

0001

U

Unknown

0002

A

Separated

0002

D

Divorced

0002

M

Married

0002

S

Single

0002

W

Widowed

0003

A01

ADT/ACK - Admit a patient

0003

A02

ADT/ACK - Transfer a patient

0003

A03

ADT/ACK - Discharge a patient

0003

A04

ADT/ACK - Register a patient

0003

A05

ADT/ACK - Preadmit a patient

0003

A06

ADT/ACK - Transfer an outpatient to inpatient

0003

A07

ADT/ACK - Transfer an inpatient to outpatient

0003

A08

ADT/ACK - Update patient information

0003

A09

ADT/ACK - Patient departing

0002

0003

Marital Status

Event Type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-11 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

Table

Value

Description

0003

A10

ADT/ACK - Patient arriving

0003

A11

ADT/ACK - Cancel admit

0003

A12

ADT/ACK - Cancel transfer

0003

A13

ADT/ACK - Cancel discharge

0003

A14

ADT/ACK - Pending admit

0003

A15

ADT/ACK - Pending transfer

0003

A16

ADT/ACK - Pending discharge

0003

A17

ADT/ACK - Swap patients

0003

A18

ADT/ACK - Merge patient information

0003

A19

QRY/ADR - Patient query

0003

A20

ADT/ACK - Nursing/Census application updates

0003

A21

ADT/ACK - Leave of absence - out (leaving)

0003

A22

ADT/ACK - Leave of absence - in (returning)

0003

A23

ADT/ACK - Delete a patient record

0003

A24

ADT/ACK - Link patient information

0003

A25

ADT/ACK - Cancel pending discharge

0003

A26

ADT/ACK - Cancel pending transfer

0003

A27

ADT/ACK - Cancel pending admit

0003

A28

ADT/ACK - Add person information

0003

A29

ADT/ACK - Delete person information

0003

A30

ADT/ACK - Merge person information

0003

A31

ADT/ACK - Update person information

0003

A32

ADT/ACK - Cancel patient arriving

0003

A33

ADT/ACK - Cancel patient departing

0003

A34

ADT/ACK - Merge patient information - patient ID only

0003

A35

ADT/ACK - Merge patient information - account number only

0003

A36

ADT/ACK - Merge patient information - patient ID and account number

0003

A37

ADT/ACK - Unlink patient information

0003

A38

ADT/ACK - Cancel pre-admit

0003

A39

ADT/ACK - Merge person - external ID

0003

A40

ADT/ACK - Merge person - internal ID

0003

A41

ADT/ACK - Merge account - patient account number

0003

A42

ADT/ACK - Merge visit - visit number

0003

A43

ADT/ACK - Move patient information - internal ID

0003

A44

ADT/ACK - Move account information -patient account number

0003

A45

ADT/ACK - Move visit information - visit number

0003

A46

ADT/ACK - Change external ID

0003

A47

ADT/ACK - Change internal ID

0003

A48

ADT/ACK - Change alternate patient ID

0003

A49

ADT/ACK - Change patient account number

0003

A50

ADT/ACK - Change visit number

0003

A51

ADT/ACK - Change alternate visit ID

0003

C01

CRM - Register a patient on a clinical trial

0003

C02

CRM - Cancel a patient registration on clinical trial (for clerical mistakes only)

0003

C02

CRM - Correct/update registration information

0003

C04

CRM - Patient has gone off a clinical trial

0003

C05

CRM - Patient enters phase of clinical trial

Page A-12 4/3/97

Name

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Value

Description

0003

Name

C06

CRM - Cancel patient entering a phase (clerical mistake)

0003

C07

CRM - Correct/update phase information

0003

C08

CRM - Patient has gone off phase of clinical trial

0003

C09

CSU - Automated time intervals for reporting, like monthly

0003

C10

CSU - Patient completes the clinical trial

0003

C11

CSU - Patient completes a phase of the clinical trial

0003

C12

CSU - Update/correction of patient order/result information

0003

CNQ

QRY/EQQ/VQQ/RQQ - Cancel query

0003

I01

RQI/RPI - Request for insurance information

0003

I02

RQI/RPL - Request/receipt of patient selection display list

0003

I03

RQI/RPR - Request/receipt of patient selection list

0003

I04

RQD/RPI - Request for patient demographic data

0003

I05

RQC/RCI - Request for patient clinical information

0003

I06

RQC/RCL - Request/receipt of clinical data listing

0003

I07

PIN/ACK - Unsolicited insurance information

0003

I08

RQA/RPA - Request for treatment authorization information

0003

I09

RQA/RPA - Request for modification to an authorization

0003

I10

RQA/RPA - Request for resubmission of an authorization

0003

I11

RQA/RPA - Request for cancellation of an authorization

0003

I12

REF/RRI - Patient referral

0003

I13

REF/RRI - Modify patient referral

0003

I14

REF/RRI - Cancel patient referral

0003

I15

REF/RRI - Request patient referral status

0003

M01

MFN/MFK - Master file not otherwise specified (for backward compatibility only)

0003

M02

MFN/MFK - Master file - Staff Practitioner

0003

M03

MFN/MFK - Master file - Test/Observation

0003

varies

MFQ/MFR - Master files query (use event same as asking for e.g., M05 - location)

0003

M04

MFD/ACK - Master files delayed application acknowledgment

0003

M05

MFN/MFK - Patient location master file

0003

M06

MFN/MFK - Charge description master file

0003

M07

MFN/MFK - Clinical study without phases but with schedules master file

0003

M08

MFN/MFK - Test/Observation (Numeric) master file

0003

M09

MFN/MFK - Test/Observation (Categorical) master file

0003

M10

MFN/MFK - Test/Observation batteries master file

0003

M11

MFN/MFK - Test/Calculated observations master file

0003

O01

ORM - Order message (also RDE, RDS, RGV, RAS,

0003

O02

ORR - Order response (also RRE, RRD, RRG, RRA,

0003

R05

QRY/DSR - query for display results

0003

R06

UDM - unsolicited update/display results

0003

RAR

RAR - Pharmacy administration information query response

0003

RDR

RDR - Pharmacy dispense information query response

0003

RER

RER - Pharmacy encoded order information query response

0003

RGR

RGR - Pharmacy dose information query response

0003

ROR

ROR - Pharmacy prescription order query response

0003

P01

BAR/ACK - Add and update patient account

0003

P02

BAR/ACK - Purge patient account

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-13 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

Table

Value

Description

0003

P03

DFT/ACK - Post detail financial transaction

0003

P04

QRY/DSP - Generate bill and A/R statements

0003

P05

BAR/ACK - Update account

0003

P06

BAR/ACK - End account

0003

Q01

QRY/DSR - Query sent for immediate response

0003

Q02

QRY/ACK - Query sent for deferred response

0003

Q03

DSR/ACK - Deferred response to a query

0003

Q05

UDM/ACK - Unsolicited display update

0003

Q06

OSQ/OSR - Query for order status

0003

R01

ORU/ACK - Unsolicited transmission of an observation

0003

R02

QRY - Query for results of observation

0003

R03

Display-oriented results, query/unsol. update (for backward compatibility only)

0003

R04

ORF - Response to query; transmission of requested observation

0003

RAR

RAR - Pharmacy administration information query response

0003

RER

RER-Pharmacy encoded order information query response

0003

R0R

R0R - Pharmacy prescription order query response

0003

S01

SRM/SRR - Request new appointment booking

0003

S02

SRM/SRR - Request appointment rescheduling

0003

S03

SRM/SRR - Request appointment modification

0003

S04

SRM/SRR - Request appointment cancellation

0003

S05

SRM/SRR - Request appointment discontinuation

0003

S06

SRM/SRR - Request appointment deletion

0003

S07

SRM/SRR - Request addition of service/resource on appointment

0003

S08

SRM/SRR - Request modification of service/resource on appointment

0003

S09

SRM/SRR - Request cancellation of service/resource on appointment

0003

S10

SRM/SRR - Request discontinuation of service/resource on appointment

0003

S11

SRM/SRR - Request deletion of service/resource on appointment

0003

S12

SIU/ACK - Notification of new appointment booking

0003

S13

SIU/ACK - Notification of appointment rescheduling

0003

S14

SIU/ACK - Notification of appointment modification

0003

S15

SIU/ACK - Notification of appointment cancellation

0003

S16

SIU/ACK - Notification of appointment discontinuation

0003

S17

SIU/ACK - Notification of appointment deletion

0003

S18

SIU/ACK - Notification of addition of service/resource on appointment

0003

S19

SIU/ACK - Notification of modification of service/resource on appointment

0003

S20

SIU/ACK - Notification of cancellation of service/resource on appointment

0003

S21

SIU/ACK - Notification of discontinuation of service/resource on appointment

0003

S22

SIU/ACK - Notification of deletion of service/resource on appointment

0003

S23

SIU/ACK - Notification of blocked schedule time slot(s)

0003

S24

SIU/ACK - Notification of open (“unblocked”) schedule time slot(s)

0003

S25

SQM/SQR - Query schedule information

0003

S26

Notification that patient did not show up for scheduled

Page A-14 4/3/97

Name

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Name

Value

Description appointment

0003

T01

MDM/ACK - Original document notification

0003

T02

MDM/ACK - Original document notification and content

0003

T03

MDM/ACK - Document status change notification

0003

T04

MDM/ACK - Document status change notification and content

0003

T05

MDM/ACK - Document addendum notification

0003

T06

MDM/ACK - Document addendum notification and content

0003

T07

MDM/ACK - Document replace notification

0003

T08

MDM/ACK - Document replace notification and content

0003

T09

MDM/ACK - Document cancel notification

0003

V01

VXQ - Query for vaccination record

0003

V02

VXX - Response to vaccination query returning multiple PID matches

0003

V03

VXR - Vaccination record response

0003

V04

VXU - Unsolicited vaccination record update

0003

W01

ORU - Waveform result, unsolicited transmission of requested information

W02

QRF - Waveform result, response to query

0004

E

Emergency

0004

I

Inpatient

0004

O

Outpatient

0004

P

Preadmit

0004

R

Recurring Patient

0004

B

Obstetrics

0003 User

User

0004

0005

Patient Class

Race

0005 User

0006

No suggested values Religion

0006 User

0007

No suggested values Admission Type

0007

A

Accident

0007

E

Emergency

0007

L

Labor and Delivery

R

Routine

0008

AA

Original mode: Application Accept Enhanced mode: Application acknowledgment: Accept

0008

AE

Original mode: Application Error Enhanced mode: Application acknowledgment: Error

0008

AR

Original mode: Application Reject Enhanced mode: Application acknowledgment: Reject

0008

CA

Enhanced mode: Application acknowledgment: Commit Accept

0008

CE

Enhanced mode: Application acknowledgment: Commit Error

0008

CR

Enhanced mode: Application acknowledgment: Commit Reject

0009

A0

No functional limitations

0009

A1

Ambulates with assistive device

0009

A2

Wheelchair/stretcher bound

0009

A3

Comatose; non-responsive

0007 HL7

User

0008

0009

Acknowledgment Code

Ambulatory Status

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-15 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

User

Table

Value

Description

0009

A4

Disoriented

0009

A5

Vision Impaired

0009

A6

Hearing Impaired

0009

A7

Speech Impaired

0009

A8

Non-English Speaking

0009

A9

Functional level unknow n

0009

B1

Oxygen Therapy

0009

B2

Special Equipment (tubes, IV's, catheters)

0009

B3

Amputee

0009

B4

Mastectomy

0009

B5

Paraplegic

0009

B6

Pregnant

0010

Name

Physician ID

0010 User

User

0017

No suggested values Transaction Type

0017

CG

Charge

0017

CD

Credit

0017

PY

Payment

0017

AJ

Adjustment

0018

Patient Type

0018 User

0019

No suggested values Anesthesia Code

0019 User

0021

No suggested values Bad Dept Agency Code

0021 User

0022

No suggested values Billing Status

0022 User

0023

No suggested values. Admit Source

0023 User

0024

No suggested values Fee Schedule

0024 HL7

User

0027

No suggested values Priority

0027

S

Stat (do immediately)

0027

A

As soon as possible (a priority lower than stat)

0027

R

Routine

0027

P

Preoperative (to be done prior to surgery)

0027

T

Timing critical (do as near as possible to requested time)

0032

Charge/Price Indicator

0032 HL7

0038 0038

A

Some, but not all, results available

0038

CA

Order was canceled

0038

CM

Order is completed

0038

DC

Order was discontinued

0038

ER

Error, order not found

0038

HD

Order is on hold

0038

IP

In process, unspecified

0038

RP

Order has been replaced

Page A-16 4/3/97

No suggested values Order Status

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Name

0038 User

0042

Value

Description

SC

In process, scheduled

Company Plan Code

0042 User

0043

No suggested values Condition Code

0043 User

0044

No suggested values Contract Code

0044 User

0045

No suggested values Courtesy Code

0045 User

0046

No suggested values Credit Rating

0046 HL7

User

0048

No suggested values What Subject Filter

0048

ADV

Advice/diagnosis

0048

ANU

Nursing unit lookup (returns patients in beds, excluding empty beds)

0048

APN

Patient name lookup

0048

APP

Physician lookup

0048

ARN

Nursing unit lookup (returns patients in beds, including empty beds)

0048

APM

Medical record number query, returns visits for a medical record number

0048

APA

Account number query, return matching visit

0048

CAN

Cancel. Used to cancel a query

0048

DEM

Demographics

0048

FIN

Financial

0048

GOL

Goals

0048

MRI

Most recent inpatient

0048

MRO

Most recent outpatient

0048

NCK

Network clock

0048

NSC

Network status change

0048

NST

Network statistic

0048

ORD

Order

0048

OTH

Other

0048

PRB

Problems

0048

PRO

Procedure

0048

RES

Result

0048

RAR

Pharmacy administration information

0048

RER

Pharmacy encoded order information

0048

RDR

Pharmacy dispense information

0048

RGR

Pharmacy give information

0048

ROR

Pharmacy prescription information

0048

STA

Status

0048

VXI

Vaccine Information

0049

Department Code

0049 User

0050

No suggested values Accident Code

0050 User

0051

No suggested values Diagnosis Code

0051

No suggested values

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-17 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

Table

Name

User

0052

Diagnosis Type

Value

Description

0052

A

Admitting

0052

W

Working

F

Final

0052 HL7

0053

Diagnosis Coding Method

0053 User

0055

needs values or to become user table DRG Code

0055 User

0056

No suggested values DRG Grouper Review Code

0056 User

0059

No suggested values Consent Code

0059 HL7

0061

No suggested values Check Digit Scheme

0061

M10

Mod 10 algorithm

M11

Mod 11 algorithm

0062

01

Patient request

0062

02

Physician order

0062

03

Census management

0061 User

User

0062

0063

Event Reason

Relationship

0063 User

0064

No suggested values Financial Class

0064 HL7

0065

No suggested values Specimen Action Code

0065

A

Add ordered tests to the existing specimen

0065

G

Generated order; reflex order

0065

L

Lab to obtain specimen from patient

0065

O

Specimen obtained by service other than Lab

0065

P

Pending specimen; Order sent prior to delivery

0065

R

Revised order

S

Schedule the tests specified below

0065 User

0066

Employment Status

0066 User

0068

No suggested values Guarantor Type

0068 User

0069

No suggested values Hospital Service

0069 HL7

0070 0070

ABS

Abcess

0070

AMN

Amniotic fluid

0070

ASP

Aspirate

0070

BPH

Basophils

0070

BIFL

Bile fluid

0070

BLDA

Blood arterial

0070

BBL

Blood bag

0070

BLDC

Blood capillary

0070

BPU

Blood product unit

0070

BLDV

Blood venous

Page A-18 4/3/97

No suggested values Specimen Source Codes

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Value

Description

0070

Name

BON

Bone

0070

BRTH

Breath (use EXHLD)

0070

BRO

Bronchial

0070

BRN

Burn

0070

CALC

Calculus (=Stone)

0070

CDM

Cardiac muscle

0070

CNL

Cannula

0070

CTP

Catheter tip

0070

CSF

Cerebral spinal fluid

0070

CVM

Cervical mucus

0070

CVX

Cervix

0070

COL

Colostrum

0070

CBLD

Cord blood

0070

CNJT

Conjunctiva

0070

CUR

Curettage

0070

CYST

Cyst

0070

DIAF

Dialysis fluid

0070

DOSE

Dose med or substance

0070

DRN

Drain

0070

DUFL

Duodenal fluid

0070

EAR

Ear

0070

EARW

Ear wax (cerumen)

0070

ELT

Electrode

0070

ENDC

Endocardium

0070

ENDM

Endometrium

0070

EOS

Eosinophils

0070

RBC

Erythrocytes

0070

EYE

Eye

0070

EXHLD

Exhaled gas (=breath)

0070

FIB

Fibroblasts

0070

FLT

Filter

0070

FIST

Fistula

0070

FLU

Body fluid, unsp

0070

GAS

Gas

0070

GAST

Gastric fluid/contents

0070

GEN

Genital

0070

GENC

Genital cervix

0070

GENL

Genital lochia

0070

GENV

Genital vaginal

0070

HAR

Hair

0070

IHG

Inhaled Gas

0070

IT

Intubation tube

0070

ISLT

Isolate

0070

LAM

Lamella

0070

WBC

Leukocytes

0070

LN

Line

0070

LNA

Line arterial

0070

LNV

Line venous

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-19 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

Table

Value

Description

0070

LIQ

Liquid NOS

0070

LYM

Lymphocytes

0070

MAC

Macrophages

0070

MAR

Marrow

0070

MEC

Meconium

0070

MBLD

Menstrual blood

0070

MLK

Milk

0070

MILK

Breast milk

0070

NAIL

Nail

0070

NOS

Nose (nasal passage)

0070

ORH

Other

0070

PAFL

Pancreatic fluid

0070

PAT

Patient

0070

PRT

Peritoneal fluid /ascites

0070

PLC

Placenta

0070

PLAS

Plasma

0070

PLB

Plasma bag

0070

PLR

Pleural fluid (thoracentesis fld)

0070

PMN

Polymorphonuclear neutrophils

0070

PPP

Patelet poor plasma

0070

PRP

Platelet rich plasma

0070

PUS

Pus

0070

RT

Route of medicine

0070

SAL

Saliva

0070

SEM

Seminal fluid

0070

SER

Serum

0070

SKN

Skin

0070

SKM

Skeletal muscle

0070

SPRM

Spermatozoa

0070

SPT

Sputum

0070

SPTC

Sputum - coughed

0070

SPTT

Sputum - tracheal aspirate

0070

STON

Stone (use CALC)

0070

STL

Stool = Fecal

0070

SWT

Sweat

0070

SNV

Synovial fluid (Joint fluid)

0070

TEAR

Tears

0070

THRT

Throat

0070

THRB

Thrombocyte (platelet)

0070

TISS

Tissue

0070

TISG

Tissue gall bladder

0070

TLGI

Tissue large intestine

0070

TLNG

Tissue lung

0070

TISPL

Tissue placenta

0070

TSMI

Tissue small intestine

0070

TISU

Tissue ulcer

0070

TUB

Tube NOS

0070

ULC

Ulcer

Page A-20 4/3/97

Name

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

User

Table

Value

Description

0070

UMB

Umbilical blood

0070

UMED

Unknown medicine

0070

URTH

Urethra

0070

UR

Urine

0070

URC

Urine clean catch

0070

URT

Urine catheter

0070

URNS

Urine sediment

0070

USUB

Unknown substance

0070

VOM

Vomitus

0070

BLD

Whole blood

0070

BDY

Whole body

0070

WAT

Water

0070

WICK

Wick

0070

WND

Wound

0070

WNDA

Wound abscess

0070

WNDE

Wound exudate

0070

WNDD

Wound drainage

0070

XXX

To be specified in another part of the message

0072

Name

Insurance Plan ID

0072 User

0073

No suggested values Interest Rate Code

0073 HL7

0074

No suggested values Diagnostic Service Section ID

0074

AU

Audiology

0074

BG

Blood gases

0074

BLB

Blood bank

0074

CUS

Cardiac Ultrasound

0074

CTH

Cardiac catheterization

0074

CT

CAT scan

0074

CH

Chemistry

0074

CP

Cytopathology

0074

EC

Electrocardiac (e.g., EKG, EEC, Holter)

0074

EN

Electroneuro (EEG, EMG,EP,PSG)

0074

HM

Hematology

0074

ICU

Bedside ICU Monitoring

0074

IMM

Immunology

0074

LAB

Laboratory

0074

MB

Microbiology

0074

MCB

Mycobacteriology

0074

MYC

Mycology

0074

NMS

Nuclear medicine scan

0074

NMR

Nuclear magnetic resonance

0074

NRS

Nursing service measures

0074

OUS

OB Ultrasound

0074

OT

Occupational Therapy

0074

OTH

Other

0074

OSL

Outside Lab

0074

PHR

Pharmacy

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-21 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

HL7

Table

Value

Description

0074

PT

Physical Therapy

0074

PHY

Physician (Hx. Dx, admission note, etc.l)

0074

PF

Pulmonary function

0074

RAD

Radiology

0074

RX

Radiograph

0074

RUS

Radiology ultrasound

0074

RC

Respiratory Care (therapy)

0074

RT

Radiation therapy

0074

SR

Serology

0074

SP

Surgidal Pathology

0074

TX

Toxicology

0074

VUS

Vascular Ultrasound

0074

VR

Virology

0074

XRC

Cineradiograph

0076

ACK

General acknowledgment message

0076

ADR

ADT response

0076

ADT

ADT message

0076

ARD

Ancillary RPT (display)

0076

BAR

Add/change billing account

0076

CNQ

Cancel query

0076

CSU

Unsolicited clinical study data

0076

DFT

Detail financial transaction

0076

DSR

Display response

0076

EDR

Enhanced display response

0076

ERP

Event replay response

0076

ERQ

Event replay query

0076

EQQ

Embedded query language query

0076

MCF

Delayed acknowledgment

0076

MDM

Documentation message

0076

MFN

Master files notification

0076

MFK

Master files application acknowledgment

0076

MFD

Master files delayed application acknowledgment

0076

MFQ

Master files query

0076

MFR

Master files query response

0076

ORF

Observation result/record response

0076

ORM

Order message

0076

ORR

Order acknowledgment message

0076

ORU

Observation result/unsolicited

0076

OSQ

Order status query

0076

OSR

Order status response

0076

QRY

Query, original Mode

0076

PEX

Product experience

0076

PGL

Patient goal

0076

PGR

Patient goal response

0076

PGQ

Patient goal query

0076

PIN

Patient Insurance Information

0076

PPP

Patient pathway (problem-oriented)

0076

Page A-22 4/3/97

Name

Message Type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Value

Description

0076

Name

PPR

Patient problem

0076

PPR

Patient problem

0076

PPT

Patient pathway (goal oriented)

0076

PPV

Patient goal response

0076

PRQ

Patient care problem query

0076

PRR

Patient problem response

0076

PTQ

Patient pathway (problem-oriented) query

0076

PTR

Patient pathway (problem-oriented) response

0076

PTU

Patient pathway (goal-oriented) query

0076

PTV

Patient pathway (goal-oriented) response

0076

PIN

Patient information

0076

RCI

Return clinical information

0076

RAR

Pharmacy administration information

0076

RCL

Return clinical list

0076

RAS

Pharmacy administration message

0076

RDE

Pharmacy encoded order message

0076

RDR

Pharmacy dispense information

0076

RDS

Pharmacy dispense message

0076

RGV

Pharmacy give message

0076

RGR

Pharmacy dose information

0076

REF

Patient referral

0076

RER

Pharmacy encoded order information

0076

ROC

Request clinical information

0076

ROD

Request patient demographics

0076

ROR

Pharmacy prescription order response

0076

RPA

Return patient authorization

0076

RPI

Return patient information

0076

RPL

Return patient display list

0076

RPR

Return patient list

0076

RQA

Request patient authorization

0076

RQI

Request patient information

0076

RRA

Pharmacy administration acknowledgment

0076

RRD

Pharmacy dispense acknowledgment

0076

RRE

Pharmacy encoded order acknowledgment

0076

RRG

Pharmacy give acknowledgment

0076

RRI

Return patient referral

0076

SIU

Schedule information unsolicited

0076

SPQ

Stored procedure request

0076

SQM

Schedule query

0076

SQR

Schedule query response

0076

SRM

Study registration

0076

SRM

Schedule request

0076

SRR

Scheduled request response

0076

TBR

Tabular response

0076

UDM

Unsolicited display message

0076

VQQ

Virtual table query

0076

VXQ

Query for vaccination record

0076

VXX

Vaccination query response with multiple PID matches

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-23 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

HL7

User

Table

Value

Description

0076

VXR

Vaccination query record response

0076

VXU

Unsolicited vaccination record update

0078

L

Below low normal

0078

H

Above high normal

0078

LL

Below lower panic limits

0078

HH

Above upper panic limits

0078

<

Below absolute low -off instrument scale

0078

>

Above absolute high-off instrument scale

0078

N

Normal (applies to non-numeric results)

0078

A

Abnormal (applies to non-numeric results)

0078

AA

Very abnormal (applies to non-numeric units, analogous to panic limits for numeric units)

0078

null

No range defined, or normal ranges don't apply

0078

U

Significant change up

0078

D

Significant change down

0078

B

Better--use when direction not relevant

0078

W

Worse--use when direction not relevant

0078

S

Sensitive (microbiology sensitivities only)

0078

R

Resistant (microbiology sensitivities only)

0078

I

Intermediate (microbiology sensitivities only)

0078

MS

Moderately sensitive (microbiology sensitivities only)

0078

VS

Very sensitive (microbiology sensitivities only)

0078

0079

Name

Abnormal Flags

Location

0079 HL7

User

0080

No suggested values Nature of Abnormal Testing

0080

A

An age-based population

0080

N

None - generic normal range

0080

R

A race-based population

0080

S

A sex-based population

0083

Outlier Type

0083 User

0084

No suggested values Performed By

0084 HL7

0085

No suggested values Observation Result Status Codes Interpretation

0085

C

Record coming over is a correction and thus replaces a final result

0085

D

Deletes the OBX record

0085

F

Final results; Can only be changed with a corrected result.

