Field | Field Description |
---|---|
ABS-1 | Discharge Care Provider |
ABS-2 | Transfer Medical Service Code |
ABS-3 | Severity of Illness Code |
ABS-4 | Date/Time of Attestation |
ABS-5 | Attested By |
ABS-6 | Triage Code |
ABS-7 | Abstract Completion Date/Time |
ABS-8 | Abstracted By |
ABS-9 | Case Category Code |
ABS-10 | Caesarian Section Indicator |
ABS-11 | Gestation Category Code |
ABS-12 | Gestation Period - Weeks |
ABS-13 | Newborn Code |
ABS-14 | Stillborn Indicator |
Field | Field Description |
---|---|
ACC-1 | Accident Date/Time |
ACC-2 | Accident Code |
ACC-3 | Accident Location |
ACC-4 | Auto Accident State |
ACC-5 | Accident Job Related Indicator |
ACC-6 | Accident Death Indicator |
ACC-7 | Entered By |
ACC-8 | Accident Description |
ACC-9 | Brought In By |
ACC-10 | Police Notified Indicator |
ACC-11 | Accident Address |
ACC-12 | Degree of patient liability |
ACC-13 | Accident Identifier |
Field | Field Description |
---|---|
ADD-1 | Addendum Continuation Pointer |
Field | Field Description |
---|---|
ADJ-1 | Provider Adjustment Number |
ADJ-2 | Payer Adjustment Number |
ADJ-3 | Adjustment Sequence Number |
ADJ-4 | Adjustment Category |
ADJ-5 | Adjustment Amount |
ADJ-6 | Adjustment Quantity |
ADJ-7 | Adjustment Reason PA |
ADJ-8 | Adjustment Description |
ADJ-9 | Original Value |
ADJ-10 | Substitute Value |
ADJ-11 | Adjustment Action |
ADJ-12 | Provider Adjustment Number Cross Reference |
ADJ-13 | Provider Product/Service Line Item Number Cross Reference |
ADJ-14 | Adjustment Date |
ADJ-15 | Responsible Organization |
Field | Field Description |
---|---|
AFF-1 | Set ID - AFF |
AFF-2 | Professional Organization |
AFF-3 | Professional Organization Address |
AFF-4 | Professional Organization Affiliation Date Range |
AFF-5 | Professional Affiliation Additional Information |
Field | Field Description |
---|---|
AIG-1 | Set ID - AIG |
AIG-2 | Segment Action Code |
AIG-3 | Resource ID |
AIG-4 | Resource Type |
AIG-5 | Resource Group |
AIG-6 | Resource Quantity |
AIG-7 | Resource Quantity Units |
AIG-8 | Start Date/Time |
AIG-9 | Start Date/Time Offset |
AIG-10 | Start Date/Time Offset Units |
AIG-11 | Duration |
AIG-12 | Duration Units |
AIG-13 | Allow Substitution Code |
AIG-14 | Filler Status Code |
Field | Field Description |
---|---|
AIL-1 | Set ID - AIL |
AIL-2 | Segment Action Code |
AIL-3 | Location Resource ID |
AIL-4 | Location Type - AIL |
AIL-5 | Location Group |
AIL-6 | Start Date/Time |
AIL-7 | Start Date/Time Offset |
AIL-8 | Start Date/Time Offset Units |
AIL-9 | Duration |
AIL-10 | Duration Units |
AIL-11 | Allow Substitution Code |
AIL-12 | Filler Status Code |
Field | Field Description |
---|---|
AIP-1 | Set ID - AIP |
AIP-2 | Segment Action Code |
AIP-3 | Personnel Resource ID |
AIP-4 | Resource Type |
AIP-5 | Resource Group |
AIP-6 | Start Date/Time |
AIP-7 | Start Date/Time Offset |
AIP-8 | Start Date/Time Offset Units |
AIP-9 | Duration |
AIP-10 | Duration Units |
AIP-11 | Allow Substitution Code |
AIP-12 | Filler Status Code |
Field | Field Description |
---|---|
AIS-1 | Set ID - AIS |
AIS-2 | Segment Action Code |
AIS-3 | Universal Service Identifier |
AIS-4 | Start Date/Time |
AIS-5 | Start Date/Time Offset |
AIS-6 | Start Date/Time Offset Units |
AIS-7 | Duration |
AIS-8 | Duration Units |
AIS-9 | Allow Substitution Code |
AIS-10 | Filler Status Code |
AIS-11 | Placer Supplemental Service Information |
AIS-12 | Filler Supplemental Service Information |
Field | Field Description |
---|---|
AL1-1 | Set ID - AL1 |
AL1-2 | Allergen Type Code |
AL1-3 | Allergen Code/Mnemonic/Description |
AL1-4 | Allergy Severity Code |
AL1-5 | Allergy Reaction Code |
AL1-6 | Identification Date |
Field | Field Description |
---|---|
APR-1 | Time Selection Criteria |
APR-2 | Resource Selection Criteria |
APR-3 | Location Selection Criteria |
APR-4 | Slot Spacing Criteria |
APR-5 | Filler Override Criteria |
Field | Field Description |
---|---|
ARQ-1 | Placer Appointment ID |
ARQ-2 | Filler Appointment ID |
ARQ-3 | Occurrence Number |
ARQ-4 | Placer Group Number |
ARQ-5 | Schedule ID |
ARQ-6 | Request Event Reason |
ARQ-7 | Appointment Reason |
ARQ-8 | Appointment Type |
ARQ-9 | Appointment Duration |
ARQ-10 | Appointment Duration Units |
ARQ-11 | Requested Start Date/Time Range |
ARQ-12 | Priority-ARQ |
ARQ-13 | Repeating Interval |
ARQ-14 | Repeating Interval Duration |
ARQ-15 | Placer Contact Person |
ARQ-16 | Placer Contact Phone Number |
ARQ-17 | Placer Contact Address |
ARQ-18 | Placer Contact Location |
ARQ-19 | Entered By Person |
ARQ-20 | Entered By Phone Number |
ARQ-21 | Entered By Location |
ARQ-22 | Parent Placer Appointment ID |
ARQ-23 | Parent Filler Appointment ID |
ARQ-24 | Placer Order Number |
ARQ-25 | Filler Order Number |
Field | Field Description |
---|---|
ARV-1 | Set ID |
ARV-2 | Access Restriction Action Code |
ARV-3 | Access Restriction Value |
ARV-4 | Access Restriction Reason |
ARV-5 | Special Access Restriction Instructions |
ARV-6 | Access Restriction Date Range |
Field | Field Description |
---|---|
AUT-1 | Authorizing Payor, Plan ID |
AUT-2 | Authorizing Payor, Company ID |
AUT-3 | Authorizing Payor, Company Name |
AUT-4 | Authorization Effective Date |
AUT-5 | Authorization Expiration Date |
AUT-6 | Authorization Identifier |
AUT-7 | Reimbursement Limit |
AUT-8 | Requested Number of Treatments |
AUT-9 | Authorized Number of Treatments |
AUT-10 | Process Date |
AUT-11 | Requested Discipline(s) |
AUT-12 | Authorized Discipline(s) |
AUT-13 | Authorization Referral Type |
AUT-14 | Approval Status |
AUT-15 | Planned Treatment Stop Date |
AUT-16 | Clinical Service |
AUT-17 | Reason Text |
AUT-18 | Number of Authorized Treatments/Units |
AUT-19 | Number of Used Treatments/Units |
AUT-20 | Number of Schedule Treatments/Units |
AUT-21 | Encounter Type |
AUT-22 | Remaining Benefit Amount |
AUT-23 | Authorized Provider |
AUT-24 | Authorized Health Professional |
AUT-25 | Source Text |
AUT-26 | Source Date |
AUT-27 | Source Phone |
AUT-28 | Comment |
AUT-29 | Action Code |
Field | Field Description |
---|---|
BHS-1 | Batch Field Separator |
BHS-2 | Batch Encoding Characters |
BHS-3 | Batch Sending Application |
BHS-4 | Batch Sending Facility |
BHS-5 | Batch Receiving Application |
BHS-6 | Batch Receiving Facility |
BHS-7 | Batch Creation Date/Time |
BHS-8 | Batch Security |
BHS-9 | Batch Name/ID/Type |
BHS-10 | Batch Comment |
BHS-11 | Batch Control ID |
BHS-12 | Reference Batch Control ID |
BHS-13 | Batch Sending Network Address |
BHS-14 | Batch Receiving Network Address |
Field | Field Description |
---|---|
BLC-1 | Blood Product Code |
BLC-2 | Blood Amount |
Field | Field Description |
---|---|
BLG-1 | When to Charge |
BLG-2 | Charge Type |
BLG-3 | Account ID |
BLG-4 | Charge Type Reason |
Field | Field Description |
---|---|
BPO-1 | Set ID - BPO |
BPO-2 | BP Universal Service Identifier |
BPO-3 | BP Processing Requirements |