0085

I

Specimen in lab; results pending

0085

P

Preliminary results

0085

R

Results entered -- not verified

0085

S

Partial results

0085

X

Results cannot be obtained for this observation

0085

U

Results status change to Final. Results did not change (don't transmit test). E.g., radiology changes status from preliminary to final

W

Post original as wrong, e.g., transmitted for wrong patient

0085 User

0086

Page A-24 4/3/97

Plan ID

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Name

Value

0086 User

0087

No suggested values Pre-admit Test Indicator

0087 User

0088

No suggested values Procedure Code

0088 User

0089

No suggested values Procedure Coding Method

0089 HL7

0091

No suggested values Query Priority

0091

D

Deferred

I

Immediate

R

Readmission

0093

Y

Yes

0093

Null

0093

N

0091 User

0092

Re-admission Indicator

0092 User

0093

Release Information

0093 0098

Type of agreement

User

0098

Type of Agreement

0098

S

0098

No suggested values U

Unified

0098

M

Maternity

0099

VIP Indicator

0100

No suggested values When to Charge

0100

D

On discharge

0100

O

On receipt of order

0100

R

At time service is completed

0100

S

At time service is started

T

At a designated date/time

0102

D

Message received, stored for later processing

0102

F

Acknowledgment after processing

0103

D

Debugging

0103

P

Production

0103

T

Training

0104

2.0

Release 2.0 September 1988

0104

2.0D

Demo 2.0 October 1988

0104

2.1

Release 2.1 March 1990

0104

2.2

Release 2.2 December 1994

0104

2.3

Release 2.3 ?? 1996

0105

L

Ancillary (filler) department is source of comment

0105

P

Orderer (placer) is source of comment

0105

O

Other system is source of comment

0100 HL7

HL7

HL7

HL7

Standard

0098

0099 HL7

No or user-defined codes

User

User

Description

0102

0103

0104

0105

Delayed Acknowledgment Type

Processing ID

Version ID

Source of Comment

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-25 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

Table

Name

HL7

0106

Query/Response Format Code

Value

Description

0106

D

Response is in display format

0106

R

Response is in record-oriented format

T

Response is in tabular format

0107

B

Before the date/time specified

0107

L

Later than the date/time specified

0108

O

Order plus order status

0108

R

Results without bulk text

0108

S

Status only

0108

T

Full results (default)

R

Routine

S

STAT

0106 HL7

HL7

HL7

0107

0108

0109

Deferred Response Type

Query Results Level

Report Priority

0109 0109 User

0110

Transfer to Bad Debt Code

0110 User

0111

No suggested values Delete Account Code

0111 User

0112

No suggested values Discharged Disposition

0112 User

0113

No suggested values Discharged to Location

0113 User

0114

No suggested values Diet Type

0114 User

0115

No suggested values Servicing Facility

0115 User

User

0116

No suggested values Bed Status

0116

C

Closed

0116

H

Housekeeping

0116

O

Occupied

0116

U

Unoccupied

0116

K

Contaminated

0116

I

Isolated

0117

Account Status

0117 User

0118

No suggested values Major Diagnostic Category

0118 HL7

0119 0119

NW

New Order

0119

OK

Order accepted and OK

0119

UA

Unable to accept order

0119

CA

Cancel order request

0119

OC

Order canceled

0119

CR

Canceled as requested

0119

UC

Unable to cancel

0119

DC

Discontinue order request

0119

OD

Order discontinued

Page A-26 4/3/97

No suggested values Order Control Code

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

HL7

HL7

Table

Value

Description

0119

DR

Discontinued as requested

0119

UD

Unable to discontinue

0119

HD

Hold order request

0119

OH

Order held

0119

UH

Unable to put on hold

0119

HR

On hold as requested

0119

RL

Release previous hold

0119

OE

Order released

0119

OR

Released as requested

0119

UR

Unable to release

0119

RP

Order replace request

0119

RU

Replaced unsolicited

0119

RO

Replacement order

0119

RQ

Replaced as requested

0119

UM

Unable to replace

0119

PA

Parent order

0119

CH

Child order

0119

XO

Change order request

0119

XX

Order changed, unsolicited

0119

UX

Unable to change

0119

XR

Changed as requested

0119

DE

Data Errors

0119

RE

Observations to follow

0119

RR

Request received

0119

SR

Response to send order status request

0119

SS

Send order status request

0119

SC

Status changed

0119

SN

Send order number

0119

NA

Number assigned

0119

CN

Combined result

0119

RF

Refill order request

0119

AF

Order refill request approval

0119

DF

Order refill request denied

0119

FU

Order refilled, unsolicited

0119

OF

Order refilled as requested

0119

UF

Unable to refill

0119

LI

Link order to patient care message

0119

UN

Unlink order from patient care message

0121

E

Report exceptions only

0121

R

Same as E, also Replacement and Parent-Child

0121

D

Same as R, also other associated segments

0121

F

Same as D, plus confirmations explicitly

0121

N

Only the MSA segment is returned

0122

CH

Charge

0122

CO

Contract

0122

CR

Credit

0121

0122

Name

Response Flag

Charge Type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-27 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

HL7

HL7

HL7

Table

Value

Description

0122

DP

Department

0122

GR

Grant

0122

NC

No Charge

0122

PC

Professional

0122

RS

Research

0123

O

Order received; specimen not yet received

0123

I

No results available; specimen received, procedure incomplete

0123

S

No results available; procedure scheduled, but not done

0123

A

Some, but not all, results available

0123

P

Preliminary: A verified early result is available, final results not yet obtained

0123

C

Correction to results

0123

R

Results stored; not yet verified

0123

F

Final results; results stored and verified. Can only be changed with a corrected result.

0123

X

No results available; Order canceled.

0123

Y

No order on record for this test. (Used only on queries)

0123

Z

No record of this patient. (Used only on queries)

0124

CART

Cart - patient travels on cart or gurney

0124

PORT

The examining device goes to patient's location

0124

WALK

Patient walks to diagnostic service

0124

WHLC

Wheelchair

0125

AD

Address

0125

CE

Coded Entry

0125

CF

Coded Element With Formatted Values

0125

CK

Composite ID With Check Digit

0125

CN

Composite ID And Name

0125

CP

Composite Price

0125

CX

Extended Composite ID With Check Digit

0125

DT

Date

0125

ED

Encapsulated Data

0125

FT

Formatted Text (Display)

0125

ID

Coded Value

0125

MO

Money

0125

NM

Numeric

0125

PN

Person Name

0125

RP

Reference Pointer

0125

SN

Structured Numeric

0125

ST

String Data

0125

TM

Time

0125

TN

Telephone Number

0125

TS

Time Stamp (Date & Time)

0125

TX

Text Data (Display)

0125

XAD

Extended Address

0125

XCN

Extended Composite Name And Number For Persons

0125

XON

Extended Composite Name And Number For Organizations

0123

0124

0125

Page A-28 4/3/97

Name

Result Status

Transportation Mode

Value Type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

HL7

User

User

User

Table

Value

Description

0125

XPN

Extended Person Number

0125

XTN

Extended Telecommunications Number

0126

CH

Characters

0126

LI

Lines

0126

PG

Pages

0126

RD

Records

0126

ZO

Locally defined

0127

DA

Drug Allergy

0127

FA

Food Allergy

0127

MA

Miscellaneous Allergy

0127

MC

Miscellaneous Contraindication

0128

SV

Severe

0128

MO

Moderate

0128

MI

Mild

0126

0127

0128

0129

Name

Quantity Limited Request

Allergy Type

Allergy Severity

Accommodation Code

0129 User

0130

No suggested values Visit User Code

0130 User

0131

No suggested values Contact Role

0131

CP

Contact person

0131

EP

Emergency contact person

0131

BP

Billing contact person

PR

Person preparing referral

0131 User

0132

Transaction Code

0132 User

User

HL7

User

0133

No suggested values Procedure Practitioner Identifier Code Type

0133

AN

Anesthesiologist

0133

PR

Procedure MD (surgeon)

0133

RD

Radiologist

0133

RS

Resident

0133

NP

Nurse Practitioner

0133

CM

Certified Nurse Midwife

0133

SN

Scrub Nurse

0133

PS

Primary Surgeon

0133

AS

Assistant Surgeon

0135

Y

Yes

0135

N

No

0135

M

Modified assignment

0136

Y

Yes

0136

N

No

E

Employer

0135

0136

0137 0137

Assignment of Benefits

Yes/No Indicator

Mail Claim Party

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-29 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

Table

Value

Description

0137

Name

G

Guarantor

0137

I

Insurance Company

0137

O

Other

P

Patient

0137 User

0139

Employer Information Data

0139 User

0140

No suggested values Champus Service

0140 User

0141

No suggested values Champus Rank/Grade

0141 User

0142

No suggested values Champus Status

0142 User

0143

No suggested values Non-covered Insurance Code

0143 User

User

User

User

User

User

0144

Eligibility Source

0144

1

Insurance company

0144

2

Employer

0144

3

Insured presented policy

0144

4

Insured presented card

0144

5

Signed statement on file

0144

6

Verbal Information

0144

7

None

0145

PRI

Private room

0145

2PRI

Second private room

0145

SPR

Semi-private room

0145

2SPR

Second semi-private room

0145

ICU

Intensive care unit

0145

2ICU

Second intensive care unit

0146

DF

Differential

0146

LM

Limit

0146

PC

Percentage

0146

RT

Rate

0146

UL

Unlimited

0147

ANC

Ancillary

0147

2ANC

Second ancillary

0147

MMD

Major medical

0147

2MMD

Second major medical

0147

3MMD

Third major medical

0148

AT

Current amount

0148

PC

Percentage

0149

AP

Approved

0149

DE

Denied

0149

PE

Pending

0145

0146

0147

0148

0149

Page A-30 4/3/97

No suggested values

Room Type

Amount Type

Policy Type

Penalty Type

Days Type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Name

User

0150

Pre-certification Patient Type

User

Value

Description

0150

ER

Emergency

0150

IPE

Inpatient elective

0150

OPE

Outpatient elective

0150

UR

Urgent

0151

Second Opinion Status

0151 User

0152

No suggested values Second Opinion Documentation Received

0152 User

0153

No suggested values Value Code

0153 HL7

HL7

HL7

0155

No suggested values Accept/Application Acknowledgment Conditions

0155

AL

Always

0155

NE

Never

0155

ER

Error/reject conditions only

0155

SU

Successful completion only

0156

ORD

Order date/time

0156

CAN

Cancellation date/time

0156

SCHED

Schedule date/time

0156

COL

Collection date/time, equivalent to film or sample collection date/time

0156

RCT

Specimen receipt date/time, receipt of specimen in filling ancillary (Lab)

0156

REP

Report date/time, report date/time at filling ancillary (i.e., Lab)

0156

ANY

Any date/time within a range

0157

PRE

Preliminary

0157

REP

Report completion date/time

0157

CFN

Current final value, whether final or corrected

0157

FIN

Final only (no corrections)

0157

COR

Corrected only (no final with corrections)

ANY

Any status

0158

1ST

First value within range

0158

ALL

All values within the range

0158

LST

Last value within the range

0158

REV

All values within the range returned in reverse chronological order (Default if not otherwise specified.)

0159

D

Diet

0159

S

Supplement

P

Preference

0160

EARLY

Early tray

0160

LATE

Late tray

0160

GUEST

Guest tray

0156

0157

Which Date/Time Qualifier

Which Date/Time Status Qualifier

0157 HL7

HL7

0158

0159

Date/Time Selection Qualifier

Diet Type

0159 HL7

0160

Tray Type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-31 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

HL7

HL7

HL7

Table

Value

Description

0160

NO

No tray

0160

MSG

Tray message only

0161

N

Substitutions are NOT authorized. (This is the default - null.)

0161

G

Allow generic substitutions

0161

T

Allow therapeutic substitutions

0162

AP

Apply Externally

0162

B

Buccal

0162

DT

Dental

0162

EP

Epidural

0162

ET

Endotrachial Tube*

0162

GTT

Gastronomy Tube

0162

GU

GU Irrigant

0162

IMR

Immerse (Soak) Body Part

0162

IA

Intra-arterial

0162

IB

Intrabursal

0162

IC

Intracardiac

0162

ICV

Intracervical (uterus)

0162

ID

Intradermal

0162

IH

Inhalation

0162

MM

Mucous Membrane

0162

NS

Nasal

0162

NG

Nasogastric

0162

NP

Nasal Prongs*

0162

NT

Nasotrachial Tube

0162

OP

Ophthalmic

0162

OT

Otic

0162

OTH

Other/Miscellaneous

0162

PF

Perfusion

0162

PO

Oral

0162

PR

Rectal

0162

RM

Rebreather Mask*

0162

SD

Soaked Dressing

0162

SC

Subcutaneous

0162

SL

Sublingual

0162

TP

Topical

0162

TRA

Tracheostomy*

0162

TD

Transdermal

0162

TL

Translingual

0162

UR

Urethral

0162

VG

Vaginal

0162

VM

Ventimask

0162

WND

Wound

0162

*

Used primarily for respiratory therapy and anesthesia delivery

0163

BE

Bilateral Ears

0163

OU

Bilateral Eyes

0161

0162

0163

Page A-32 4/3/97

Name

Allow Substitution

Route of Administration

Administrative Site

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Value

Description

0163

Name

BN

Bilateral Nares

0163

BU

Buttock

0163

CT

Chest Tube

0163

LA

Left Arm

0163

LAC

Left Anterior Chest

0163

LACF

Left Antecubital Fossa

0163

LD

Left Deltoid

0163

LE

Left Ear

0163

LEJ

Left External Jugular

0163

OS

Left Eye

0163

LF

Left Foot

0163

LG

Left Gluteus Medius

0163

LH

Left Hand

0163

LIJ

Left Internal Jugular

0163

LLAQ

Left Lower Abd Quadrant

0163

LLFA

Left Lower Forearm

0163

LMFA

Left Mid Forearm

0163

LN

Left Naris

0163

LPC

Left Posterior Chest

0163

LSC

Left Subclavian

0163

LT

Left Thigh

0163

LUA

Left Upper Arm

0163

LUAQ

Left Upper Abd Quadrant

0163

LUFA

Left Upper Forearm

0163

LVG

Left Ventragluteal

0163

LVL

Left Vastus Lateralis

0163

NB

Nebulized

0163

PA

Perianal

0163

PERIN

Perineal

0163

RA

Right Arm

0163

RAC

Right Anterior Chest

0163

RACF

Right Antecubital Fossa

0163

RD

Right Deltoid

0163

RE

Right Ear

0163

REJ

Right External Jugular

0163

OD

Right Eye

0163

RF

Right Foot

0163

RG

Right Gluteus Medius

0163

RH

Right Hand

0163

RIJ

Right Internal Jugular

0163

RLAQ

Rt Lower Abd Quadrant

0163

RLFA

Right Lower Forearm

0163

RMFA

Right Mid Forearm

0163

RN

Right Naris

0163

RPC

Right Posterior Chest

0163

RSC

Right Subclavian

0163

RT

Right Thigh

0163

RUA

Right Upper Arm

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-33 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

Table

Value

Description

0163

Name

RUAQ

Right Upper Abd Quadrant

0163

RUFA

Right Upper Forearm

0163

RVL

Right Vastus Lateralis

RVG

Right Ventragluteal

0164

AP

Appliator

0164

BT

Buretrol

0164

HL

Heparin Lock

0164

IPPB

IPPB

0164

IVP

IV Pump

0164

IVS

IV Soluset

0164

MI

Metered Inhaler

0164

NEB

Nebulizer

0164

PCA

PCA Pump

0165

CH

Chew

0165

DI

Dissolve

0165

DU

Dust

0165

IF

Infiltrate

0165

IS

Insert

0165

IR

Irrigate

0165

IVPB

IV Piggyback

0165

IVP

IV Push

0165

NB

Nebulized

0165

PT

Pain

0165

PF

Perfuse

0165

SH

Shampoo

0165

SO

Soak

0165

WA

Wash

0165

WI

Wipe

0166

B

Base

0166

A

Additive

0167

N

No substitute was dispensed. This is equivalent to the default (null) value.

0167

G

A generic substitution was dispensed

0167

T

A therapeutic substitution was dispensed

0168

S

Stat (do immediately)

0168

A

As soon as possible (a priority lower than stat)

0168

R

Routine

0168

P

Preoperative (to be done prior to surgery)

0168

T

Timing critical (do as near as possible to requested time)

0168

C

Measure continuously (e.g., arterial line blood pressure)

0168

B

Do at bedside or portable (may be used with other codes)

0169

C

Call back results

0169

R

Rush reporting

0163 HL7

HL7

HL7

HL7

HL7

HL7

0164

0165

0166

0167

0168

0169

Page A-34 4/3/97

Administration Device

Administration Method

RX Component Type

Substitution Status

Processing Priority

Reporting Priority

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Name

HL7

0170

Derived Specimen

Value

Description

0170

P

Parent Observation

0170

C

Child Observation

N

Not Applicable

0170 User

0171

Citizenship

0171 User

0172

No suggested values or use ISO 3166 Veterans Military Status

0172 User

HL7

HL7

User

0173

No suggested values Coordination of Benefits

0173

CO

Coordination

0173

IN

Independent

0174

P

Profile or battery consisting of many independent atomic observations (e.g., SMA12, electrolytes), usually done at one instrument on one specimen

0174

F

Functional procedure that may consist of one or more interrelated measures (e.g., glucose tolerance test, creatine clearance), usually done at different times and/or on different specimens

0174

A

Atomic test/observation (test code or treatment code)

0174

S

Superset--a set of batteries or procedures ordered under a single code unit but processed as separate batteries (e.g., routines = CBC, UA, electrolytes)This set indicates that the code being described is used to order multiple test/observation batteries. For example, a client who routinely orders a CBC, a differential, and a thyroxine as an outpatient profile might use a single, special code to order all three test batteries, instead of having to submit three separate order codes.

0174

C

Single observation calculated via a rule or formula from other independent observations (e.g., Alveolar--arterial ratio, cardiac output)

0175

CDM

Charge description master file

0175

CM0

Clinical study master

0175

CM1

Clinical study phase master

0175

CM2

Clinical study Data Schedule Master

0175

LOC

Location master file

0175

OM1-OM6

Observation test master file segments

0175

PRA

Practitioner master file

0175

STF

Staff Master File

0174

0175

0176

Nature of Test/Observation

Master File Identifier Code

Master File Application Identifier

0176 User

0177

No suggested values Confidentiality code

0177

V

Very restricted

0177

R

Restricted

0177

U

Usual control

0177

EMP

Employee

0177

UWM

Unwed mother

0177

VIP

Very important person or celebrity

0177

PSY

Psychiatric patient

0177

AID

AIDS patient

0177

HIV

HIV(+) patient

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-35 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

Table

Name

Value

Description

ETH

Alcohol/drug treatment patient

0178

REP

Replace current version of this master file with the version contained in this message

0178

UPD

Change file records as defined in the record level event codes for each record that follows

0179

NE

Never. no application level response needed

0179

ER

Error/Reject conditions only. Only MFA segments denoting errors must be returned via the application level acknowledgment for this message

0179

AL

Always. All MFA segments (whether denoting errors or not) must be returned via the application level acknowledgment message

0179

SU

Success. Only MFA segments denoting success must be returned via the application level acknowledgment for this message

0180

MAD

Add record to master file

0180

MDL

Delete record from master file

0180

MUP

Update record for master file

0180

MDC

Deactivate: discontinue using record in master file, but do not delete from database

MAC

Reactivate deactivated record

0181

S

Successful posting of the record defined by the MFE segment

0181

U

Unsuccessful posting of the record defined by the MFE segment

0177 HL7

HL7

HL7

0178

0179

0180

File Level Event Code

Response Level

Record Level Event Code

0180 User

User

0181

0182

MFN Record Level Error Return

Staff Type

0182 HL7

User

0183

No suggested values Active/Inactive

0183

A

Active staff

0183

I

Inactive staff

0184

Department

0184 HL7

User

0185

No suggested values Preferred Method of Contact

0185

H

Home Phone Number

0185

O

Office Phone Number

0185

F

FAX Number

0185

C

Cellular Phone Number

0185

B

Beeper Number

0185

E

E-Mail Address (Not In TN Format)

0185

M

Mail

0186

Practitioner Category

0186 HL7

User

0187

No suggested values Provider Billing

0187

P

Provider does own billing

0187

I

Institution bills for provider

0188

Operator ID

0188 User

0189

No suggested values Ethnic Group

0189 HL7

0190

Page A-36 4/3/97

No suggested values Address Type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

HL7

User

Table

Value

Description

0190

C

Current or Temporary

0190

P

Permanent

0190

M

Mailing

0190

B

Business

0190

O

Office

0190

H

Home

0190

B

Birth

0190

F

County of Origin

0191

SI

Scanned Image

0191

NS

Non-scanned Image

0191

SD

Scanned Document

0191

TX

Machine Readable Text Document

0191

FT

Formatted Text

0191

IM

Image Data

0191

AU

Audio Data

0191

AP

Other application data, typically uninterpreted binary data

0191

0192

Name

Main Type of Reference Data

Visit ID Type

0192 User

HL7

0193

No suggested values Amount Class

0193

AT

Amount

0193

LM

Limit

0193

PC

Percentage

0193

UL

Unlimited

0200

A

Alias Name

0200

L

Legal Name

0200

D

Display Name

0200

M

Maiden Name

0200

C

Adopted Name

O

Other

0201

PRN

Primary Residence Number

0201

ORN

Other Residence Number

0201

WPN

Work Number

0201

VHN

Vacation Home Number

0201

ASN

Answering Service Number

0201

EMR

Emergency Number

0201

NET

Network (email) Address

0201

BPN

Beeper Number

0202

PH

Telephone

0202

FX

Fax

0202

MD

Modem

0202

CP

Cellular Phone

0202

BP

Beeper/Pager

0202

Internet

Internet Address: Use only if telecommunication use code is NET

0202

X.400

X.400 email address: use only if telecommunication use code is

0200

Name Type

0200 HL7

HL7

0201

0202

Telecommunication Use Code

Telecommunication Equipment Type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-37 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

Table

Name

Value

Description NET

User

0203

Identifier Type

0203

AM

American Express

0203

BR

Birth Registry Number

0203

DI

Diner's Club Card

0203

DL

Driver's License Number

0203

DN

Doctor Number

0203

DS

Discover Card

0203

EI

Employee Number

0203

EN

Employer Number

0203

GI

Guarantor Internal Identifier

0203

GN

Guarantor External Identifier

0203

MS

Master Card

0203

MA

Medicaid Number

0203

MC

Medicare Number

0203

MR

Medical Record Number

0203

PI

Patient Internal Identifier

0203

PT

Patient External Identifier

0203

RR

Railroad Retirement Number

0203

SS

Social Security Number

0203

XX

Organization Identifier

0203

VS

VISA

0203

VN

Visit Number

AN

Account Number

0204

A

Alias Name

0204

L

Legal Name

0204

D

Display Name

0204

SL

Stock Exchange Listing Name

0205

AP

Administrative Price or Handling Fee

0205

PF

Professional Fee for Performing Provider

0205

UP

Unit Price, may be based on length of procedure or service

0205

TF

Technology Fee for Use of Equipment

0205

DC

Direct Unit Cost

0205

IC

Indirect Unit Cost

0205

TP

Total Price

0206

A

Add/Insert

0206

D

Delete

0206

U

Update

0207

a

Archive

0207

r

Restore from Archive

0207

i

Initial Load

not present

Not Present (the default, meaning current processing)

0208

OK

Data found, no errors (this is the default)

0208

NF

No data found, no errors

0203 User

HL7

HL7

HL7

0204

0205

0206

0207

Organizational Name Type

Price Type

Segment Action Code

Processing Mode

0207 User

0208

Page A-38 4/3/97

Query Response Status

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Name

Value

Description

AR

Application reject

0209

EQ

Equal

0209

NE

Not equal

0209

LT

Less than

0209

GT

Greater than

0209

LE

Less than or equal

0209

GE

Greater than or equal

0209

CT

Contains

GN

Generic

0210

AND

Default

0210

OR

0208 HL7

0209

Relational Operator

0209 HL7

HL7

User

0210

0211

Relational Conjunction

Alternate Character Sets

0211

ASCII

The printable 7-bit ASCII character set . (This is the default if this field is omitted)

0211

8859/1

The printable characters from the ISO 8859/1 Character set

0211

8859/2

The printable characters from the ISO 8859/2 Character set

0211

8859/3

The printable characters from the ISO 8859/3 Character set

0211

8859/4

The printable characters from the ISO 8859/4 Character set

0211

8859/5

The printable characters from the ISO 8859/5 Character set

0211

8859/6

The printable characters from the ISO 8859/6 Character set

0211

8859/7

The printable characters from the ISO 8859/7 Character set

0211

8859/8

The printable characters from the ISO 8859/8 Character set

0211

8859/9

The printable characters from the ISO 8859/9 Character set

0211

JAS2020

A subset of ISO2020 used for most Kanjii transmissions

0211

UNICODE



0211

JIS X 0202

ISO 2022 with escape sequences for Kanjii

0212

Nationality

0212 User

User

0213

No suggested values or use ISO 3166 Purge Status

0213

P

Marked for purge. User is no longer able to update the visit.

0213

D

The visit is marked for deletion and the user cannot enter new data against it

0213

I

The visit is marked inactive and the user cannot enter new data against it

0214

Special Program Codes

0214 User

0215

No suggested values Publicity Code

0215 User

0216

No suggested values Patient Status

0216 User

0217

No suggested values Visit Priority

0217 User

0218

No suggested values Charge Adjustment

0218 User

0219

No suggested values Recurring Service

0219 User

0220

No suggested values Living Arrangement

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-39 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

User

Table

Value

Description

0220

A

Alone

0220

F

Family

0220

I

Institution

0220

R

Relative

0220

U

Unknown

0220

S

Spouse Only

0222

Name

Contact Reason

0222 User

HL7

HL7

HL7

0223 0223

D

Spouse dependent

0223

M

Medical supervision required

0223

S

Small children

0223

WU

Walk up

0223

CB

Common bath

0224

A

Arranged

0224

N

Not Arranged

0224

U

Unknown

0225

R

Required

0225

N

Not Required

0225

U

Unknown

0227

AB

Abbott

0227

AD

Adams

0227

ALP

Alpha

0227

AR

Armour

0227

BA

Baxter

0227

BAY

Bayer

0227

BP

Berna

0227

CON

Connaught

0227

EVN

Evans

0227

GRE

Greer

0227

IUS

Immuno-US

0227

KGC

Korea Green Cross

0227

LED

Lederle

0227

MA

Massachusetts Public Health

0227

MSD

Merck

0227

IM

Merieux

0227

MIP

Michigan Dept Public Health

0227

JPN

Microbial Dis/Osaka U

0227

MIL

Miles

0227

NYB

New York Blood Center

0227

NAB

North American Biologicals, Inc.

0227

OTC

Organon Teknika

0227

OTH

Other

0227

PD

Parke Davis

0227

PRX

Praxis Biologics

0224

0225

0227

Page A-40 4/3/97

No suggested values Living Dependency

Transport Arranged

Escort Required

Manufacturers of vaccines (code = MVX)

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

User

User

User

User

User

User

Table

Value

Description

0227

SCL

Sclavo

0227

SKB

SmithKline

0227

SI

Swiss Serum and Vaccine Inst.

0227

WA

Wyeth-Ayerst

0227

UNK

Unknown manufacturer

0228

C

Consultation

0228

D

Diagnosis

0228

M

Medication (antibiotic)

0228

O

Other

0228

R

Radiological scheduling (not using ICDA codes)

0228

S

Sign and symptom

0228

T

Tissue diagnosis

0228

I

Invasive procedure not classified elsewhere (I.V., catheter, etc.)

0229

M

Medicare

0229

C

Champus

0229

G

Managed Care Organization

0230

A

Anesthesia

0230

P

Procedure for treatment (therapeutic includes operations)

0230

I

Invasive procedure not classified elsewhere (e.g., IV, catheter, etc.)

0230

D

Diagnostic procedure

0231

F

Full-time student

0231

P

Part-time student

0231

N

Not a student

0232

01

Medicare claim status

0232

02

Medicaid claim status

0232

03

Name/address change

0228

0229

0230

0231

0232

0233

Name

Diagnosis Classification

Outlier Type

Procedure Functional Type

Student Status

Insurance Company Contact Reason

Non-concur Code/Description

0233 HL7

HL7

0234

No suggested values Report Timing

0234

CO

Correction

0234

AD

Additional information

0234

RQ

Requested information

0234

DE

Device evaluation

0234

PD

Periodic

0234

3D

3 day report

0234

7D

7 day report

0234

10D

10 day report

0234

15D

15 day report

0234

30D

30 day report

0235

C

Clinical trial

0235

L

Literature

0235

Report Source

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-41 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

HL7

HL7

HL7

Table

Value

Description

0235

H

Health professional

0235

R

Regulatory agency

0235

D

Database/registry/poison control center

0235

N

Non-health care professional

0235

P

Patient

0235

M

Manufacturer/marketing authority holder

0235

E

Distributor

0235

O

Other

0236

M

Manufacturer

0236

L

Local facility/user facility

0236

R

Regulatory agency

0236

D

Distributor

0237

I

Interaction

0237

O

Overdose

0237

A

Abuse

0237

M

Misuse

0237

D

Dependency

0237

L

Lack of expect therapeutic effect

0237

W

Drug withdrawal

0237

B

Unexpected beneficial effect

0238

Y

Yes

0238

S

Significant

N

No

0239

Y

Yes

0239

N

No

0239

U

Unknown

0240

D

Death

0240

L

Life threatening

0240

H

Caused hospitalized

0240

P

Prolonged hospitalization

0240

C

Congenital anomaly/birth defect

0240

I

Incapacity which is significant, persistent or permanent

0240

J

Disability which is significant, persistent or permanent

0240

R

Required intervention to prevent permanent impairment/damage

0240

O

Other

0241

D

Died

0241

R

Recovering

0241

N

Not recovering/unchanged

0241

W

Worsening

0241

S

Sequelae

0241

F

Fully recovered

0241

U

Unknown

0236

0237

0238

Name

Reported To

Event Qualification

Event Seriousness

0238 HL7

HL7

HL7

0239

0240

0241

Page A-42 4/3/97

Event Expected

Event Consequence

Patient Outcome

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Name

HL7

0242

Primary Observer's Qualification

Value

Description

0242

P

Physician (osteopath, homeopath)

0242

R

Pharmacist

0242

M

Mid-level professional (nurse, nurse practitioner, physician's assistant)

0242

H

Other health professional

0242

C

Health care consumer/patient

0242

L

Lawyer/attorney

O

Other non-health professional

0243

Y

Yes

0243

N

No

0243

NA

Not applicable

0242 HL7

User

0243

0244

Identity may be Divulged

Single Use Device

0244 User

0245

No suggested values Product Problem

0245 User

0246

No suggested values Product Available for Inspection

0246 HL7

HL7

User

0247

No suggested values Start of Evaluation

0247

Y

Evaluation completed

0247

P

Evaluation in progress

0247

K

Problem already known, no evaluation necessary

0247

X

Product not made by company

0247

A

Evaluation anticipated, but not yet begun

0247

D

Product discarded -- unable to follow up

0247

C

Product received in condition which made analysis impossible

0247

I

Product remains implanted -- unable to follow up

0247

U

Product unavailable for follow up investigation

0247

Q

Product under quarantine -- unable to follow up

0247

R

Product under recall/corrective action

0247

O

Other

0248

A

Actual product involved in incident was evaluated

0248

L

A product from the same lot as the the actual product involved was evaluated

0248

R

A product from a reserve sample was evaluated

0248

N

A product from a controlled/non-related inventory was evaluated

0248

0249

Product Source

Generic Product

0249 HL7

0250

No suggested values Relatedness Assessment

0250

H

Highly probable

0250

M

Moderately probable

0250

S

Somewhat probable

0250

I

Improbable

N

Not related

WP

Product withdrawn permanently

0250 HL7

0251 0251

Action Taken in Response to the Event

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-43 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

HL7

HL7

HL7

Table

Value

Description

0251

WT

Product withdrawn temporarily

0251

DR

Product dose or frequency of use reduced

0251

DI

Product dose or frequency of use increased

0251

OT

Other

0251

N

None

0252

AW

Abatement of event after product withdrawn

0252

BE

Event recurred after product reintroduced

0252

LI

Literature reports association of product with event

0252

IN

Event occurred after product introduced

0252

EX

Alternative explanations for the event available

0252

PL

Effect observed when patient receives placebo

0252

TC

Toxic levels of product documented in blood or body fluids

0252

DR

Dose response observed

0252

SE

Similar events in past for this patient

0252

OE

Occurrence of event was confirmed by objective evidence

0252

OT

Other

0253

B

Breast milk

0253

P

Transplacental

0253

F

Father

0253

X

Blood product

0253

O

Other

0252

0253

0254

Name

Causality Observations

Indirect Exposure Mechanism

Kind of Quantity

0254 HL7

0255

See Chapter 8 Section ?? for values Duration Categories

0255 HL7

0256

See Chapter 8 Section ?? for values Time Delay Post Challenge

0256 HL7

HL7

User

0257 0257

CFST

Fasting (no calorie intake) for the period specified in the time component of the term, e.g., 1H POST CFST

0257

EXCZ

Exercise undertaken as challenge (can be quantified)

0257

FFST

No fluid intake for the period specified in the time component of the term

0258

CONTROL

Control

0258

PATIENT

Patient

0258

DONOR

Donor

0258

BPU

Blood product unit

0259

AS

Angioscopy

0259

BS

Biomagnetic imaging

0259

CD

Color Flow Doppler

0259

CP

Colposcopy

0259

CR

Computed Radiography

0259

CS

Cystoscopy

0259

CT

Computed Tomography

0259

DD

Duplex Doppler

0258

0259

Page A-44 4/3/97

See Chapter 8 Section ?? for values Nature of Challenge

Relationship Modifier

Modality

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

User

User

Table

Value

Description

0259

DG

Diapanography

0259

DM

Digital microscopy

0259

EC

Echocardiography

0259

ES

Endoscopy

0259

FA

Fluorescein Angiography

0259

FS

Fundoscopy

0259

LP

Laparoscopy

0259

LS

Laser surface scan

0259

MA

Magnetic Resonance Angiography

0259

MS

Magnetic Resonance Spectroscopy

0259

NM

Nuclear medicine (radioisotope study)

0259

OT

Other

0259

PT

Positron Emission Tomography (PET)

0259

RF

RadioFluoroscopy

0259

ST

Single Photon Emission Computed Tomography (SPECT)

0259

TG

Thermography

0259

US

Ultrasound

0259

XA

X-Ray Angiography

0260

N

Nursing Unit

0260

R

Room

0260

B

Bed

0260

E

Exam Room

0260

O

Operating Room

0260

C

Clinic

0260

D

Department

0260

L

Other Location

0261

OXY

Oxygen

0261

SUC

Suction

0261

VIT

Vital signs monitor

0261

INF

Infusion pump

0261

IVP

IV pump

0261

EEG

Electro-Encephalogram

0261

EKG

Electro-Cardiogram

VEN

Ventilator

0262

F

Isolation

0262

P

Private Room

0262

J

Private Room - Medically Justified

0262

Q

Private Room - Due To Overflow

0262

S

Semi-Private Room

0262

W

Ward

0263

A

Ambulatory

0263

E

Emergency

0263

F

Isolation

0263

N

Intensive Care

0260

0261

Name

Patient Location Type

Location Equipment

0261 User

User

0262

0263

Privacy Level

Level of Care

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-45 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

User

Table

Value

Description

0263

C

Critical Care

0263

R

Routine

0263

S

Surgery

0264

Name

Location Department

0264 User

User

0265

No suggested values Specialty Type

0265

AMB

Ambulatory

0265

PSY

Psychiatric

0265

PPS

Pediatric Psychiatric

0265

REH

Rehabilitation

0265

PRE

Pediatric Rehabilitation

0265

ISO

Isolation

0265

OBG

Obstetrics, Gynecology

0265

PIN

Pediatric/Neonatal Intensive Care

0265

INT

Intensive Care

0265

SUR

Surgery

0265

PSI

Psychiatric Intensive Care

0265

EDI

Education

0265

CAR

Coronary/Cardiac Care

0265

NBI

Newborn, Nursery, Infants

0265

CCR

Critical Care

0265

PED

Pediatrics

0265

EMR

Emergency

0265

OBS

Observation

0265

WIC

Walk-In Clinic

0265

PHY

General/Family Practice

0265

ALC

Allergy

0265

FPC

Family Planning

0265

CHI

Chiropractic

0265

CAN

Cancer

0265

NAT

Naturopathic

0265

OTH

Other Specialty

0266

M

Only Male Patients

0266

F

Only Female Patients

E

Either Male Or Female Patients

0267

SAT

Saturday

0267

SUN

Sunday

0267

MON

Monday

0267

TUE

Tuesday

0267

WED

Wednesday

0267

THU

Thursday

0267

FRI

Friday

0268

X

Override not allowed

0268

A

Override Allowed

0268

R

Override Required

0266

Gender Indicator

0266 HL7

User

0267

0268

Page A-46 4/3/97

Days of the Week

Override

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Name

User

0269

Charge on Indicator

User

HL7

Value

Description

0269

O

Charge on order

0269

R

Charge on result

0270

AR

Autopsy report

0270

CD

Cardiodiagnostics

0270

CN

Consultation

0270

DI

Diagnostic imaging

0270

DS

Discharge summary

0270

ED

Emergency department report

0270

HP

History and physical examination

0270

OP

Operative report

0270

PC

Psychiatric consultation

0270

PH

Psychiatric history and physical examination

0270

PN

Procedure note

0270

PR

Progress note

0270

SP

Surgical pathology

0270

TS

Transfer summary

0271

DI

Dictated

0271

DO

Documented

0271

IP

In progress

0271

IN

Incomplete

0271

PA

Pre-authenticated

0271

AU

Authenticated

LA

Legally authenticated

0272

VR

Very restricted

0272

RE

Restricted

0272

UC

Usual control

0273

AV

Available for patient care

0273

UN

Unavailable for patient care

RP

Replacement

IN

Incremental

0275

AC

Active

0275

AA

Active and archived

0275

AR

Archived (not active)

0275

PU

Purged

0276

ROUTINE

Routine appointment - default if not valued

0276

WALKIN

A previously unscheduled walk-in visit

0276

CHECKUP

A routine check-up, such as an annual physical.

0276

FOLLOWUP

A follow up visit from a previous appointment.

0270

0271

Document Type

Document Completion Status

0271 HL7

HL7

HL7

0272

0273

0274

Document Confidentiality Status

Document Availability Status

Document Modification Status

0274 0274 HL7

User

0275

0276

Document Storage Status

Appointment Reason Codes

0276 User

0277

EMERGENCY Emergency appointment Appointment Type Codes

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-47 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

User

User

Table

Value

Description

0277

NORMAL

Routine schedule request type - default if not valued

0277

TENTATIVE

A request for a tentative (e.g., “penciled in”) appointment

0277

COMPLETE

A request to add a completed appointment, used to maintain records of completed appointments that did not appear in the schedule (e.g., STAT, w alk-in, etc.)

0278

PENDING

Appointment has not yet been confirmed

0278

WAITLIST

Appointment has been placed on a waiting list for a particular slot, or set of slots

0278

BOOKED

The indicated appointment is booked

0278

STARTED

The indicated appointment has begun and is currently in progress

0278

COMPLETE

The indicated appointment has completed normally (was not discontinued, canceled, or deleted)

0278

CANCELLED

The indicated appointment was stopped from occurring (cancelled prior to starting)

0278

DC

The indicated appointment was discontinued (DC’ed while in progress, discontinued parent appointment, or discontinued child appointment)

0278

DELETED

The indicated appointment was deleted from the filler application

0278

BLOCKED

The indicated time slot(s) is(are) blocked. Not used in the AIS, AIG, AIL, AIP segments.

0278

OVERBOOK

The appointment has been confirmed; however it is confirmed in an overbooked state

0279

NO

Substitution of this resource is not allowed

0279

CONFIRM

Contact the Placer Contact Person prior to making any substitutions of this resource

0279

NOTIFY

Notify the Placer Contact Person, through normal institutional procedures, that a substitution of this resource has been made

YES

Substitution of this resource is allowed

0280

S

STAT

0280

A

ASAP

0280

R

Routine

0281

LAB

Laboratory

0281

RAD

Radiology

0281

MED

Medical

0281

SKN

Skilled Nursing

0281

PSY

Psychiatric

0281

HOM

Home Care

0282

WR

Send Written Report

0282

RP

Return Patient After Evaluation

0282

AM

Assume Management

0282

SO

Second Opinion

0283

A

Accepted

0283

P

Pending

0283

R

Rejected

0283

E

Expired

0278

0279

Name

Filler Status Codes

Allow Substitution Codes

0279 User

User

User

User

User

0280

0281

0282

0283

0284

Page A-48 4/3/97

Referral Priority

Referral Type

Referral Disposition

Referral Status

Referral Category

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

Table

Value

Description

0284

Name

I

Inpatient

0284

O

Outpatient

0284

A

Ambulatory

E

Emergency

0284 User

0285

Insurance Company ID Codes

0285 User

HL7

User

0286

No suggested values Provider Role

0286

RP

Referring Provider

0286

PP

Primary Care Provider

0286

CP

Consulting Provider

0286

RT

Referred to Provider

0287

AD

ADD

0287

CO

CORRECT

0287

DE

DELETE

0287

LI

LINK

0287

UC

UNCHANGED

0287

UN

UNLINK

0287

UP

UPDATE

0287

0288

Action Code

Census Tract

0288 User

0289

No suggested values County/parish

0289 HL7

0290

No suggested values MIME base64 encoding Characters

0290 HL7

HL7

0291

See chapter 2 Section 2.4.5.12.2 for values Subtype of Referenced Data

0291

TIFF

TIFF image data

0291

PICT

PICT format image data

0291

DICOM

Digital Imaging and Communications in Medicine

0291

FAX

Facsimile data

0291

JOT

Electronic ink data (Jot 1.0 standard)

0291

BASIC

ISDN PCM audio data

0291

Octet-stream Uninterpreted binary data

0291

PostScript

PostScript program

0291

JPEG

Needs formal description

0291

GIF

Needs formal description

0291

HTML

Hypertext Markup Language

0291

RTF

Rich Te xt Format

0292

24

Anthrax

0292

19

BCG

0292

27

Botulinum antitoxin

0292

26

Cholera

0292

29

CMVIG

0292

12

Diphtheria antitoxin

0292

28

DT(pediatric)

0292

20

DTaP

0292

50

Dtap-Hib

0292

Vaccines Administered

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-49 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

User

Table

Value

Description

0292

01

DTP

0292

22

DTP-Hib

0292

30

HBIG

0292

31

Hep A - pediatric

0292

52

Hep A - adult

0292

08

Hep B - adolescent or pediatric

0292

42

Hep B - adolescent/high risk infant

0292

43

Hep B-adult

0292

44

Hep B-dialysis

0292

45

Hep B-other or unspecified

0292

17

Hib-unspecified

0292

46

Hib-PRP-D

0292

47

Hib-HbOC

0292

48

Hib-PRP-T

0292

49

Hib-PRP-OMP

0292

51

Hib-Hep B

0292

14

IG

0292

15

Influenza-split (incl. purified surface antigen)

0292

16

Influenza-whole

0292

10

IPV

0292

39

Japanese encephalitis

0292

03

MMR

0292

04

M/R

0292

05

Measles

0292

32

Meningococcal

0292

07

Mumps

0292

11

Pertussis

0292

23

Plague

0292

33

Pneumococcal

0292

02

OPV

0292

18

Rabies-intramuscular injection

0292

40

Rabies-intradermal injection

0292

34

RIG

0292

06

Rubella

0292

38

Rubella/Mumps

0292

09

Td (Adult)

0292

35

Tetanus toxoid

0292

13

TIG

0292

25

Typhoid-oral

0292

41

Typhoid-parenteral

0292

21

Varicella

0292

36

VZIG

0292

37

Yellow fever

0293

Name

Billing Category

0293 User

0294 0294

Page A-50 4/3/97

No suggested values Time Selection Criteria Parameter Class Codes PREFSTART

The preferred start time for the appointment request, service or resource. Any legal time specification in the format HHMM, using

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

User

Table

Value

Description 24-hour clock notation

0294

PREFEND

The preferred end time for the appointment request, service or resource. Any legal time specification in the format HHMM, using 24-hour clock notation

0294

MON

An indicator that Monday is or is not preferred for the day on which the appointment will occur. OK = Preferred appointment day NO = Day is not preferred

0294

TUE

An indicator that Tuesday is or is not preferred for the day on which the appointment will occur. OK = Preferred appointment day NO = Day is not preferred

0294

WED

An indicator that Wednesday is or is not preferred for the day on which the appointment will occur. OK = Preferred appointment day NO = Day is not preferred

0294

THU

An indicator that Thursday is or is not preferred for the day on which the appointment will occur. OK = Preferred appointment day NO = Day is not preferred

0294

FRI

An indicator that Friday is or is not preferred for the day on which the appointment will occur. OK = Preferred appointment day NO = Day is not preferred

0294

SAT

An indicator that Saturday is or is not preferred for the day on which the appointment will occur. OK = Preferred appointment dayNO = Day is not preferred

0294

SUN

An indicator that Sunday is or is not preferred for the day on which the appointment will occur. OK = Preferred appointment day NO = Day is not preferred

0295

Name

Handicap

0295 User

0296

No suggested values Language

0296 User

User

0309

No suggested values or ISO 639 Coverage Type

0309

H

Hospital/institutional

0309

P

Physician/professional

0309

B

Both hospital and physician

0310

Handicap

0310 User

0311

No suggested values Job Status

0311 User

0312

No suggested values Policy Scope

0312 User

0313

No suggested values Policy Source

0313 HL7

0314

No suggested values Document Change Reason

0314 HL7

0315

Waiting for values from Wayne Tracy Living Will

0315

Y

Yes, patient has a living will

0315

F

Yes, patient has a living will but it is not on file

0315

N

No, patient does not have a living will and no information was provided

0315

I

No, patient does not have a living will but information was provided

U

Unknown

Y

Yes, patient is a donor and card is on file

0315 HL7

0316 0316

Organ Donor

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-51 Final Standard.

4/3/97

Appendix A: Data Definition Tables Type

User

HL7

Table

Value

Description

0316

F

Yes, patient is a donor, but card is not on file

0316

N

No, patient is not a donor

0316

U

Unknown

0317

9900

Pace spike

0317

9901

SAS marker

0317

9902

Sense marker

0317

9903

Beat marker

0317

9904

etc.

0317

0318

Name

Annotations

Confirmation Provided By

0318 User

0319

No suggested values Department Cost Center

0319 User

0320

No suggested values Item Natural Account Code

0320 HL7

0321

No suggested values Dispense Method

0321

TR

Traditional

0321

UD

Unit Dose

0321

F

Floor Stock

AD

Automatic Dispensing

0322

CP

Complete

0322

RE

Refused

0322

NA

Not Administered

0322

PA

Partially Administered

0323

D

Delete

0323

U

Update

A

Add

0324

SMK

Smoking

0324

LIC

Licensed

0324

IMP

Implant: can be used for radiation implant patients

0324

SHA

Shadow: a temporary holding location that does not physically exist

0324

INF

Infectious disease: this location can be used for isolation

0324

PRL

Private Level: indicating a level of private versus non-private room

0324

LCR

Level of care

0324

OVR

Overflow

0324

STF

Bed is staffed

0324

SET

Bed is set up

0324

GEN

Gender of patient(s)

0324

TEA

Teaching location

0325

RX

Nearest Pharmacy

0325

RX2

Second Pharmacy

0325

LAB

Nearest Lab

0325

LB2

Second Lab

0321 HL7

HL7

0322

0323

Completion Status

Action Code

0323 User

User

0324

0325

Page A-52 4/3/97

Location Characteristic ID

Location Relationship ID

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Type

User

User

Table

Value

Description

0325

DTY

Nearest Dietary

0325

ALI

Location alias(es)

0325

PAR

Parent location

0326

A

Account level

0326

V

Visit level

0326

0327

Name

Visit Indicator

Job Class

0327 User

0328

No suggested values Employee Classification

0328 HL7

HL7

0329

No suggested values Quantity Method

0329

A

Actual Count

0329

E

Estimated (see comment)

0330

510K

510 (K)

0330

510E

510 (K) exempt

0330

PMA

Premarketing authorization

0330

PRE

Preamendment

0330

TXN

Transitional

522S

Post marketing study (522)

0331

U

User

0331

M

Manufacturer

0331

D

Distributor

0331

A

Agent for a foreign manufacturer

0332

I

Initiate

0332

A

Accept

0334

PT

Patient

0334

GT

Guarantor

0334

IN

Insured

0334

AP

Associated Party

E

Eligible

C

Certified

0338

UPIN

University Physician Id. No.

0338

SL

State License Number

0338

MCD

Medicaid Number

0338

GL

General Ledger Number

0338

CY

County Number

0338

TAX

Tax ID Number

0338

DEA

Drug Enforcement Agency No.

0338

MCR

Medicare Number

0338

L&I

Labor and Industries Number

0338

QA

QA Number

0338

TRL

Training License Number

0330

Marketing Basis

0330 HL7

HL7

User

HL7

0331

0332

0334

0337

Facility Type

Network Source Type

Disabled Person

Certification Status

0337 0337 User

0338

Practitioner ID number type

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-53 Final Standard.

4/3/97

Appendix A: Data Definition Tables

A.6 DATA ELEMENT NAMES This section reflects the HL7 database which is available through HL7 Headquarters (see the last section in Chapter 1 for information on how to contact HL7). Name

Item#

Seg

Rep

Qty

Table

Abnormal Flags

00576

OBX

008

7

5

ID

Yes

5

0078

Abnormal Text/Codes for Categorical Observations

00639

OM3

005

8

200

CE

No

Absolute Range for Ordinal & Continuous Obs

00633

OM2

008

8

200

CM

No

Accept Acknowledgment Type

00015

MSH

015

2

2

ID

No

0155

Accident Code

00528

ACC

002

6

60

CE

No

0050

Accident Date/Time

00527

ACC

001

6

26

TS

No

Accident Death Indicator

00814

ACC

006

6

2

ID

No

0136

Accident Job Related Indicator

00813

ACC

005

6

2

ID

No

0136

Accident Location

00529

ACC

003

6

25

ST

No

Accommodation Code

00182

PV2

002

3

60

CE

No

Accommodation Type

00980

LCC

003

8

60

CE

Yes

Account ID

00236

BLG

003

4

100

CK

No

Account Status

00171

PV1

041

3

2

IS

No

0117

Acknowledgment Code

00018

MSA

001

2

2

ID

No

0008

Action By

00233

ORC

019

4

120

XCN

No

Action Code

00816

GOL

001

12

2

ID

No

0287

Action Code

00816

PRB

001

12

2

ID

No

0287

Action Code

01224

RXA

021

4

2

ID

No

0323

Action Code

00816

PTH

001

12

2

ID

No

0287

Action Code

00816

ROL

002

12

2

ID

No

0287

Action Date/Time

00817

GOL

002

12

26

TS

No

Action Date/Time

00817

PRB

002

12

26

TS

No

Action Taken In Response To The Event

01118

PCR

021

7

2

ID

Yes

Activation Date

00680

STF

012

8

26

CM

Yes

Activation Date

00969

LDP

007

8

26

TS

No

Active/Inactive Flag

00675

LDP

006

8

1

ID

No

0183

Active/Inactive Flag

00675

STF

007

8

1

ID

No

0183

Active/Inactive Flag

00675

PRC

016

8

1

ID

No

0183

Active/Inactive Flag

00675

CDM

008

8

1

ID

No

0183

Activity Date/Time

00917

TXA

004

9

26

TS

No

Actual Dispense Amount

00337

RXD

004

4

20

NM

No

Actual Dispense Units

00338

RXD

005

4

60

CE

No

Actual Dosage Form

00339

RXD

006

4

60

CE

No

Actual Length of Inpatient Stay

00712

PV2

011

3

3

NM

No

Actual Problem Resolution Date/Time

00844

PRB

009

12

26

TS

No

Actual Strength

01132

RXD

016

4

20

NM

No

Actual Strength Unit

01133

RXD

017

4

60

CE

No

Addendum Continuation Pointer

00066

ADD

001

2

65536

ST

No

Additional Insured on Auto

01275

STF

021

8

1

ID

No

Additive

00647

OM4

007

8

60

CE

No

Address

00193

NK1

004

3

106

XAD

Yes

Page A-54 4/3/97

Seq#

Chp

Len

DT

0129

6

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0251

0136

Appendix A: Data Definition Tables Name

Item#

Seg

Address of Outside Site(s)

00613

OM1

028

Seq#

Chp 8

1000

Len

XAD

DT

Rep No

Qty

Administered Amount

00348

RXA

006

4

20

NM

No

Administered Code

00347

RXA

005

4

100

CE

No

Administered Dosage Form

00350

RXA

008

4

60

CE

No

Administered Per (Time Unit)

00354

RXA

012

4

20

ST

No

Administered Strength

01134

RXA

013

4

20

NM

No

Administered Strength Units

01135

RXA

014

4

60

CE

No

Administered Units

00349

RXA

007

4

60

CE

No

Administered-at Location

00353

RXA

011

4

200

CM

No

Administering Provider

00352

RXA

010

4

200

XCN

No

Administration Device

00311

RXR

003

4

60

CE

No

0164

Administration Method

00312

RXR

004

4

60

CE

No

0165

Administration Notes

00351

RXG

009

4

200

CE

Yes

Administration Notes

00351

RXA

009

4

200

CE

Yes

Administration Sub-ID Counter

00344

RXA

002

4

4

NM

No

Admission Type

00134

PV1

004

3

2

IS

No

Admit Date/Time

00174

PV1

044

3

26

TS

No

Admit Reason

00183

PV2

003

3

60

CE

No

Admit Source

00144

PV1

014

3

3

IS

No

0023

Admitting Doctor

00147

PV1

017

3

60

XCN

Yes

0010

Allergy Code/Mnemonic/ Description

00205

AL1

003

3

60

CE

No

Allergy Reaction

00207

AL1

005

3

15

ST

No

Allergy Severity

00206

AL1

004

3

2

IS

No

0128

Allergy Type

00204

AL1

002

3

2

IS

No

0127

Allow Substitution Code

00895

AIS

009

10

10

IS

No

0279

Allow Substitution Code

00895

AIP

011

10

10

IS

No

0279

Allow Substitution Code

00895

AIG

013

10

10

IS

No

0279

Allow Substitution Code

00895

AIL

011

10

10

IS

No

0279

Allow Substitutions

00300

RXO

009

4

1

ID

No

0161

Alternate Patient ID - CSR

01039

CSR

005

7

30

CX

No

Alternate Patient ID - PID

00107

PID

004

3

20

ST

Yes

Alternate Study ID

01036

CSR

002

7

60

EI

No

Alternate Study ID

01012

CM0

003

8

60

CE

Yes

Alternate Visit ID

00180

PV1

050

3

20

CX

No

0192

Ambulatory Status

00145

PV1

015

3

2

IS

Yes

0009

Ambulatory Status

00145

GT1

034

6

2

IS

No

0009

Ambulatory Status

00145

NK1

018

3

2

IS

Yes

0009

Ambulatory Status

00145

IN2

032

6

2

IS

No

0009

Anesthesia Code

00399

PR1

009

6

2

IS

No

0019

Anesthesia Minutes

00400

PR1

010

6

4

NM

No

Anesthesiologist

00398

PR1

008

6

120

XCN

Yes

Anticipated Price

00285

RQ1

001

4

10

ST

No

Anticipated Problem Resolution Date/Time

00843

PRB

008

12

26

TS

No

Appeal Reason

00518

IN3

017

6

60

CE

No

Application Acknowledgment Type

00016

MSH

016

2

2

ID

No

Appointment Reason

00869

ARQ

010

10

200

CE

No

Appointment Duration

00868

SCH

009

10

20

NM

No

Appointment Duration

00868

ARQ

009

10

20

NM

No

0292

0007

3

0010

0155

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-55 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Appointment Duration Units

01304

SCH

010

10

200

CE

No

Appointment Reason

00866

SCH

007

10

200

CE

No

0276

Appointment Reason

00866

ARQ

007

10

200

CE

No

0276

Appointment Timing Quantity

00884

SCH

011

10

200

TQ

Yes

Appointment Type

00867

ARQ

008

10

200

CE

No

0277

Appointment Type

00867

SCH

008

10

200

CE

No

0277

Assigned Document Authenticator

00923

TXA

010

9

60

XCN

Yes

Assigned Patient Location

00133

PV1

003

3

80

PL

No

Assigned Patient Location

00133

FT1

016

6

12

PL

No

Assignment of Benefits

00445

IN1

020

6

2

IS

No

Assistant Result Interpreter

00265

OBR

033

4

200

CM

Yes

Associated Diagnosis Code

00772

PR1

015

6

80

CE

No

Associated Party’s Identifiers

00751

NK1

033

3

32

CX

Yes

Attending Doctor

00137

PV1

007

3

60

XCN

Yes

Attestation Date/Time

00768

DG1

019

6

26

TS

No

Authentication Person, Time Stamp

00934

TXA

022

9

60

CM

Yes

Authorization Effective Date

01149

AUT

004

11

26

TS

No

Authorization Expiration Date

01150

AUT

005

11

26

TS

No

Authorization Identifier

01151

AUT

006

11

30

EI

No

Authorization Information

00439

IN1

014

6

55

CM

No

Authorized Number of Treatments

01154

AUT

009

11

2

NM

No

Authorizing Payor, Company ID

01147

AUT

002

11

200

CE

No

Authorizing Payor, Company Name

01148

AUT

003

11

45

ST

No

Authorizing Payor, Plan Code

01146

AUT

001

11

200

CE

No

Auto Accident State

00812

ACC

004

6

60

CE

No

Auto Ins. Expires

01232

STF

024

8

8

DT

No

Baby Coverage

00490

IN2

019

6

1

ID

No

0136

Baby Detained Indicator

00738

PV2

037

3

1

ID

No

0136

Backup Person ID

00682

STF

014

8

60

CE

Yes

Bad Debt Agency Code

00161

PV1

031

3

10

IS

No

Bad Debt Recovery Amount

00163

PV1

033

3

12

NM

No

Bad Debt Transfer Amount

00162

PV1

032

3

12

NM

No

Batch Comment

00090

BHS

010

2

80

ST

No

Batch Comment

00090

BTS

002

2

80

ST

No

Batch Control ID

00091

BHS

011

2

20

ST

No

Batch Creation Date/Time

00087

BHS

007

2

26

TS

No

Batch Encoding Characters

00082

BHS

002

2

3

ST

No

Batch Field Separator

00081

BHS

001

2

1

ST

No

Batch Message Count

00093

BTS

001

2

10

ST

No

Batch Name/ID/Type

00089

BHS

009

2

20

ST

No

Batch Receiving Application

00085

BHS

005

2

15

ST

No

Batch Receiving Facility

00086

BHS

006

2

20

ST

No

Batch Security

00088

BHS

008

2

40

ST

No

Batch Sending Application

00083

BHS

003

2

15

ST

No

Batch Sending Facility

00084

BHS

004

2

20

ST

No

Batch Totals

00095

BTS

003

2

100

NM

Yes

Bed Location

00209

NPU

001

3

80

PL

No

Bed Status

00170

NPU

002

3

1

IS

No

Page A-56 4/3/97

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Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Table

0135

0010

0285 0072

0021

0116

Appendix A: Data Definition Tables Name

Item#

Seg

Bed Status

00170

PV1

040

Seq#

Chp 3

1

Len IS

DT

Rep No

Qty

0116

Billing Category

01007

PRC

014

8

60

CE

Yes

0293

Billing Media Code

00733

PV2

032

3

1

ID

No

0136

Billing Status

00457

IN1

032

6

2

IS

No

0022

Birth Order

00128

PID

025

3

2

NM

No

Birth Place

00126

PID

023

3

60

ST

No

Blood Deductible

00492

IN2

021

6

1

ST

No

Blood Deductible (43)

00531

UB1

002

6

1

NM

No

Blood Furnished Pints Of (40)

00532

UB1

003

6

2

NM

No

Blood Not Replaced Pints(42)

00534

UB1

005

6

2

NM

No

Blood Replaced Pints (41)

00533

UB1

004

6

2

NM

No

Brand Name

01249

PDC

003

7

60

ST

No

Business Phone Number

00195

NK1

006

3

40

XTN

Yes

Call Back Phone Number

00228

ORC

014

4

40

XTN

Yes

Case Manager

00522

IN3

021

6

48

ST

No

Catalogue Identifier

01253

PDC

007

7

60

ST

No

Cause Of Death

01090

PEO

018

7

60

CE

Yes

Certainty of Problem

00854

PRB

019

12

60

CE

No

Certification Agency

00519

IN3

018

6

60

CE

No

Certification Agency Phone Number

00520

IN3

019

6

40

XTN

Yes

Certification Begin Date

00510

IN3

009

6

8

DT

No

Certification Contact

00516

IN3

015

6

48

ST

No

Certification Contact Phone Number

00517

IN3

016

6

40

XTN

Yes

Certification Date/Time

00507

IN3

006

6

26

TS

No

Certification End Date

00511

IN3

010

6

8

DT

No

Certification Modify Date/Time

00508

IN3

007

6

26

TS

No

Certification Number

00503

IN3

002

6

59

CX

No

Certification Required

00505

IN3

004

6

1

ID

No

Certified By

00504

IN3

003

6

60

XCN

Yes

Chairman of Study

01014

CM0

005

8

60

XCN

No

Challenge Information

00939

OM1

044

8

200

TX

No

Champus ID Number

00481

IN2

010

6

20

ST

No

Champus Non-Avail Cert on File

00489

IN2

018

6

1

ID

No

Champus Organization

00483

IN2

012

6

25

ST

No

Champus Rank/Grade

00486

IN2

015

6

2

IS

No

Champus Retire Date

00488

IN2

017

6

8

DT

No

Champus Service

00485

IN2

014

6

14

IS

No

Champus Sponsor Name

00480

IN2

009

6

48

XPN

Yes

Champus Station

00484

IN2

013

6

25

ST

No

Champus Status

00487

IN2

016

6

3

IS

No

Change Pathway Lifecycle Status Date/Time

01211

PTH

006

12

26

TS

No

Character Set

00692

MSH

018

2

6

ID

Yes

Charge Code

00981

LCC

004

8

60

CE

Yes

Charge Code Alias

00983

CDM

002

8

200

CE

Yes

Charge Description Long

00985

CDM

004

8

250

ST

No

Charge Description Short

00984

CDM

003

8

20

ST

No

Charge On Indicator

01009

PRC

018

8

1

ID

No

0269

Charge Price Indicator

00151

PV1

021

3

2

IS

No

0032

0 2 0

0136

0136 0141 0140

0142 3

0211 0132

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-57 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Charge To Practice

00256

OBR

023

4

40

CM

No

Charge Type

00235

BLG

002

4

50

ID

No

0122

Chargeable Flag

01008

PRC

015

8

1

ID

No

0136

Checksum Errors Received

01182

NST

010

C

10

NM

No

Citizenship

00129

GT1

035

6

4

IS

No

0171

Citizenship

00129

NK1

019

3

4

IS

Yes

0171

Citizenship

00129

IN2

033

6

4

IS

No

0171

Citizenship

00129

PID

026

3

4

IS

Yes

0171

Clinic Organization Name

00724

PV2

023

3

90

XON

Yes

Co Insurance Days (25)

00535

UB1

006

6

2

NM

No

Co-Insurance Days (9)

00554

UB2

002

6

3

ST

No

Coded Representation of Method

00599

OM1

014

8

200

CE

No

Collection Volume

00243

OBR

009

4

20

CQ

No

Collector Identifier

00244

OBR

010

4

60

XCN

Yes

Collector’s Comment

01030

OBR

039

4

200

CE

Yes

Column Description

00702

RDF

002

2

40

CM

Yes

Column Value

00703

RDT

1-n

2

Variable Variable

Combine Baby Bill

00491

IN2

020

6

1

ID

No

Comment

00098

NTE

003

2

65536

FT

Yes

Company Plan Code

00460

IN1

035

6

8

IS

No

0042

Completion Status

01223

RXA

020

4

2

ID

No

0322

Component Amount

00315

RXC

003

4

20

NM

No

Component Code

00314

RXC

002

4

100

CE

No

Component Strength

01124

RXC

005

4

20

NM

No

Component Strength Units

01125

RXC

006

4

60

CE

No

Component Units

00316

RXC

004

4

60

CE

No

Condition Code (24-30)

00555

UB2

003

6

2

IS

Yes

7

0043

Condition Code (35-39)

00536

UB1

007

6

14

IS

Yes

5

0043

Confidential Indicator

00767

DG1

018

6

1

ID

No

0136

Confidential Indicator

00767

DRG

010

6

1

ID

No

0136

Confidentiality Code

00615

OM1

030

8

1

IS

No

0177

Confirmation Provided By

01095

PEO

023

7

1

ID

No

0242

Connect Timeouts

01185

NST

013

C

10

NM

No

Consent Code

00403

PR1

013

6

60

CE

No

0059

Consulting Doctor

00139

PV1

009

3

60

XCN

Yes

0010

Contact Address

01268

FAC

007

7

200

XAD

Yes

Contact Address

01166

CTD

003

11

60

XAD

No

Contact Communication Information

01168

CTD

005

11

100

XTN

Yes

Contact for Study

01018

CM0

009

8

60

XCN

No

Contact Identifiers

01171

CTD

007

11

100

CM

Yes

Contact Location

01167

CTD

004

11

60

EI

No

Contact Name

01165

CTD

002

11

106

XPN

Yes

Contact Person

01266

FAC

005

7

60

XCN

Yes

Contact Person Social Security Number

00754

NK1

037

3

16

ST

No

Contact Person’s Address

00750

NK1

032

3

106

XAD

Yes

Contact Person’s Name

00748

NK1

030

3

48

XPN

Yes

Contact Person's Name

00748

GT1

045

6

48

XPN

Yes

Contact Person’s Telephone Number

00749

NK1

031

3

40

XTN

Yes

Page A-58 4/3/97

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Table

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0

0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Name

Item#

Seg

Contact Person’s Telephone Number

00749

GT1

046

Seq#

Chp 6

40

Len

XTN

DT

Rep Yes

Qty

Contact Phone

00978

LDP

011

8

40

XTN

No

Contact Reason

00747

GT1

047

6

80

CE

No

0222

Contact Reason

00747

NK1

029

3

80

CE

Yes

0222

Contact Relationship Code

00784

GT1

048

6

2

IS

No

0063

Contact Role

00196

NK1

007

3

60

CE

No

Contact Telecommunication

01269

FAC

008

7

44

XTN

Yes

0

Contact Title

01267

FAC

006

7

60

ST

Yes

0

Contact's Address

01020

CM0

011

8

100

XAD

No

Contact's Tel. Number

01019

CM0

010

8

40

XTN

No

Container Description

00643

OM4

003

8

60

TX

No

Container Units

00645

OM4

005

8

60

CE

No

Container Volume

00644

OM4

004

8

20

NM

No

Continuation Pointer

00014

DSC

001

2

180

ST

No

Continuation Pointer

00014

MSH

014

2

180

ST

No

Contract Amount

00156

PV1

026

3

12

NM

Yes

Contract Code

00154

PV1

024

3

2

IS

Yes

Contract Effective Date

00155

PV1

025

3

8

DT

Yes

Contract Number

00992

CDM

011

8

200

CK

Yes

Contract Organization

00993

CDM

012

8

200

XON

No

Contract Period

00157

PV1

027

3

3

NM

Yes

Contraindications to Observations

00618

OM1

033

8

65536

CE

No

Coord of Ben. Priority

00447

IN1

022

6

2

ST

No

Coordination of Benefits

00446

IN1

021

6

2

IS

No

0173

Copay Limit Flag

00807

IN2

067

6

2

ID

No

0136

Copy Auto Ins

01229

STF

023

8

1

ID

No

0136

Corresponding SI Units of Measure

00629

OM2

004

8

60

CE

No

Cost

00989

PRC

017

8

12

CP

No

Country

01248

PDC

002

7

60

CE

No

Country Code

00017

MSH

017

2

2

ID

No

County Code

00115

PID

012

3

4

IS

No

Courtesy Code

00152

PV1

022

3

2

IS

No

0045

Coverage Type

01277

IN1

047

6

3

IS

No

0309

Covered Days (23)

00537

UB1

008

6

3

NM

No

Covered Days (7)

00556

UB2

004

6

3

ST

No

Credit Rating

00153

PV1

023

3

2

IS

No

Critical Range for Ordinal & Continuous Obs

00632

OM2

007

8

200

CM

No

Critical Text Codes for Categorical Observations

00640

OM3

006

8

200

CE

No

Current Application

01191

NSC

004

C

30

ST

No

Current CPU

01189

NSC

002

C

30

ST

No

Current Facility

01192

NSC

005

C

30

ST

No

Current Fileserver

01190

NSC

003

C

30

ST

No

Current Goal Review Date/Time

00828

GOL

012

12

26

TS

No

Current Goal Review Status

00827

GOL

011

12

80

CE

No

Current Patient Balance

00176

PV1

046

3

12

NM

No

D/T of Most Recent Refill or Dose Dispensed

00328

RXE

018

4

26

TS

No

Daily Deductible

00501

IN2

030

6

25

CM

No

Danger Code

00246

OBR

012

4

60

CE

No

0131

0044

0

0046

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-59 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Data Line

00063

DSP

003

2

300

TX

No

Date Entered Practice

01296

PRA

008

8

8

DT

No

Date First Marked

01260

PDC

014

7

26

TS

No

Date Last DMV Review

01298

STF

025

8

8

DT

No

Date Last Marked

01261

PDC

015

7

26

TS

No

Date Last Obs Normal Values

00580

OBX

012

7

26

TS

No

Date Needed

00284

RQD

010

4

8

DT

No

Date Next DMV Review

01234

STF

026

8

8

DT

No

Date Product Returned To Manufacturer

01115

PCR

018

7

26

TS

No

Date/Time Dispensed

00336

RXD

003

4

26

TS

No

Date/Time End of Administration

00346

RXA

004

4

26

TS

No

Date/time Ended Study

01049

CSR

015

7

26

TS

No

Date/Time Goal Established

00822

GOL

007

12

26

TS

No

Date/Time of Birth

00110

NK1

016

3

26

TS

No

Date/Time of Birth

00110

STF

006

8

26

TS

No

Date/Time of Birth

00110

PID

007

3

26

TS

No

Date/Time of Event

00100

EVN

002

3

26

TS

No

Date/Time of Message

00007

MSH

007

2

26

TS

No

Date/Time of Patient Study Registration

01040

CSR

006

7

26

TS

No

Date/Time of the Observation

00582

OBX

014

7

26

TS

No

Date/Time of Transaction

00223

ORC

009

4

26

TS

No

Date/time Patient Study Consent Signed

01043

CSR

009

7

26

TS

No

Date/Time Planned Event

00101

EVN

003

3

26

TS

No

Date/Time Problem Established

00842

PRB

007

12

26

TS

No

Date/Time Selection Qualifier

00044

QRF

008

2

12

ID

Yes

Date/Time Stamp for Any Change in Def Attri for Obs

00606

OM1

021

8

26

TS

No

Date/Time Start of Administration

00345

RXA

003

4

26

TS

No

Date/time Study Phase Began

01052

CSP

002

7

26

TS

No

Date/time Study Phase Ended

01053

CSP

003

7

26

TS

No

Days

00512

IN3

011

6

3

CM

No

Deferred Response Date/Time

00030

QRD

006

2

26

TS

No

Deferred Response Type

00029

QRD

005

2

1

ID

No

Delay Before L. R. Day

00459

IN1

034

6

4

NM

No

Delayed Acknowledgment Type

00022

MSA

005

2

1

ID

No

Delete Account Date

00165

PV1

035

3

8

DT

No

Delete Account Indicator

00164

PV1

034

3

1

IS

No

Deliver To ID

00283

RQD

009

4

60

CE

No

Deliver-to Location

00299

RXE

008

4

200

CM

No

Deliver-to Location

00299

RXO

008

4

200

CM

No

Delta Check Criteria

00634

OM2

009

8

200

CM

Yes

Department

00676

STF

008

8

200

CE

Yes

Department

00996

PRC

003

8

60

CE

Yes

Department Code

00367

FT1

013

6

60

CE

No

Dependent of Champus Recipient

00482

IN2

011

6

80

CE

No

Dept. Cost Center

00281

RQD

007

4

30

IS

No

Derivation Rule

00657

OM6

002

8

10240

TX

No

Derived Specimen

00642

OM4

002

8

1

ID

No

Description of Study Phase

01023

CM1

003

8

300

ST

No

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Table

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Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0158

0149 0107 0102 0111

0184 0049 0319 0170

Appendix A: Data Definition Tables Name

Item#

Seg

Description of Test Methods

00626

OM1

041

Seq#

Chp 8

65536

Len TX

DT

Rep No

Qty

Table

Description of Time Point

01026

CM2

003

8

300

ST

No

Description Override Indicator

00986

CDM

005

8

1

IS

No

Device Family Name

01250

PDC

004

7

60

ST

No

Device Operator Qualifications

01116

PCR

019

7

1

ID

No

Disabled Indicator

01286

DB1

004

3

1

ID

No

Diagnosing Clinician

00390

DG1

016

6

60

XCN

Yes

Diagnosis Classification

00766

DG1

017

6

3

IS

No

0228

Diagnosis Code

00377

DG1

003

6

60

CE

No

0051

Diagnosis Code

00371

FT1

019

6

60

CE

Yes

0051

Diagnosis Coding Method

00376

DG1

002

6

2

ID

No

0053

Diagnosis Date/Time

00379

DG1

005

6

26

TS

No

Diagnosis Description

00378

DG1

004

6

40

ST

No

Diagnosis/DRG Priority

00389

DG1

015

6

2

NM

No

Diagnosis/DRG Type

00380

DG1

006

6

2

IS

No

0052

Diagnostic Related Group

00382

DRG

001

6

60

CE

No

0055

Diagnostic Related Group

00382

DG1

008

6

60

CE

No

0055

Diagnostic Serv Sect ID

00257

OBR

024

4

10

ID

No

0074

Diet Type

00168

PV1

038

3

2

IS

No

0114

Diet, Supplement, or Preference Code

00271

ODS

003

4

60

CE

Yes

20

Disability end date

01288

DB1

006

3

8

DT

No

0

Disability return to work date

01289

DB1

007

3

8

DT

No

0

Disability start date

01287

DB1

005

3

8

DT

No

0

Disability unable to work date

01290

DB1

008

3

8

DT

No

0

Disabled person code

01284

DB1

002

3

2

IS

No

0

Disabled person identifier

01285

DB1

003

3

32

CX

Yes

0

Discharge Date/Time

00175

PV1

045

3

26

TS

No

Discharge Disposition

00166

PV1

036

3

3

IS

No

0112

Discharged to Location

00167

PV1

037

3

25

CM

No

0113

Dispense Amount

00323

RXE

010

4

20

NM

No

Dispense Notes

00340

RXD

009

4

200

CE

Yes

Dispense Package Method

01222

RXE

030

4

2

ID

No

0321

Dispense Package Method

01222

RXD

024

4

2

ID

No

0321

Dispense Package Size

01220

RXE

028

4

20

NM

No

Dispense Package Size

01220

RXD

022

4

20

NM

No

Dispense Package Size Unit

01221

RXE

029

4

60

CE

No

Dispense Package Size Unit

01221

RXD

023

4

60

CE

No

Dispense Sub-ID Counter

00334

RXD

001

4

4

NM

No

Dispense Sub-ID Counter

00334

RXG

002

4

4

NM

No

Dispense Units

00324

RXE

011

4

60

CE

No

Dispense-to Location

01303

RXD

013

4

200

CM

No

Dispense-to Location

01303

RXG

011

4

200

CM

No

Dispense/Give Code

00335

RXD

002

4

100

CE

No

Dispensing Provider

00341

RXD

010

4

200

XCN

No

Display Level

0268 0 0242 0

0136

0034

0292

00062

DSP

002

2

4

SI

No

Distributed Copies (Code and Name of Recipients) 00935

TXA

023

9

60

XCN

Yes

Document Availability Status

00930

TXA

019

9

2

ID

No

0273

Document Change Reason

00933

TXA

021

9

30

ST

No

0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-61 Final Standard.

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Document Completion Status

00928

TXA

017

9

2

ID

No

0271

Document Confidentiality Status

00929

TXA

018

9

2

ID

No

0272

Document Content Presentation

00916

TXA

003

9

2

ID

No

0191

Document Control Number

00564

UB2

012

6

23

ST

Yes

Document Storage Status

00932

TXA

020

9

2

ID

No

0275

Document Type

00915

TXA

002

9

30

IS

No

0270

Documented Date/Time

01213

VAR

002

12

26

TS

No

DRG Approval Indicator

00383

DRG

003

6

2

ID

No

0136

DRG Approval Indicator

00383

DG1

009

6

2

ID

No

0136

DRG Assigned Date/Time

00769

DRG

002

6

26

TS

No

DRG Grouper Review Code

00384

DRG

004

6

2

IS

No

0056

DRG Grouper Review Code

00384

DG1

010

6

2

IS

No

0056

DRG Payor

00770

DRG

008

6

1

IS

No

0229

Driver's License - Patient

00123

PID

020

3

25

CM

No

Driver's License - Staff

01302

STF

022

8

25

CM

No

Duplicate Patient

00762

PD1

010

3

2

CX

Yes

Duration

00893

AIS

007

10

20

NM

No

Duration

00893

AIG

011

10

20

NM

No

Duration

00893

AIP

009

10

20

NM

No

Duration

00893

AIL

009

10

20

NM

No

Duration Units

00894

AIG

012

10

200

CE

No

Duration Units

00894

AIP

010

10

200

CE

No

Duration Units

00894

AIL

010

10

200

CE

No

Duration Units

00894

AIS

008

10

200

CE

No

E-mail Address

00683

STF

015

8

40

ST

Yes

Edit Date/Time

00921

TXA

008

9

26

TS

Yes

Effective Date

01143

RF1

007

11

26

TS

No

Effective Date/Time

00662

MFI

005

8

26

TS

No

Effective Date/Time

00662

MFE

003

8

26

TS

No

Effective Date/Time of Change in Test Procedure that Make Results Non-Comparable

00607

OM1

022

8

26

TS

No

Effective End Date

01005

PRC

012

8

26

TS

No

Effective End Date of Role

01164

PRD

009

11

26

TS

No

Effective Start Date

01004

PRC

011

8

26

TS

No

Effective Start Date of Role

01163

PRD

008

11

26

TS

No

Eligibility Source

00498

IN2

027

6

1

IS

No

0144

Employer Contact Person Name

00789

IN2

049

6

48

XPN

Yes

0311

Employer Contact Person Phone Number

00790

IN2

050

6

40

XTN

Yes

Employer Contact Reason

00791

IN2

051

6

2

IS

No

0222

Employer Information Data

00475

IN2

004

6

1

IS

No

0139

Employment Illness Related Indicator

00716

PV2

015

3

1

ID

No

0136

Employment Start Date

00787

IN2

044

6

8

DT

No

Employment Status

01276

STF

020

8

2

ID

No

Employment Stop Date

00783

GT1

032

6

8

DT

No

Employment Stop Date

00783

IN2

045

6

8

DT

No

Encoding Characters

00002

MSH

002

2

4

ST

No

End Date

00198

NK1

009

3

8

DT

No

Entered By

00224

ORC

010

4

120

XCN

No

Entered By Code

00765

FT1

024

6

120

XCN

No

Page A-62 4/3/97

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Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0

0066

Appendix A: Data Definition Tables Name

Item#

Seg

Rep

Qty

Entered by Location

00880

SCH

022

Seq#

Chp 10

80

Len PL

DT

No

0

Entered By Location

00880

ARQ

021

10

80

PL

No

Entered By Person

00878

ARQ

019

10

48

XCN

No

Entered by Person

00878

SCH

020

10

48

XCN

No

0

Entered by Phone Number

00879

SCH

021

10

40

XTN

Yes

0

Entered By Phone Number

00879

ARQ

020

10

40

XTN

Yes

Entered Date/Time

00661

MFI

004

8

26

TS

No

Enterer's Location

00227

ORC

013

4

80

PL

No

Entering Device

00232

ORC

018

4

60

CE

No

Entering Organization

00231

ORC

017

4

60

CE

No

Episode of Care ID

00820

GOL

005

12

60

EI

No

Episode of Care ID

00820

PRB

005

12

60

EI

No

EQL Query Name

00709

EQL

003

2

60

CE

No

EQL Query Statement

00710

EQL

004

2

4096

ST

No

Error Code and Location

00024

ERR

001

2

80

CM

Yes

Error Condition

00023

MSA

006

2

100

CE

No

Error Return Code and/or Text

00669

MFA

004

8

60

CE

No

0181

Escort Required

01033

OBR

042

4

1

ID

No

0225

Estimated Length of Inpatient Stay

00711

PV2

010

3

3

NM

No

Ethnic Group

00125

NK1

028

3

3

IS

No

0189

Ethnic Group

00125

PID

022

3

3

IS

No

0189

Ethnic Group

00125

GT1

044

6

3

IS

No

0189

Ethnic Group

00125

IN2

042

6

3

IS

No

0189

Evaluated Product Source

01114

PCR

017

7

8

ID

No

Event Occurred

01278

EVN

006

26

TS

No

0

Event Causality Observations

01119

PCR

022

7

2

ID

Yes

6

Event Completion Date/Time

00668

MFA

003

8

26

TS

No

Event Description From Autopsy

01089

PEO

017

7

600

FT

Yes

Event Description From Others

01085

PEO

013

7

600

FT

Yes

Event Description From Patient

01087

PEO

015

7

600

FT

Yes

Event Description From Practitioner

01088

PEO

016

7

600

FT

Yes

Event Ended Data/Time

01078

PEO

006

7

26

TS

No

Event Exacerbation Date/Time

01076

PEO

004

7

26

TS

No

Event Expected

01082

PEO

010

7

1

ID

No

Event From Original Reporter

01086

PEO

014

7

600

FT

Yes

Event Identifier

00706

ERQ

002

2

60

CE

No

Event Identifiers Used

01073

PEO

001

7

60

CE

Yes

Event Improved Date/Time

01077

PEO

005

7

26

TS

No

Event Location Occurred Address

01079

PEO

007

7

106

XAD

No

Event Onset Date/Time

01075

PEO

003

7

26

TS

No

Event Outcome

01083

PEO

011

7

1

ID

Yes

0240

Event Qualification

01080

PEO

008

7

1

ID

Yes

0237

Event Reason

00883

SCH

006

10

200

CE

No

Event Reason Code

00102

EVN

004

3

3

IS

No

Event Report Date

01069

PES

010

7

26

TS

No

Event Report Source

01071

PES

012

7

1

ID

No

Event Report Timing/Type

01070

PES

011

7

3

ID

Yes

Event Reported To

01072

PES

013

7

1

ID

Yes

0248 0232

0239

0062 0235 2

0234 0236

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-63 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Event Serious

01081

PEO

009

7

1

ID

No

Event Symptom/Diagnosis Code

01074

PEO

002

7

60

CE

Yes

Event Type Code

00099

EVN

001

3

3

ID

No

Events Scheduled This Time Point

01027

CM2

004

8

60

CE

Yes

Expected Admit Date

00188

PV2

008

3

8

DT

No

Expected Discharge Date

00189

PV2

009

3

8

DT

No

Expected Discharge Disposition

00728

PV2

027

3

2

IS

No

Expected Goal Achievement Date/Time

00824

GOL

008

12

26

TS

No

Expected Number of Insurance Plans

00721

PV2

020

3

1

NM

No

Expected Sequence Number

00021

MSA

004

2

15

NM

No

Expected Shelf Life

01259

PDC

013

7

12

CQ

No

Expected Surgery Date & Time

00734

PV2

033

3

26

TS

No

Expiration Date

01144

RF1

008

11

26

TS

No

Exploding Charges

00987

CDM

006

8

60

CE

Yes

External Referral Identifier

01300

RF1

011

11

30

EI

Yes

Facility Address

01264

FAC

003

7

200

XAD

No

0

Facility ID

01262

FAC

001

7

20

EI

No

0

Facility ID

00995

PRC

002

8

60

CE

Yes

Facility Telecommunication

01265

FAC

004

7

44

XTN

No

0

Facility Type

01263

FAC

002

7

1

ID

No

0

Factors that may Effect the Observation

00624

OM1

039

8

200

TX

No

Family/Significant Other Awareness of Problem/Prognosis

00859

PRB

024

12

200

ST

No

Fee Schedule

00370

FT1

017

6

1

IS

No

Field Separator

00001

MSH

001

2

1

ST

No

File Batch Count

00079

FTS

001

2

10

NM

No

File Control ID

00077

FHS

011

2

20

ST

No

File Creation Date/Time

00073

FHS

007

2

26

TS

No

File Encoding Characters

00068

FHS

002

2

4

ST

No

File Field Separator

00067

FHS

001

2

1

ST

No

File Header Comment

00076

FHS

010

2

80

ST

No

File Name/ID

00075

FHS

009

2

20

ST

No

File Receiving Application

00071

FHS

005

2

15

ST

No

File Receiving Facility

00072

FHS

006

2

20

ST

No

File Security

00074

FHS

008

2

40

ST

No

File Sending Application

00069

FHS

003

2

15

ST

No

File Sending Facility

00070

FHS

004

2

20

ST

No

File Trailer Comment

00080

FTS

002

2

80

ST

No

File-Level Event Code

00660

MFI

003

8

3

ID

No

Filler Appointment ID

00861

SCH

002

10

22

EI

No

Filler Appointment ID

00861

ARQ

002

10

22

EI

No

Filler Contact Address

00887

SCH

018

10

106

XAD

No

Filler Contact Location

00888

SCH

019

10

80

PL

No

Filler Contact Person

00885

SCH

016

10

38

XCN

No

Filler Contact Phone Number

00886

SCH

017

10

40

XTN

No

Filler Field 1

00253

OBR

020

4

60

ST

No

Filler Field 2

00254

OBR

021

4

60

ST

No

Filler Order Number

00217

TXA

015

9

22

EI

No

Filler Order Number

00217

ORC

003

4

22

EI

No

Page A-64 4/3/97

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Table 0238 0003

200

0112

0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0331

0024

0178

Appendix A: Data Definition Tables Name

Item#

Seg

Filler Order Number

00217

FT1

023

Seq#

Filler Order Number

00217

OBR

Filler Override Criteria

00912

APR

Filler Status Code

00889

Filler Status Code

00889

Filler Status Code

Chp

Len

DT

Rep

Qty

Table

6

22

EI

No

003

4

22

EI

No

005

10

80

CM

Yes

AIG

014

10

200

CE

No

0278

AIP

012

10

200

CE

No

0278

00889

AIL

012

10

200

CE

No

0278

Filler Status Code

00889

SCH

025

10

200

CE

No

0278

Filler Status Code

00889

AIS

010

10

200

CE

No

0278

Financial Class

00150

PV1

020

3

50

CM

Yes

0064

First Similar Illness Date

00730

PV2

029

3

8

DT

No

Fixed Canned Message

00621

OM1

036

8

65536

CE

No

Formula

00999

PRC

006

8

200

ST

Yes

Generic Name

01251

PDC

005

7

60

CE

No

Generic Product

01099

PCR

002

7

1

IS

No

Give Amount - Maximum

00319

RXE

004

4

20

NM

No

Give Amount - Maximum

00319

RXG

006

4

20

NM

No

Give Amount - Minimum

00318

RXE

003

4

20

NM

No

Give Amount - Minimum

00318

RXG

005

4

20

NM

No

Give Code

00317

RXG

004

4

100

CE

No

0292

Give Code

00317

RXE

002

4

100

CE

No

0292

Give Dosage Form

00321

RXG

008

4

60

CE

No

Give Dosage Form

00321

RXE

006

4

60

CE

No

Give Indication

01128

RXE

027

4

200

CE

Yes

Give Per (Time Unit)

00331

RXG

014

4

20

ST

No

Give Per (Time Unit)

00331

RXE

022

4

20

ST

No

Give Rate Amount

00332

RXE

023

4

6

ST

No

Give Rate Amount

00332

RXG

015

4

6

ST

No

Give Rate Units

00333

RXE

024

4

60

CE

No

Give Rate Units

00333

RXG

016

4

60

CE

No

Give Strength

01126

RXG

017

4

20

NM

No

Give Strength

01126

RXE

025

4

20

NM

No

Give Strength Units

01127

RXE

026

4

60

CE

No

Give Strength Units

01127

RXG

018

4

60

CE

No

Give Sub-ID Counter

00342

RXA

001

4

4

NM

No

Give Sub-ID Counter

00342

RXG

001

4

4

NM

No

Give Units

00320

RXE

005

4

60

CE

No

Give Units

00320

RXG

007

4

60

CE

No

Goal Classification

00825

GOL

009

12

80

CE

No

Goal Evaluation

00832

GOL

016

12

80

CE

No

Goal Evaluation Comment

00833

GOL

017

12

300

ST

Yes

Goal ID

00818

GOL

003

12

80

CE

No

Goal Instance ID

00819

GOL

004

12

60

EI

No

Goal Life Cycle Status

00834

GOL

018

12

80

CE

No

Goal Life Cycle Status Date/Time

00835

GOL

019

12

26

TS

No

Goal Management Discipline

00826

GOL

010

12

80

CE

No

Goal Review Interval

00831

GOL

015

12

200

TQ

No

Goal Target Name

00837

GOL

021

12

80

XPN

Yes

Goal Target Type

00836

GOL

020

12

80

CE

Yes

0 0239

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-65 Final Standard.

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Group Name

00434

IN1

009

6

130

XON

Yes

Group Number

00433

IN1

008

6

12

ST

No

Grouper Version and Type

00388

DG1

014

6

4

ST

No

Guarantor Address

00409

GT1

005

6

106

XAD

Yes

Guarantor Billing Hold Flag

00773

GT1

022

6

1

ID

No

0136

Guarantor Charge Adjustment Code

00777

GT1

026

6

80

CE

No

0218

Guarantor Credit Rating Code

00774

GT1

023

6

80

CE

No

Guarantor Date - Begin

00417

GT1

013

6

8

DT

No

Guarantor Date - End

00418

GT1

014

6

8

DT

No

Guarantor Date/Time of Birth

00412

GT1

008

6

26

TS

No

Guarantor Death Date And Time

00775

GT1

024

6

26

TS

No

Guarantor Death Flag

00776

GT1

025

6

1

ID

No

Guarantor Employ Phone Number

00422

GT1

018

6

40

XTN

Yes

Guarantor Employee ID Number

00423

GT1

019

6

20

CX

Yes

Guarantor Employer Address

00421

GT1

017

6

106

XAD

Yes

Guarantor Employer ID Number

00780

GT1

029

6

20

CX

Yes

Guarantor Employer Name

00420

GT1

016

6

130

XPN

Yes

Guarantor Employer's Organization Name

01299

GT1

051

6

130

XON

Yes

Guarantor Employment Status

00424

GT1

020

6

2

IS

No

Guarantor Financial Class

01231

GT1

054

6

0

CM

No

Guarantor Hire Effective Date

00782

GT1

031

6

8

DT

No

Guarantor Household Annual Income

00778

GT1

027

6

10

CP

No

Guarantor Household Size

00779

GT1

028

6

3

NM

No

Guarantor Marital Status Code

00781

GT1

030

6

1

IS

No

Guarantor Name

00407

GT1

003

6

48

XPN

Yes

Guarantor Number

00406

GT1

002

6

59

CX

Yes

Guarantor Organization

00425

GT1

021

6

130

XON

Yes

Guarantor Ph Num- Home

00410

GT1

006

6

40

XTN

Yes

Guarantor Ph Num-Business

00411

GT1

007

6

40

XTN

Yes

Guarantor Priority

00419

GT1

015

6

2

NM

No

Guarantor Race

01291

GT1

055

6

1

IS

No

Guarantor Relationship

00415

GT1

011

6

2

IS

No

0063

Guarantor Sex

00413

GT1

009

6

1

IS

No

0001

Guarantor Spouse Name

00408

GT1

004

6

48

XPN

Yes

Guarantor SSN

00416

GT1

012

6

11

ST

No

Guarantor Type

00414

GT1

010

6

2

IS

No

0068

Guarantor’s Relationship To Insured

00802

IN2

062

6

2

IS

No

0063

Handicap

00753

NK1

036

3

2

IS

No

0295

Handicap

00753

IN1

048

6

2

IS

No

0310

Handicap

00753

GT1

052

6

2

IS

No

0310

Handicap

00753

PD1

006

3

2

IS

No

0295

HCFA Patient Relationship to Insured

00811

IN2

072

6

60

CE

No

Hospital Item Code

00278

RQD

004

4

60

CE

No

Hospital Service

00140

PV1

010

3

3

IS

No

Identification Date

00208

AL1

006

3

8

DT

No

Identity of Instrument Used to Perform this Study

00598

OM1

013

8

60

CE

Yes

Implicated Product

01098

PCR

001

7

60

CE

No

Inactivated Reason

00971

LDP

009

8

80

ST

No

Page A-66 4/3/97

Seq#

Chp

Len

DT

Rep

Qty

Table

0136

0066

0002

0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0005

0069

Appendix A: Data Definition Tables Name

Item#

Seg

Inactivation Date - LDP

00970

LDP

008

Seq#

Chp 8

26

Len TS

DT

Rep No

Qty

Table

Inactivation Date - STF

00681

STF

013

8

26

CM

Yes

Indication

01123

RXD

021

4

200

CE

Yes

Indication

01123

RXG

022

4

200

CE

Yes

Indication

01123

RXA

019

4

200

CE

Yes

Indication

01123

RXO

020

4

200

CE

Yes

Indication For Product Use

01107

PCR

010

7

60

CE

No

Indirect Exposure Mechanism

01120

PCR

023

7

1

ID

Yes

Individual Awareness of Problem

00856

PRB

021

12

80

CE

No

3

0253

Individual Awareness of Prognosis

00858

PRB

023

12

80

CE

No

Input Parameter List

00705

SPR

004

2

256

CM

Yes

Input Parameter List

00705

ERQ

003

2

256

CM

Yes

Institution Registering the Patient

01037

CSR

003

7

60

CE

No

Insurance Amount

00369

FT1

015

6

12

CP

No

Insurance Co Contact Phone Number

00798

IN2

058

6

40

XTN

No

Insurance Co Phone Number

00432

IN1

007

6

40

XTN

Yes

Insurance Co. Contact Person

00431

IN1

006

6

48

XPN

Yes

Insurance Co. Contact Reason

00797

IN2

057

6

2

IS

No

Insurance Company Address

00430

IN1

005

6

106

XAD

Yes

Insurance Company ID

00428

IN1

003

6

59

CX

Yes

Insurance Company Name

00429

IN1

004

6

130

XON

Yes

Insurance Plan ID

00368

IN1

002

6

60

CE

No

0072

Insurance Plan ID

00368

FT1

014

6

60

CE

No

0072

Insured Employer Organization Name And ID

00810

IN2

070

6

130

XON

Yes

Insured Organization Name And ID

00809

IN2

069

6

130

XON

Yes

Insured's Address

00444

IN1

019

6

106

XAD

Yes

Insured’s Contact Person Reason

00794

IN2

054

6

2

IS

Yes

Insured’s Contact Person Telephone Number

00793

IN2

053

6

40

XTN

Yes

Insured’s Contact Person’s Name

00792

IN2

052

6

48

XPN

Yes

Insured's Date of Birth

00443

IN1

018

6

26

TS

No

Insured's Employee ID

00472

IN2

001

6

59

CX

Yes

Insured's Employer Address

00469

IN1

044

6

106

XAD

Yes

Insured's Employer Name

00474

IN2

003

6

130

XCN

Yes

Insured’s Employer Telephone Number

00804

IN2

064

6

40

XTN

Yes

Insured's Employment Status

00467

IN1

042

6

60

CE

No

Insured's Group Emp ID

00436

IN1

011

6

130

XON

Yes

Insured's Group Emp Name

00435

IN1

010

6

12

CX

Yes

Insured's ID Number

01230

IN1

049

6

12

CX

No

Insured's Relationship to Patient

00442

IN1

017

6

2

IS

No

0063

Insured's Sex

00468

IN1

043

6

1

IS

No

0001

Insured's Social Security Number

00473

IN2

002

6

11

ST

No

Insured’s Telephone Number - Home

00803

IN2

063

6

40

XTN

Yes

Interest Code

00158

PV1

028

3

2

IS

No

Interpretation of Observations

00617

OM1

032

8

65536

TX

No

Inventory Number

00990

CDM

009

8

60

CE

Yes

Item Code - External

00277

RQD

003

4

60

CE

No

Item Code - Internal

00276

RQD

002

4

60

CE

No

Item Natural Account Code

00282

RQD

008

4

30

IS

No

0232

0222

0066

0073

0320

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-67 Final Standard.

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Job Code/Class

00786

IN2

047

6

20

CM

No

Job Code/Class

00786

GT1

050

6

20

CM

No

Job Code/Class

00786

STF

019

8

20

CM

No

Job Status

00752

GT1

053

6

2

IS

No

Job Status

00752

IN2

048

6

2

IS

No

Job Status

00752

NK1

034

3

2

IS

No

Job Title

00785

GT1

049

6

20

ST

No

Job Title

00785

STF

018

8

240

ST

No

Job Title

00785

IN2

046

6

20

ST

No

Kind of Quantity Observed

00937

OM1

042

8

60

CE

No

Labeled Shelf Life

01258

PDC

012

7

12

CQ

No

Last Accrual Date

01017

CM0

008

8

8

DT

No

Last IRB Approval Date

01015

CM0

006

8

8

DT

No

Length Errors Received

01183

NST

011

C

10

NM

No

License Number

00951

LOC

007

8

60

CE

Yes

Lifetime Reserve Days

00458

IN1

033

6

4

NM

No

Living Arrangement

00742

GT1

037

6

2

IS

No

0220

Living Arrangement

00742

PD1

002

3

2

IS

No

0220

Living Arrangement

00742

NK1

021

3

2

IS

No

0220

Living Arrangement

00742

IN2

035

6

2

IS

No

0220

Living Dependency

00755

IN2

031

6

2

IS

No

0223

Living Dependency

00755

PD1

001

3

2

IS

Yes

0223

Living Dependency

00755

NK1

017

3

2

IS

Yes

0223

Living Dependency

00755

GT1

033

6

2

IS

No

0223

Living Will

00759

PD1

007

3

2

IS

No

0315

Location Address

00948

LOC

005

8

106

XAD

No

Location Characteristic ID

01295

LCH

004

8

80

CE

No

0

Location Characteristic Value

01294

LCH

005

8

80

CE

No

0

Location Department

00964

LCC

002

8

10

IS

No

0264

Location Department

00964

LDP

002

8

10

IS

No

0264

Location Description

00944

LOC

002

8

48

ST

No

Location Equipment

00953

LOC

008

8

3

IS

Yes

Location Group

00905

AIL

005

10

200

CE

No

Location Phone

00949

LOC

006

8

40

XTN

Yes

Location Relationship ID

01227

LRL

004

8

80

CE

No

Location Resource ID

00903

AIL

003

10

80

PL

No

Location Selection Criteria

00910

APR

003

10

80

CM

Yes

Location Service

00965

LDP

003

8

3

IS

Yes

Location Type

00904

AIL

004

10

200

CE

No

Location Type

00945

LOC

003

8

2

IS

Yes

Logical Break Point

00064

DSP

004

2

2

ST

No

Mail Claim Party

00476

IN2

005

6

1

IS

Yes

0137

Major Diagnostic Category

00381

DG1

007

6

60

CE

No

0118

Manufactured ID

00286

RQ1

002

4

60

CE

No

Manufacturer's Catalog

00287

RQ1

003

4

16

ST

No

Manufacturer/Distributor

01247

PDC

001

7

80

XON

No

Marital Status

00119

NK1

014

3

2

IS

No

0002

Marital Status

00119

PID

016

3

1

IS

No

0002

Page A-68 4/3/97

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0311 0311

0254 0

0324

0261

0325

0069 0260

0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Name

Item#

Seg

Marital Status

00119

STF

017

Seq#

Chp 8

1

Len IS

DT

Rep No

Qty

Marital Status

00119

IN2

043

6

1

IS

Yes

Marketing Approval Identifier

01257

PDC

011

7

60

ST

No

0

Marketing Basis

01256

PDC

010

7

4

ID

No

0

Master File Application Identifier

00659

MFI

002

8

180

HD

No

Master File Identifier

00658

MFI

001

8

60

CE

No

Master Goal List Number

00821

GOL

006

12

60

NM

No

Master Problem List Number

00841

PRB

006

12

60

NM

No

Maximum Price

01003

PRC

010

8

12

CP

No

Maximum Quantity

01001

PRC

008

8

4

NM

No

Medicaid Case Name

00478

IN2

007

6

48

XPN

Yes

Medicaid Case Number

00479

IN2

008

6

15

ST

No

Medicare Health Ins Card Number

00477

IN2

006

6

15

ST

No

Message Control ID

00010

MSH

010

2

20

ST

No

Message Control ID

00010

MSA

002

2

20

ST

No

Message Type

00009

MSH

009

2

7

CM

No

Messages Received

01180

NST

008

C

10

NM

No

Messages Sent

01181

NST

009

C

10

NM

No

MFN Control ID

00665

MFA

002

8

20

ST

No

MFN Control ID

00665

MFE

002

8

20

ST

No

Military Handicapped Program

00805

IN2

065

6

60

CE

No

Military Non-Availabiltiy Code

00736

PV2

035

3

2

ID

No

0136

Military Partnership Code

00735

PV2

034

3

2

ID

No

0136

Minimum Collection Volume

00651

OM4

011

8

20

CQ

No

Minimum Meaningful Increments

00635

OM2

010

8

20

NM

No

Minimum Price

01002

PRC

009

8

12

CP

No

Minimum Quantity

01000

PRC

007

8

4

NM

No

Modality of Imaging Measurement

00942

OM1

047

8

200

CE

No

Model Identifier

01252

PDC

006

7

60

ST

Yes

Mother's Identifier

00124

PID

021

3

20

CX

Yes

Mother’s Maiden Name

00746

GT1

042

6

48

XPN

No

Mother's Maiden Name

00109

PID

006

3

48

XPN

No

Mother’s Maiden Name

00746

IN2

040

6

48

XPN

No

Mother’s Maiden Name

00746

NK1

026

3

48

XPN

No

Multiple Birth Indicator

00127

PID

024

3

2

ID

No

Name

00191

NK1

002

3

48

XPN

Yes

Name of Insured

00441

IN1

016

6

48

XPN

Yes

Nationality

00739

NK1

027

3

80

CE

No

0212

Nationality

00739

GT1

043

6

80

CE

No

0212

Nationality

00739

IN2

041

6

80

CE

No

0212

Nationality

00739

PID

028

3

80

CE

No

0212

Nature of Abnormal Test

00578

OBX

010

7

2

ID

Yes

0080

Nature of Test/Observation

00603

OM1

018

8

1

IS

No

0174

Needs Human Review

00307

RXG

012

4

1

ID

No

0136

Needs Human Review

00307

RXD

014

4

1

ID

No

0136

Needs Human Review

00307

RXO

016

4

1

ID

No

0136

Needs Human Review

00307

RXE

020

4

1

ID

No

0136

Network Change Type

01188

NSC

001

C

4

ID

No

0002 0002 0330 0175

0259 0

0136

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-69 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Network Errors

01187

NST

015

Seq#

Chp C

10

Len

NM

DT

Rep No

New Application

01195

NSC

008

C

30

ST

No

New CPU

01193

NSC

006

C

30

ST

No

New Facility

01196

NSC

009

C

30

ST

No

New Fileserver

01194

NSC

007

C

30

ST

No

Newborn Baby Indicator

00737

PV2

036

3

1

ID

No

Next Goal Review Date/Time

00829

GOL

013

12

26

TS

No

Next of Kin Job/Associated Parties Code/Class

Qty

0136

00200

NK1

011

3

20

CM

No

Next of Kin/Associated Parties Employee Number 00201

NK1

012

3

20

CX

No

Next of Kin/Associated Parties Job Title

00199

NK1

010

3

60

ST

No

Non Covered Days (24)

00538

UB1

009

6

3

NM

No

Non-Concur Code/Description

00513

IN3

012

6

60

CE

No

Non-Concur Effective Date/Time

00514

IN3

013

6

26

TS

No

Non-Covered Days (8)

00557

UB2

005

6

4

ST

No

Non-Covered Insurance Code

00495

IN2

024

6

8

IS

Yes

Normal Collection Volume

00650

OM4

010

8

20

CQ

No

Normal Text/Codes for Categorical Observations

00638

OM3

004

8

200

CE

Yes

Notice of Admission Date

00449

IN1

024

6

8

DT

No

Notice of Admission Flag

00448

IN1

023

6

2

ID

No

Number of Columns per Row

00701

RDF

001

2

3

NM

No

Number Of Grace Days (90)

00540

UB1

011

6

2

NM

No

Number of Product Experience Reports Filed by Distributor

01246

PSH

014

7

2

NM

Yes

8

Number of Product Experience Reports Filed by Facility

01245

PSH

013

7

2

NM

Yes

8

Number of Refills

00304

RXE

012

4

3

NM

No

Number of Refills

00304

RXO

013

4

3

NM

No

Number of Refills Remaining

00326

RXD

008

4

20

NM

No

Number of Refills Remaining

00326

RXE

016

4

20

NM

No

Number of Refills/Doses Dispensed

00327

RXE

017

4

20

NM

No

Number Of Sample Containers

01028

OBR

037

4

4

NM

No

Observ Result Status

00579

OBX

011

7

1

ID

No

Observation Date/Time

00241

OBR

007

4

26

TS

No

Observation Description

00591

OM1

006

8

200

CE

No

Observation End Date/Time

00242

OBR

008

4

26

TS

No

Observation ID Suffixes

00656

OM5

003

8

200

ST

No

Observation Identifier

00571

OBX

003

7

590

CE

No

Observation Method

00936

OBX

017

7

60

CE

Yes

Observation Producing Department/Section

00601

OM1

016

8

60

CE

Yes

Observation Sub-ID

00572

OBX

004

7

20

ST

No

Observation Value

00573

OBX

005

7

65536

Varies

Yes

Observations Required to Interpret the Obs

00616

OM1

031

8

200

CE

No

Occur Span End Date (33)

00548

UB1

019

6

8

DT

No

Occur Span Start Date(33)

00547

UB1

018

6

8

DT

No

Occurrence (28 32)

00545

UB1

016

6

20

CM

Yes

5

Occurrence Code & Date (32-35)

00559

UB2

007

6

11

CM

Yes

8

Occurrence Number

00862

ARQ

003

10

5

NM

No

Occurrence Number

00862

SCH

003

10

5

NM

No

Occurrence Span (33)

00546

UB1

017

6

2

CE

No

Page A-70 4/3/97

Table

0233

0143

0136

0085

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0153

0

Appendix A: Data Definition Tables Name

Item#

Seg

Rep

Qty

Occurrence Span Code/Dates (36)

00560

UB2

008

Seq#

Chp 6

28

Len

CM

DT

Yes

2

Office/Home Address

00679

STF

011

8

106

XAD

Yes

Operator

00509

IN3

008

6

60

XCN

Yes

Operator ID

00103

EVN

005

3

60

XCN

No

Order Callback Phone Number

00250

OBR

017

4

40

XTN

Yes

Order Control

00215

ORC

001

4

2

ID

No

Order Control Code Reason

00230

ORC

016

4

200

CE

No

Order Effective Date/Time

00229

ORC

015

4

26

TS

No

Order Status

00219

ORC

005

4

2

ID

No

0038

Orderability

00597

OM1

012

8

1

ID

No

0136

Ordered By Code

00373

FT1

021

6

120

XCN

No

Ordering Provider

00226

OBR

016

4

80

XCN

Yes

Ordering Provider

00226

ORC

012

4

120

XCN

No

Ordering Provider's DEA Number

00305

RXE

013

4

60

XCN

No

Ordering Provider's DEA Number

00305

RXO

014

4

60

XCN

No

Organ Donor

00760

PD1

008

3

2

IS

No

Organization Name

00202

NK1

013

3

60

XON

Yes

Organization Name

00947

LOC

004

8

90

XON

No

Organizational Location Relationship Value

01301

LRL

005

8

80

XON

No

Originating Referral Identifier

01142

RF1

006

11

30

EI

No

Origination Date/Time

00919

TXA

006

9

26

TS

No

Originator Code/Name

00922

TXA

009

9

60

XCN

No

Other Errors Received

01184

NST

012

C

10

NM

No

Other Healthcare Provider

01274

PV1

052

3

60

XCN

Yes

Other Identifier

01254

PDC

008

7

60

ST

Yes

Other Names

00593

OM1

008

8

200

ST

Yes

Other QRY Subject Filter

00041

QRF

005

2

60

ST

Yes

Other Test/Observation IDs for the Observation

00592

OM1

007

8

200

CE

No

Outlier Cost

00387

DG1

013

6

12

CP

No

Outlier Cost

00387

DRG

007

6

12

CP

No

Outlier Days

00386

DRG

006

6

3

NM

No

Outlier Days

00386

DG1

012

6

3

NM

No

Outlier Reimbursement

00771

DRG

009

6

9

CP

No

Outlier Type

00385

DRG

005

6

60

CE

No

0083

Outlier Type

00385

DG1

011

6

60

CE

No

0083

Outside Site(s) Where Observation may be Performed

00612

OM1

027

8

200

CE

Yes

Parent

00222

ORC

008

4

200

CM

No

Parent Document Number

00926

TXA

013

9

30

ST

No

Parent Filler Appointment ID

00882

ARQ

023

10

22

EI

No

Parent Filler Appointment ID

00882

SCH

024

10

22

EI

No

Parent Number

00261

OBR

029

4

150

CM

No

Parent Placer Appointment ID

00881

ARQ

022

10

22

EI

No

Parent Placer Appointment ID

00881

SCH

023

10

22

EI

No

Parent Result

00259

OBR

026

4

400

CM

No

Pathway Established Date/Time

01209

PTH

004

12

26

TS

No

Pathway ID

01207

PTH

002

12

80

CE

No

Pathway Instance ID

01208

PTH

003

12

60

EI

No

0188 2 0119

0316

0010 0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-71 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Pathway Lifecycle Status

01210

PTH

005

12

80

CE

Patient Account Number

00121

PID

018

3

20

CX

No

Patient Address

00114

PID

011

3

106

XAD

Yes

Patient Alias

00112

PID

009

3

48

XPN

Yes

Patient Charge Adjustment Code

00731

PV2

030

3

3

IS

No

0218

Patient Class

00132

PV1

002

3

1

IS

No

0004

Patient Death Date and Time

00740

PID

029

3

26

TS

No

Patient Death Indicator

00741

PID

030

3

1

ID

No

Patient Evaluability Status

01048

CSR

014

7

60

CE

No

Patient ID (External ID)

00105

PID

002

3

20

CK

No

Patient ID (Internal ID)

00106

PID

003

3

20

CX

Yes

Patient Location Relationship Value

01292

LRL

006

80

PL

No

Patient Member Number

00801

IN2

061

6

60

CX

No

Patient Name

00108

PID

005

3

48

XPN

No

Patient Outcome

01084

PEO

012

7

1

ID

No

Patient Preparation

00622

OM1

037

8

200

TX

No

Patient Primary Care Provider Name & ID No.

00757

PD1

004

3

90

XCN

Yes

Patient Primary Facility

00756

PD1

003

3

90

XON

Yes

Patient Status Code

00725

PV2

024

3

2

IS

No

Patient Study Eligibility Status

01044

CSR

010

7

60

CE

No

Patient Type

00148

FT1

018

6

2

IS

No

0018

Patient Type

00148

PV1

018

3

2

IS

No

0018

Patient Valuables

00185

PV2

005

3

25

ST

Yes

Patient Valuables Location

00186

PV2

006

3

25

ST

No

Payor ID

00496

IN2

025

6

59

CX

Yes

Payor Subscriber ID

00497

IN2

026

6

59

CX

Yes

Penalty

00506

IN3

005

6

10

CM

No

Pending Location

00172

PV1

042

3

80

PL

No

Performed By Code

00372

FT1

020

6

120

XCN

No

0084

Permitted Data Types

00588

OM1

003

8

12

ID

Yes

0125

Person Performing Study Registration

01041

CSR

007

7

60

XCN

No

Personnel Resource ID

00913

AIP

003

10

80

XCN

No

Pharmacist/Treatment Supplier's Verifier ID

00306

RXO

015

4

60

XCN

No

Pharmacist/Treatment Supplier's Verifier ID

00306

RXE

014

4

60

XCN

No

Pharmacy/Treatment Supplier Special Administration Instructions

00343

RXG

013

4

200

CE

Yes

Pharmacy/Treatment Supplier's Special Dispensing Instructions

00330

RXD

015

4

200

CE

Yes

Pharmacy/Treatment Supplier's Special Dispensing Instructions

00330

RXE

021

4

200

CE

Yes

Phone

00678

STF

010

8

40

XTN

Yes

Phone Number

00194

NK1

005

3

40

XTN

Yes

Phone Number - Business

00117

PID

014

3

40

XTN

Yes

Phone Number - Home

00116

PID

013

3

40

XTN

Yes

Phone Number of Outside Site

00614

OM1

029

8

400

XTN

No

Physician Reviewer

00515

IN3

014

6

60

XCN

Yes

Placer Appointment ID

00860

ARQ

001

10

22

EI

No

Placer Appointment ID

00860

SCH

001

10

22

EI

No

Placer Contact Address

00876

ARQ

017

10

106

XAD

No

Page A-72 4/3/97

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0136

0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0241

0216

0148

Appendix A: Data Definition Tables Name

Item#

Seg

Placer Contact Address

00876

SCH

014

Seq#

Chp 10

106

Len

XAD

DT

Rep No

Qty

Placer Contact Location

00877

SCH

015

10

80

PL

No

Placer Contact Location

00877

ARQ

018

10

80

PL

No

Placer Contact Person

00874

ARQ

015

10

48

XCN

No

Placer Contact Person

00874

SCH

012

10

48

XCN

No

Placer Contact Phone Number

00875

ARQ

016

10

40

XTN

Yes

Placer Contact Phone Number

00875

SCH

013

10

40

XTN

No

Placer Field 1

00251

OBR

018

4

60

ST

No

Placer Field 2

00252

OBR

019

4

60

ST

No

Placer Group Number

00218

SCH

004

10

75

EI

No

Placer Group Number

00218

ORC

004

4

22

EI

No

Placer Group Number

00218

ARQ

004

10

75

EI

No

Placer Order Number

00216

ORC

002

4

22

EI

No

Placer Order Number

00216

OBR

002

4

22

EI

No

Placer Order Number

00216

TXA

014

9

22

EI

Yes

Plan Effective Date

00437

IN1

012

6

8

DT

No

Plan Expiration Date

00438

IN1

013

6

8

DT

No

Plan Type

00440

IN1

015

6

3

IS

No

Planned Patient Transport Comment

01034

OBR

043

4

200

CE

Yes

Point Versus Interval

00938

OM1

043

8

60

CE

No

Policy Deductible

00462

IN1

037

6

12

CP

No

Policy Limit - Amount

00463

IN1

038

6

12

CP

No

Policy Limit - Days

00464

IN1

039

6

4

NM

No

Policy Number

00461

IN1

036

6

15

ST

No

Policy Scope

00799

IN2

059

6

2

IS

No

0312

Policy Source

00800

IN2

060

6

2

IS

No

0313

Policy Type/Amount

00500

IN2

029

6

25

CM

Yes

Portable

00600

OM1

015

8

1

ID

No

0136

Practitioner Category

00687

PRA

003

8

3

IS

Yes

0186

Practitioner Group

00686

PRA

002

8

60

CE

Yes

Practitioner ID Numbers

00690

PRA

006

8

100

CM

Yes

Pre-Admit Cert (PAC)

00453

IN1

028

6

15

ST

No

Pre-Certification Req/Window

00521

IN3

020

6

40

CM

Yes

Preadmit Number

00135

PV1

005

3

20

CX

No

Preadmit Test Indicator

00142

PV1

012

3

2

IS

No

Preferred Coding System

00636

OM3

002

8

60

CE

No

Preferred Long Name for the Observation

00596

OM1

011

8

200

ST

No

Preferred Method of Contact

01161

PRD

006

11

200

CE

No

0185

Preferred Method of Contact

01170

CTD

006

11

200

CE

No

0185

Preferred Method of Contact

00684

STF

016

8

1

ID

No

0185

Preferred Report Name for the Observation

00594

OM1

009

8

30

ST

No

Preferred Short Name or Mnemonic for Observation

00595

OM1

010

8

8

ST

No

Preparation

00648

OM4

008

8

10240

TX

No

Prescription Number

00325

RXD

007

4

20

ST

No

Prescription Number

00325

RXE

015

4

20

ST

No

Previous Goal Review Date/Time

00830

GOL

014

12

26

TS

No

Previous Service Date

00715

PV2

014

3

8

DT

No

0086 0255

0338 0150 0087

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-73 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Previous Treatment Date

00727

PV2

026

3

8

DT

No

Price

00998

PRC

005

8

12

CP

Yes

Price Override Flag

01006

PRC

013

8

1

IS

No

Primary Activity Provider Code/Name

00918

TXA

005

9

60

XCN

No

Primary Key Value - MFA

01308

MFA

005

8

60

CE

Yes

Primary Key Value - MFE

00667

MFE

004

8

200

Varies

Yes

Primary Key Value - CDM

01306

CDM

001

8

200

CE

No

Primary Key Value - LCC

00979

LCC

001

8

200

PL

No

Primary Key Value - LCH

01305

LCH

001

8

200

PL

No

Primary Key Value - LDP

00963

LDP

001

8

200

PL

No

Primary Key Value - LOC

01307

LOC

001

8

200

PL

No

Primary Key Value - LRL

00943

LRL

001

8

200

PL

No

Primary Key Value - PRA

00685

PRA

001

8

20

ST

No

Primary Key Value - PRC

00982

PRC

001

8

200

CE

No

Primary Key Value - STF

00671

STF

001

8

60

CE

No

Primary Language

00118

GT1

036

6

60

CE

No

0296

Primary Language

00118

PID

015

3

60

CE

No

0296

Primary Language

00118

NK1

020

3

60

CE

No

0296

Primary Language

00118

IN2

034

6

60

CE

No

0296

Primary Observer Address

01092

PEO

020

7

106

XAD

Yes

Primary Observer Aware Date/Time

01096

PEO

024

7

26

TS

No

Primary Observer Name

01091

PEO

019

7

46

XPN

No

Primary Observer Telephone

01093

PEO

021

7

40

XTN

Yes

Primary Observer’s Identity May Be Divulged

01097

PEO

025

7

1

ID

No

0243

Primary Observer’s Qualification

01094

PEO

022

7

1

ID

No

0242

Principal Language of Message

00693

MSH

019

2

60

CE

No

Principal Result Interpreter

00264

OBR

032

4

200

CM

No

Prior Alternate Patient ID

00212

MRG

002

3

16

CX

Yes

Prior Alternate Visit ID

01280

MRG

006

3

20

CX

No

Prior Insurance Plan ID

00471

IN1

046

6

8

IS

No

Prior Patient Account Number

00213

MRG

003

3

20

CX

No

Prior Patient ID - External

00214

MRG

004

3

16

CX

No

Prior Patient ID - Internal

00211

MRG

001

3

20

CX

Yes

Prior Patient Location

00136

PV1

006

3

80

PL

No

Prior Patient Name

01281

MRG

007

3

48

XPN

No

Prior Pending Location

00181

PV2

001

3

80

PL

No

Prior Temporary Location

00173

PV1

043

3

80

PL

No

Prior Visit Number

01279

MRG

005

3

15

CX

No

Priority

00871

ARQ

012

10

5

ST

No

Priority

00239

OBR

005

4

2

ID

No

Privileges

00691

PRA

007

8

200

CM

Yes

Probability

00577

OBX

009

7

5

NM

No

Probability of Problem (0-1)

00855

PRB

020

12

5

NM

No

Problem Classification

00845

PRB

010

12

80

CE

No

Problem Confirmation Status

00848

PRB

013

12

80

CE

No

Problem Date of Onset

00851

PRB

016

12

26

TS

No

Problem ID

00838

PRB

003

12

80

CE

No

Problem Instance ID

00839

PRB

004

12

60

EI

No

Page A-74 4/3/97

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0132

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0 0072

0

0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

Appendix A: Data Definition Tables Name

Item#

Seg

Problem Life Cycle Status

00849

PRB

014

Seq#

Chp 12

80

Len

CE

DT

Rep

Qty

Problem Life Cycle Status Date/Time

00850

PRB

015

12

26

TS

No

Problem Management Discipline

00846

PRB

011

12

80

CE

Yes

Problem Onset Text

00852

PRB

017

12

80

ST

No

Problem Persistence

00847

PRB

012

12

80

CE

No

Problem Prognosis

00857

PRB

022

12

80

CE

No

Problem Ranking

00853

PRB

018

12

80

CE

No

Procedure Code

00988

CDM

007

8

200

CE

Yes

Procedure Code

00393

PR1

003

6

80

CE

No

0088

Procedure Code

00393

FT1

025

6

80

CE

No

0088

Procedure Coding Method

00392

PR1

002

6

2

IS

No

0089

Procedure Date/Time

00395

PR1

005

6

26

TS

No

Procedure Description

00394

PR1

004

6

40

ST

No

Procedure Medication

00623

OM1

038

8

200

CE

No

Procedure Minutes

00397

PR1

007

6

4

NM

No

Procedure Practitioner

00402

PR1

012

6

230

XCN

Yes

Procedure Priority

00404

PR1

014

6

2

NM

No

Procedure Type

00396

PR1

006

6

2

IS

No

Process Date

01145

RF1

009

11

26

TS

No

Process Date

01145

AUT

010

11

26

TS

No

Processing ID

00011

MSH

011

2

3

PT

No

Processing Priority

00610

OM1

025

8

40

ID

Yes

Processing Time

00609

OM1

024

8

20

NM

No

Producer ID

00590

OM1

005

8

200

CE

No

Producer's ID

00583

OBX

015

7

60

CE

No

Producer's Test/Observation ID

00587

OM1

002

8

200

CE

No

Product Available For Inspection

01110

PCR

013

7

1

IS

No

Product Class

01100

PCR

003

7

60

CE

No

Product Code

01255

PDC

009

7

60

CE

No

Product Evaluation Performed

01111

PCR

014

7

60

CE

No

Product Evaluation Results

01113

PCR

016

7

60

CE

No

Product Evaluation Status

01112

PCR

015

7

60

CE

No

Product Expiration Date

01103

PCR

006

7

26

TS

No

Product Explanation Date

01105

PCR

008

7

26

TS

No

Product Implantation Date

01104

PCR

007

7

26

TS

No

Product Manufacture Date

01102

PCR

005

7

26

TS

No

Product Problem

01108

PCR

011

7

8

IS

No

Product Serial/Lot Number

01109

PCR

012

7

30

ST

Yes

Protection Indicator

00744

IN2

037

6

1

ID

No

0136

Protection Indicator

00744

NK1

023

3

1

ID

No

0136

Protection Indicator

00744

GT1

039

6

1

ID

No

0136

Protection Indicator

01293

PD1

012

3

1

ID

No

Provider Address

01157

PRD

003

11

60

XAD

No

Provider Billing

00688

PRA

004

8

1

ID

No

Provider Communication Information

01159

PRD

005

11

100

XTN

Yes

Provider Identifiers

01162

PRD

007

11

100

CM

Yes

Provider Location

01158

PRD

004

11

60

CM

No

Provider Name

01156

PRD

002

11

106

XPN

Yes

0010 0230

0168

0239 0

0247

0239 3

0

0136 0187

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-75 Final Standard.

Table

No

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Provider's Administration Instructions

00298

RXE

007

4

200

CE

Yes

Provider's Administration Instructions

00298

RXO

007

4

200

CE

Yes

Provider's Pharmacy Instructions

00297

RXO

006

4

200

CE

Yes

PSRO/UR Approval Indicator (87)

00542

UB1

013

6

60

CE

No

PSRO/UR Approved Stay Fm (88)

00543

UB1

014

6

8

DT

No

PSRO/UR Approved Stay To (89)

00544

UB1

015

6

8

DT

No

Publicity Indicator

00743

PD1

011

3

80

CE

No

0

0125

Publicity Indicator

00743

IN2

036

6

80

CE

No

0

0215

Publicity Indicator

00743

NK1

022

3

80

CE

No

0

0215

Publicity Indicator

00743

GT1

038

6

80

CE

No

0

0215

Purge Status Code

00717

PV2

016

3

1

IS

No

Purge Status Date

00718

PV2

017

3

8

DT

No

Quantity Distributed

01239

PSH

007

7

12

CQ

No

0

Quantity Distributed Comment

01241

PSH

009

7

600

FT

No

0

Quantity Distributed Method

01240

PSH

008

7

1

ID

No

0

Quantity in Use

01242

PSH

010

7

12

CQ

No

0

Quantity in Use Comment

01244

PSH

012

7

600

FT

No

0

Quantity in Use Method

01243

PSH

011

7

1

ID

No

0

Quantity Limited Request

00031

QRD

007

2

10

CQ

No

Quantity Manufactured

01238

PSH

006

7

12

CQ

No

Quantity/Timing

00221

ORC

007

4

200

TQ

No

Quantity/Timing

00221

OBR

027

4

200

TQ

Yes

Quantity/Timing

00221

RXG

003

4

200

TQ

No

Quantity/Timing

00221

RXE

001

4

200

TQ

No

Query Date/Time

00025

QRD

001

2

26

TS

No

Query Format Code

00026

QRD

002

2

1

ID

No

Query ID

00028

QRD

004

2

10

ST

No

Query Priority

00027

QRD

003

2

1

ID

No

0091

Query Response Status

00708

QAK

002

2

2

ID

No

0208

Query Results Level

00036

QRD

012

2

1

ID

No

0108

Query Tag

00696

ERQ

001

2

32

ST

No

Query Tag

00696

QAK

001

2

32

ST

No

Query Tag

00696

EQL

001

2

32

ST

No

Query Tag

00696

VTQ

001

2

32

ST

No

Query Tag

00696

SPR

001

2

32

ST

No

Query/Response Format Code

00697

SPR

002

2

1

ID

No

0106

Query/Response Format Code

00697

EQL

002

2

1

ID

No

0106

Query/Response Format Code

00697

VTQ

002

2

1

ID

No

0106

R/U Date/Time

00045

URD

001

2

26

TS

No

R/U Date/Time Selection Qualifier

00059

URS

008

2

12

ID

Yes

R/U Display/Print Locations

00050

URD

006

2

20

ST

Yes

R/U Other Results Subject Definition

00056

URS

005

2

20

ST

Yes

R/U Quantity/Timing Qualifier

00695

URS

009

2

60

TQ

No

R/U Results Level

00051

URD

007

2

1

ID

No

R/U What Department Code

00049

URD

005

2

60

CE

Yes

R/U What Subject Definition

00048

URD

004

2

60

CE

Yes

R/U What User Qualifier

00055

URS

004

2

20

ST

Yes

R/U When Data End Date/Time

00054

URS

003

2

26

TS

No

Page A-76 4/3/97

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0106

0158

0108 0048

Appendix A: Data Definition Tables Name

Item#

Seg

R/U When Data Start Date/Time

00053

URS

002

Seq#

Chp 2

26

Len TS

DT

Rep No

Qty

R/U Where Subject Definition

00052

URS

001

2

20

ST

Yes

R/U Which Date/Time Qualifier

00057

URS

006

2

12

ID

Yes

0156

R/U Which Date/Time Status Qualifier

00058

URS

007

2

12

ID

Yes

0157

R/U Who Subject Definition

00047

URD

003

2

60

XCN

Yes

Race

00113

NK1

035

3

1

IS

No

0005

Race

00113

IN2

071

6

1

IS

No

0005

Race

00113

PID

010

3

1

IS

No

0005

Range of Decimal Precision

00628

OM2

003

8

10

NM

Yes

Readmission Indicator

00143

PV1

013

3

2

IS

No

Reason Ended Study

01050

CSR

016

7

60

CE

No

Reason For Study

00263

OBR

031

4

300

CE

Yes

Receive Character Count

01178

NST

006

C

10

NM

No

Receive Timeouts

01186

NST

014

C

10

NM

No

Receiving Application

00005

MSH

005

2

180

HD

No

Receiving Facility

00006

MSH

006

2

180

HD

No

Record-Level Event Code

00664

MFE

001

8

3

ID

No

0180

Record-Level Event Code

00664

MFA

001

8

3

ID

No

0180

Recurring Service Code

00732

PV2

031

3

2

IS

No

0219

Reference (Normal) Range - Ordinal & Continuous 00631 Obs

OM2

006

8

200

CM

No

Reference Batch Control ID

00092

BHS

012

2

20

ST

No

Reference File Control ID

00078

FHS

012

2

20

ST

No

References Range

00575

OBX

007

7

10

ST

No

Referral Category

01141

RF1

005

11

200

CE

No

0284

Referral Disposition

01140

RF1

004

11

200

CE

Yes

0282

Referral Priority

01138

RF1

002

11

200

CE

No

0280

Referral Reason

01228

RF1

010

11

200

CE

Yes

0336

Referral Source Code

00714

PV2

013

3

90

XCN

No

Referral Status

01137

RF1

001

11

200

CE

No

0283

Referral Type

01139

RF1

003

11

200

CE

No

0281

Referring Doctor

00138

PV1

008

3

60

XCN

Yes

0010

Reflex Tests/Observations

00619

OM1

034

8

200

CE

Yes

Reimbursement Limit

01152

AUT

007

11

25

CP

No

Relatedness Assessment

01117

PCR

020

7

1

ID

No

0250

Relationship

00192

NK1

003

3

60

CE

No

0063

Relationship Modifier

00940

OM1

045

8

200

CE

No

0258

Relationship To The Patient Start Date

00795

IN2

055

6

8

DT

No

Relationship To The Patient Stop Date

00796

IN2

056

6

8

DT

Yes

Release Information Code

00452

IN1

027

6

2

IS

No

Relevant Clinical Info.

00247

OBR

013

4

300

ST

No

Religion

00120

NK1

025

3

3

IS

No

0006

Religion

00120

GT1

041

6

3

IS

No

0006

Religion

00120

PID

017

3

3

IS

No

0006

Religion

00120

IN2

039

6

3

IS

No

0006

Repeating Interval

00872

ARQ

013

10

100

CM

No

Repeating Interval Duration

00873

ARQ

014

10

5

ST

No

Report Date

01235

PSH

003

7

26

TS

No

0092

0093

0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-77 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Report Display Order

00605

OM1

020

8

20

ST

No

Report Form Identifier

01297

PSH

002

7

60

ST

No

0

Report Interval End Date

01237

PSH

005

7

26

TS

No

0

Report Interval Start Date

01236

PSH

004

7

26

TS

No

0

Report Priority

00046

URD

002

2

1

ID

No

Report Subheader

00604

OM1

019

8

200

CE

No

Report Type

01233

PSH

001

7

60

ST

No

Reporting Priority

00611

OM1

026

8

5

ID

No

Request Event Reason

00865

ARQ

006

10

200

CE

No

Requested Date/Time

00240

OBR

006

4

26

TS

No

Requested Dispense Amount

00302

RXO

011

4

20

NM

No

Requested Dispense Code

00301

RXO

010

4

100

CE

No

Requested Dispense Units

00303

RXO

012

4

60

CE

No

Requested Dosage Form

00296

RXO

005

4

60

CE

No

Requested Give Amount - Maximum

00294

RXO

003

4

20

NM

No

Requested Give Amount - Minimum

00293

RXO

002

4

20

NM

No

Requested Give Code

00292

RXO

001

4

100

CE

No

Requested Give Per (Time Unit)

00308

RXO

017

4

20

ST

No

Requested Give Rate Amount

01218

RXO

021

4

6

ST

No

Requested Give Rate Units

01219

RXO

022

4

60

CE

No

Requested Give Strength

01121

RXO

018

4

20

NM

No

Requested Give Strength Units

01122

RXO

019

4

60

CE

No

Requested Give Units

00295

RXO

004

4

60

CE

No

Requested Number of Treatments

01153

AUT

008

11

2

NM

No

Requested Start Date/Time Range

00870

ARQ

011

10

53

CM

Yes

Requisition Line Number

00275

RQD

001

4

4

SI

No

Requisition Quantity

00279

RQD

005

4

6

NM

No

Requisition Unit of Measure

00280

RQD

006

4

60

CE

No

Resource Group

00899

AIP

005

10

200

CE

No

Resource Group

00899

AIG

005

10

200

CE

Yes

Resource Group ID

01204

RGS

003

10

200

CE

No

Resource ID

00897

AIG

003

10

200

CE

No

Resource Load

00991

CDM

010

8

12

NM

No

Resource Quantity

00900

AIG

006

10

5

NM

No

Resource Quantity Units

00901

AIG

007

10

200

CE

No

Resource Role

00907

AIP

004

10

200

CE

No

Resource Selection Criteria

00909

APR

002

10

80

CM

Yes

Resource Type

00898

AIG

004

10

200

CE

No

Response Flag

00220

ORC

006

4

1

ID

No

0121

Response Level Code

00663

MFI

006

8

2

ID

No

0179

Responsible Observer

00584

OBX

016

7

80

XCN

No

Result Copies To

00260

OBR

028

4

150

XCN

Yes

Result ID

00065

DSP

005

2

20

TX

No

Result Status

00258

OBR

025

4

1

ID

No

Results Rpt/Status Chng - Date/Time

00255

OBR

022

4

26

TS

No

Retention Indicator

00720

PV2

019

3

1

ID

No

0136

Role

01155

CTD

001

11

200

CE

Yes

0131

Role

01197

ROL

003

12

80

CE

No

Page A-78 4/3/97

Seq#

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DT

Rep

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Table

0109 0 0169

5

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0123

Appendix A: Data Definition Tables Name

Item#

Seg

Role

01155

PRD

001

Seq#

Chp 11

200

Len

CE

DT

Rep Yes

Qty

Role Assumption Reason

01205

ROL

008

12

80

CE

No

Role Begin Date/Time

01199

ROL

005

12

26

TS

No

Role Duration

01201

ROL

007

12

80

CE

No

Role End Date/Time

01200

ROL

006

12

26

TS

No

Role Instance ID

01206

ROL

001

12

60

EI

No

Role Person

01198

ROL

004

12

80

XCN

No

Room Coverage Type/Amount

00499

IN2

028

6

25

CM

Yes

Room Fee Indicator

00994

CDM

013

8

1

ID

No

Room Rate - Private

00466

IN1

041

6

12

CP

No

Room Rate - Semi-Private

00465

IN1

040

6

12

CP

No

Route

00309

RXR

001

4

60

CE

No

0162

Rpt of Eligibility Flag

00450

IN1

025

6

2

ID

No

0136

Rpt of Eligibility Date

00451

IN1

026

6

8

DT

No

Rules that Trigger Reflex Testing

00620

OM1

035

8

80

ST

No

RX Component Type

00313

RXC

001

4

1

ID

No

Schedule ID

00864

SCH

005

10

200

CE

No

Schedule ID

00864

ARQ

005

10

200

CE

No

Scheduled Date/Time

00268

OBR

036

4

26

TS

No

Scheduled Time Point

01025

CM2

002

8

60

CE

No

Second Opinion Date

00523

IN3

022

6

8

DT

No

Second Opinion Documentation Received

00525

IN3

024

6

1

IS

Yes

Second Opinion Physician

00526

IN3

025

6

60

XCN

Yes

Second Opinion Status

00524

IN3

023

6

1

IS

No

Security

00008

MSH

008

2

40

ST

No

Security/Sensitivity

00823

PRB

025

12

80

CE

No

Segment Action Code

00763

LCH

002

8

1

ID

No

0

0206

Segment Action Code

00763

LRL

002

8

3

ID

No

0

0206

Segment Action Code

00763

AIS

002

10

3

ID

No

0

0206

Segment Action code

00763

AIP

002

10

3

ID

No

0

0206

Segment Action Code

00763

AIL

002

10

1

ID

No

0

0206

Segment Action Code

00763

AIG

002

10

3

ID

No

0

0206

Segment Action Code

00763

RGS

002

10

3

ID

No

0

Segment Unique Key

00764

LCH

003

8

80

EI

No

0

Segment Unique Key

00764

LRL

003

8

80

EI

No

0

Selection Criteria

00700

VTQ

005

2

256

QSC

Yes

Send Character Count

01179

NST

007

C

10

NM

No

Sender Address

01062

PES

003

7

200

XAD

Yes

Sender Aware Date/Time

01068

PES

009

7

26

TS

No

Sender Comment

01067

PES

008

7

600

FT

No

Sender Event Description

01066

PES

007

7

600

FT

Yes

Sender Event Identifier

01064

PES

005

7

75

EI

No

Sender Individual Name

01060

PES

002

7

60

XCN

Yes

Sender Organization Name

01059

PES

001

7

80

XON

No

Sender Sequence Number

01065

PES

006

7

2

NM

No

Sender Telephone

01063

PES

004

7

44

XTN

Yes

Sending Application

00003

MSH

003

2

180

HD

No

Sending Facility

00004

MSH

004

2

180

HD

No

0286

0136

0166

0152 0151

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-79 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Separate Bill

00761

PD1

009

3

2

ID

No

Sequence Number

00013

MSH

013

2

15

NM

No

Sequence Number - Test/ Observation Master File 00586

OM4

001

8

4

NM

No

Sequence Number - Test/ Observation Master File 00586

OM5

001

8

4

NM

No

Sequence Number - Test/ Observation Master File 00586

OM3

001

8

4

NM

No

Sequence Number - Test/ Observation Master File 00586

OM2

001

8

4

NM

No

Sequence Number - Test/ Observation Master File 00586

OM1

001

8

4

NM

No

Sequence Number - Test/ Observation Master File 00586

OM6

001

8

4

NM

No

Service

00677

STF

009

8

200

CE

Yes

Service Period

00270

ODT

002

4

60

CE

Yes

10

Service Period

00270

ODS

002

4

60

CE

Yes

10

Servicing Facility

00169

PV1

039

3

2

IS

No

Set ID - AIG

00896

AIG

001

10

4

SI

No

Set ID - AIL

00902

AIL

001

10

4

SI

No

Set ID - AIP

00906

AIP

001

10

4

SI

No

Set ID - AIS

00890

AIS

001

10

4

SI

No

Set ID - AL1

00203

AL1

001

3

4

SI

No

Set ID - CM0

01010

CM0

001

8

4

SI

No

Set ID - CM1

01021

CM1

001

8

4

SI

No

Set ID - CM2

01024

CM2

001

8

4

SI

No

Set ID - DB1

01283

DB1

001

3

4

SI

No

Set ID - DG1

00375

DG1

001

6

4

SI

No

Set ID - DSP

00061

DSP

001

2

4

SI

No

Set ID - FT1

00355

FT1

001

6

4

SI

No

Set ID - GT1

00405

GT1

001

6

4

SI

No

Set ID - IN1

00426

IN1

001

6

4

SI

No

Set ID - IN3

00502

IN3

001

6

4

SI

No

Set ID - NK1

00190

NK1

001

3

4

SI

No

Set ID - NTE

00096

NTE

001

2

4

SI

No

Set ID - OBR

00237

OBR

001

4

4

SI

No

Set ID - OBX

00569

OBX

001

7

10

SI

No

Set ID - PID

00104

PID

001

3

4

SI

No

Set ID - PR1

00391

PR1

001

6

4

SI

No

Set ID - PV1

00131

PV1

001

3

4

SI

No

Set ID - RGS

01203

RGS

001

10

4

SI

No

Set ID - UB1

00530

UB1

001

6

4

SI

No

Set ID - UB2

00553

UB2

001

6

4

SI

No

Set ID- TXA

00914

TXA

001

9

4

SI

No

Sex

00111

PID

008

3

1

IS

No

0001

Sex

00111

STF

005

8

1

IS

No

0001

Sex

00111

NK1

015

3

1

IS

No

0001

SI Conversion Factor

00630

OM2

005

8

60

TX

No

Signature Authority

01270

FAC

009

7

60

XCN

No

0

Signature Authority Address

01272

FAC

011

7

200

XAD

No

0

Signature Authority Telecommunication

01273

FAC

012

7

44

XTN

No

0

Signature Authority Title

01271

FAC

010

7

60

ST

No

0

Signature on File Date

00729

PV2

028

3

8

DT

No

Single Use Device

01106

PCR

009

7

8

IS

No

Page A-80 4/3/97

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Table 0136

0115

0

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0239

Appendix A: Data Definition Tables Name

Item#

Seg

Site

00310

RXR

002

Seq#

Chp 4

60

Len

CE

DT

Rep No

Qty

Slot Spacing Criteria

00911

APR

004

10

5

NM

No

Source Identifier

01174

NST

002

C

30

ST

No

Source of Comment

00097

NTE

002

2

8

ID

No

Source Type

01175

NST

003

C

3

ID

No

Spec Program Indicator (44)

00541

UB1

012

6

60

CE

No

Special Coverage Approval Name

00493

IN2

022

6

48

XPN

Yes

Special Coverage Approval Title

00494

IN2

023

6

30

ST

No

Special Handling Requirements

00649

OM4

009

8

10240

TX

No

Special Program Code

00719

PV2

018

3

2

IS

No

Special Visit Count

00815

UB2

017

6

3

NM

No

Specialty Type

00966

LDP

004

8

60

CE

Yes

0265

Specialty

00689

PRA

005

8

100

CM

Yes

0337

Specimen

00646

OM4

006

8

60

CE

No

Specimen Action Code

00245

OBR

011

4

1

ID

No

0065

Specimen Priorities

00653

OM4

013

8

1

ID

Yes

0027

Specimen Received Date/Time

00248

OBR

014

4

26

TS

No

Specimen Required

00589

OM1

004

8

1

ID

No

Specimen Requirements

00652

OM4

012

8

10240

TX

No

Specimen Retention Time

00654

OM4

014

8

20

CQ

No

Specimen Source

00249

OBR

015

4

300

CM

No

Sponsor Patient ID

01038

CSR

004

7

30

CX

No

Sponsor Study ID

01011

CM0

002

8

60

CE

No

Sponsor Study ID

01035

CSR

001

7

60

EI

No

Sponsor Study Identifier

01058

CTI

001

7

60

CE

No

SSN Number - Patient

00122

PID

019

3

16

ST

No

Staff ID Code

00672

STF

002

8

60

CE

Yes

Staff Name

00673

STF

003

8

48

XPN

No

Staff Type

00674

STF

004

8

2

IS

Yes

Start Date

00197

NK1

008

3

8

DT

No

Start Date/Time

01202

AIL

006

10

26

TS

No

Start Date/Time

01202

AIS

004

10

26

TS

No

Start Date/Time

01202

AIP

006

10

26

TS

No

Start Date/Time

01202

AIG

008

10

26

TS

No

Start Date/Time Offset

00891

AIP

007

10

20

NM

No

Start Date/Time Offset

00891

AIS

005

10

20

NM

No

Start Date/Time Offset

00891

AIL

007

10

20

NM

No

Start Date/Time Offset

00891

AIG

009

10

20

NM

No

Start Date/Time Offset Units

00892

AIP

008

10

200

CE

No

Start Date/Time Offset Units

00892

AIG

010

10

200

CE

No

Start Date/Time Offset Units

00892

AIS

006

10

200

CE

No

Start Date/Time Offset Units

00892

AIL

008

10

200

CE

No

Stated Variance Date/Time

01214

VAR

003

12

26

TS

No

Statistics Available

01173

NST

001

C

1

ID

No

Statistics End

01177

NST

005

C

26

TS

No

Statistics Start

01176

NST

004

C

26

TS

No

Stoploss Limit Flag

00808

IN2

068

6

2

ID

No

Stored Procedure Name

00704

SPR

003

2

60

CE

No

0163

0105 0

0214

0136

0070

0182

0136

0136

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-81 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

Rep

Qty

Stratum for Study Randomization

01047

CSR

013

7

200

CE

Yes

3

Student Indicator

00745

GT1

040

6

2

IS

No

0231

Student Indicator

00745

PD1

005

3

2

IS

No

0231

Student Indicator

00745

NK1

024

3

2

IS

No

0231

Student Indicator

00745

IN2

038

6

2

IS

No

0231

Study Authorizing Provider

01042

CSR

008

7

60

XCN

No

Study Phase Evaluability

01054

CSP

004

7

60

CE

No

Study Phase Identifier

01051

CM1

002

8

60

CE

No

0

Study Phase Identifier

01051

CSP

001

7

60

CE

No

0

Study Phase Identifier

01051

CTI

002

7

60

CE

No

0

Study Quality Control Codes

01057

CSS

003

7

60

CE

Yes

3

Study Randomization Date/time

01045

CSR

011

7

26

TS

Yes

3

Study Randomized Arm

01046

CSR

012

7

200

CE

Yes

3

Study Scheduled Patient Time Point

01056

CSS

002

7

26

TS

No

Study Scheduled Time Point

01055

CSS

001

7

60

CE

No

Study Scheduled Time Point

01055

CTI

003

7

60

CE

No

Substance Expiration Date

01130

RXD

019

4

26

TS

Yes

Substance Expiration Date

01130

RXA

016

4

26

TS

Yes

Substance Expiration Date

01130

RXG

020

4

26

TS

Yes

Substance Lot Number

01129

RXD

018

4

20

ST

Yes

Substance Lot Number

01129

RXG

019

4

20

ST

Yes

Substance Lot Number

01129

RXA

015

4

20

ST

Yes

Substance Manufacturer Name

01131

RXG

021

4

60

CE

Yes

Substance Manufacturer Name

01131

RXA

017

4

60

CE

Yes

Substance Manufacturer Name

01131

RXD

020

4

60

CE

Yes

Substance Refusal Reason

01136

RXA

018

4

200

CE

Yes

Substitute Allowed

00291

RQ1

007

4

1

ID

No

0136

Substitution Status

00322

RXE

009

4

1

ID

No

0167

Substitution Status

00322

RXD

011

4

1

ID

No

0167

Substitution Status

00322

RXG

010

4

1

ID

No

0167

Surgeon

00401

PR1

011

6

120

XCN

Yes

0010

Suspend Flag

00806

IN2

066

6

2

ID

No

0136

System Date/Time

01172

NCK

001

C

26

TS

No

System Entry Date/Time

01225

RXA

022

4

26

TS

No

Target Anatomic Site of Test

00941

OM1

046

8

200

CE

No

Taxable

00290

RQ1

006

4

1

ID

No

Technician

00266

OBR

034

4

200

CM

Yes

Telephone Number of Section

00602

OM1

017

8

40

XTN

No

Temporary Location

00141

PV1

011

3

80

PL

No

Test/Observation Performance Schedule

00625

OM1

040

8

60

ST

Yes

Test/Observations Included w/an Ordered Test Battery

00655

OM5

002

8

200

CE

Yes

Text Instruction

00272

ODS

004

4

80

ST

Yes

Text Instruction

00272

ODT

003

4

80

ST

No

Text Message

00020

MSA

003

2

80

ST

No

Time Selection Criteria

00908

APR

001

10

80

CM

Yes

Title of Study

01013

CM0

004

8

300

ST

No

Total Accrual to Date

01016

CM0

007

8

8

NM

No

Total Adjustments

00178

PV1

048

3

12

NM

No

Page A-82 4/3/97

Seq#

Chp

Len

DT

Table

0227

0136

2

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0294

Appendix A: Data Definition Tables Name

Item#

Seg

Total Charges

00177

PV1

047

Seq#

Chp 3

12

Len

NM

DT

Rep No

Qty

Total Daily Dose

00329

RXE

019

4

10

CQ

No

Total Daily Dose

00329

RXD

012

4

10

CQ

No

Total Duration Of Therapy

01101

PCR

004

7

8

CQ

No

Total Payments

00179

PV1

049

3

12

NM

No

Transaction Amount - Extended

00365

FT1

011

6

12

CP

No

Transaction Amount - Unit

00366

FT1

012

6

12

CP

No

Transaction Batch ID

00357

FT1

003

6

10

ST

No

Transaction Code

00361

FT1

007

6

80

CE

No

Transaction Date

00358

FT1

004

6

26

TS

No

Transaction Description

00362

FT1

008

6

40

ST

No

Transaction Description - Alt

00363

FT1

009

6

40

ST

No

Transaction ID

00356

FT1

002

6

12

ST

No

Transaction Posting Date

00359

FT1

005

6

26

TS

No

Transaction Quantity

00364

FT1

010

6

6

NM

No

Transaction Type

00360

FT1

006

6

8

IS

No

Transcription Date/Time

00920

TXA

007

9

26

TS

No

Transcriptionist

00267

OBR

035

4

200

CM

Yes

Transcriptionist Code/Name

00924

TXA

011

9

48

XCN

No

Transfer Reason

00184

PV2

004

3

60

CE

No

Transfer to Bad Debt Code

00159

PV1

029

3

1

IS

No

Transfer to Bad Debt Date

00160

PV1

030

3

8

DT

No

Transport Arranged

01032

OBR

041

4

30

ID

No

Transport Arrangement Responsibility

01031

OBR

040

4

60

CE

No

Transport Logistics Of Collected Sample

01029

OBR

038

4

60

CE

Yes

Transportation Mode

00262

OBR

030

4

20

ID

No

0124

Tray Type

00273

ODT

001

4

60

CE

No

0160

Type

00269

ODS

001

4

1

ID

No

0159

Type of Agreement Code

00456

IN1

031

6

2

IS

No

0098

Typical Turn-Around Time

00608

OM1

023

8

20

NM

No

UB 82 Locator 2

00549

UB1

020

6

30

ST

No

UB 82 Locator 27

00551

UB1

022

6

8

ST

No

UB 82 Locator 45

00552

UB1

023

6

17

ST

No

UB 82 Locator 9

00550

UB1

021

6

7

ST

No

UB92 Locator 11 (State)

00562

UB2

010

6

12

ST

Yes

2

UB92 Locator 2 (State)

00561

UB2

009

6

29

ST

Yes

2

UB92 Locator 31 (National)

00563

UB2

011

6

5

ST

No

UB92 Locator 49 (National)

00565

UB2

013

6

4

ST

Yes

23

UB92 Locator 56 (State)

00566

UB2

014

6

14

ST

Yes

5

UB92 Locator 57 (National)

00567

UB2

015

6

27

ST

No

UB92 Locator 78 (State)

00568

UB2

016

6

2

ST

Yes

Unique Document File Name

00927

TXA

016

9

30

ST

No

Unique Document Number

00925

TXA

012

9

30

EI

No

Unit Cost

00374

FT1

022

6

12

CP

No

Units

00574

OBX

006

7

60

CE

No

Units of Measure

00627

OM2

002

8

60

CE

No

Universal Service Identifier

00238

AIS

003

10

200

CE

No

Universal Service Identifier

00238

OBR

004

4

200

CE

No

0132

0017

0110 0224

2

Health Level Seven, Version 2.3 © 1997. All rights reserved. Page A-83 Final Standard.

Table

4/3/97

Appendix A: Data Definition Tables Name

Item#

Seg

User Defined Access Checks

00581

OBX

013

7

20

ST

Valid Coded "Answers"

00637

OM3

003

8

60

CE

No

Valid Patient Classes

00967

PRC

004

8

1

IS

Yes

Valid Patient Classes

00967

LDP

005

8

1

IS

Yes

Value Amount & Code

00558

UB2

006

6

11

CM

Yes

12

Value Amount & Code (46-49)

00539

UB1

010

6

12

CM

Yes

8

Value Type

00570

OM3

007

8

3

ID

No

0125

Value Type

00570

OBX

002

7

2

ID

No

0125

Variance Classification

01216

VAR

005

12

60

CE

No

Variance Description

01217

VAR

006

12

512

ST

Yes

Variance Instance ID

01212

VAR

001

12

60

EI

No

Variance Originator

01215

VAR

004

12

860

XCN

No

Vendor Catalog

00288

RQ1

005

4

16

ST

No

Vendor ID

00289

RQ1

004

4

60

CE

No

Verification By

00455

IN1

030

6

60

XPN

No

Verification Date/Time

00454

IN1

029

6

26

TS

No

Verification Status

00470

IN1

045

6

2

ST

No

Verified By

00225

ORC

011

4

120

XCN

No

Version ID

00012

MSH

012

2

8

ID

No

0104

Veterans Military Status

00130

PID

027

3

60

CE

No

0172

VIP Indicator

00146

PV1

016

3

2

IS

No

0099

Virtual Table Name

00699

VTQ

004

2

60

CE

No

Visit Description

00713

PV2

012

3

50

ST

No

Visit Indicator

01226

PV1

051

3

1

IS

No

Visit Number

00149

PV1

019

3

20

CX

No

Visit Priority Code

00726

PV2

025

3

1

IS

No

0217

Visit Protection Indicator

00723

PV2

022

3

1

ID

No

0136

Visit Publicity Code

00722

PV2

021

3

1

IS

No

0215

Visit User Code

00187

PV2

007

3

2

IS

No

0130

Visiting Hours

00976

LDP

010

8

80

CM

Yes

0267

VT Query Name

00698

VTQ

003

2

60

CE

No

What Data Code Value Qual.

00035

QRD

011

2

20

ST

Yes

What Department Data Code

00034

QRD

010

2

60

CE

Yes

What Subject Filter

00033

QRD

009

2

60

CE

Yes

What User Qualifier

00040

QRF

004

2

60

ST

Yes

When Data End Date/Time

00039

QRF

003

2

26

TS

No

When Data Start Date/Time

00038

QRF

002

2

26

TS

No

When Quantity/Timing Qualifier

00694

QRF

009

2

60

TQ

No

When to Charge

00234

BLG

001

4

40

CM

No

Where Subject Filter

00037

QRF

001

2

20

ST

Yes

Which Date/Time Qualifier

00042

QRF

006

2

12

ID

Yes

0156

Which Date/Time Status Qualifier

00043

QRF

007

2

12

ID

Yes

0157

Who Subject Filter

00032

QRD

008

2

60

XCN

Yes

Page A-84 4/3/97

Seq#

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Len

DT

Rep

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Table

No 0004 0004

Health Level Seven, Version 2.3 © 1997. All rights reserved. Final Standard.

0153

0326

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