BPO-4 | BP Quantity |
BPO-5 | BP Amount |
BPO-6 | BP Units |
BPO-7 | BP Intended Use Date/Time |
BPO-8 | BP Intended Dispense From Location |
BPO-9 | BP Intended Dispense From Address |
BPO-10 | BP Requested Dispense Date/Time |
BPO-11 | BP Requested Dispense To Location |
BPO-12 | BP Requested Dispense To Address |
BPO-13 | BP Indication for Use |
BPO-14 | BP Informed Consent Indicator |
Field | Field Description |
---|---|
BPX-1 | Set ID - BPX |
BPX-2 | BP Dispense Status |
BPX-3 | BP Status |
BPX-4 | BP Date/Time of Status |
BPX-5 | BC Donation ID |
BPX-6 | BC Component |
BPX-7 | BC Donation Type / Intended Use |
BPX-8 | CP Commercial Product |
BPX-9 | CP Manufacturer |
BPX-10 | CP Lot Number |
BPX-11 | BP Blood Group |
BPX-12 | BC Special Testing |
BPX-13 | BP Expiration Date/Time |
BPX-14 | BP Quantity |
BPX-15 | BP Amount |
BPX-16 | BP Units |
BPX-17 | BP Unique ID |
BPX-18 | BP Actual Dispensed To Location |
BPX-19 | BP Actual Dispensed To Address |
BPX-20 | BP Dispensed to Receiver |
BPX-21 | BP Dispensing Individual |
Field | Field Description |
---|---|
BTS-1 | Batch Message Count |
BTS-2 | Batch Comment |
BTS-3 | Batch Totals |
Field | Field Description |
---|---|
BTX-1 | Set ID - BTX |
BTX-2 | BC Donation ID |
BTX-3 | BC Component |
BTX-4 | BC Blood Group |
BTX-5 | CP Commercial Product |
BTX-6 | CP Manufacturer |
BTX-7 | CP Lot Number |
BTX-8 | BP Quantity |
BTX-9 | BP Amount |
BTX-10 | BP Units |
BTX-11 | BP Transfusion/Disposition Status |
BTX-12 | BP Message Status |
BTX-13 | BP Date/Time of Status |
BTX-14 | BP Transfusion Administrator |
BTX-15 | BP Transfusion Verifier |
BTX-16 | BP Transfusion Start Date/Time of Status |
BTX-17 | BP Transfusion End Date/Time of Status |
BTX-18 | BP Adverse Reaction Type |
BTX-19 | BP Transfusion Interrupted Reason |
BTX-20 | BP Unique ID |
Field | Field Description |
---|---|
BUI-1 | Set ID - BUI |
BUI-2 | Blood Unit Identifier |
BUI-3 | Blood Unit Type |
BUI-4 | Blood Unit Weight |
BUI-5 | Weight Units |
BUI-6 | Blood Unit Volume |
BUI-7 | Volume Units |
BUI-8 | Container Catalog Number |
BUI-9 | Container Lot Number |
BUI-10 | Container Manufacturer |
BUI-11 | Transport Temperature |
BUI-12 | Transport Temperature Units |
Field | Field Description |
---|---|
CDM-1 | Primary Key Value - CDM |
CDM-2 | Charge Code Alias |
CDM-3 | Charge Description Short |
CDM-4 | Charge Description Long |
CDM-5 | Description Override Indicator |
CDM-6 | Exploding Charges |
CDM-7 | Procedure Code |
CDM-8 | Active/Inactive Flag |
CDM-9 | Inventory Number |
CDM-10 | Resource Load |
CDM-11 | Contract Number |
CDM-12 | Contract Organization |
CDM-13 | Room Fee Indicator |
Field | Field Description |
---|---|
CDO-1 | Set ID - CDO |
CDO-2 | Action Code |
CDO-3 | Cumulative Dosage Limit |
CDO-4 | Cumulative Dosage Limit Time Interval |
Field | Field Description |
---|---|
CER-1 | Set ID - CER |
CER-2 | Serial Number |
CER-3 | Version |
CER-4 | Granting Authority |
CER-5 | Issuing Authority |
CER-6 | Signature |
CER-7 | Granting Country |
CER-8 | Granting State/Province |
CER-9 | Granting County/Parish |
CER-10 | Certificate Type |
CER-11 | Certificate Domain |
CER-12 | Subject ID |
CER-13 | Subject Name |
CER-14 | Subject Directory Attribute Extension |
CER-15 | Subject Public Key Info |
CER-16 | Authority Key Identifier |
CER-17 | Basic Constraint |
CER-18 | CRL Distribution Point |
CER-19 | Jurisdiction Country |
CER-20 | Jurisdiction State/Province |
CER-21 | Jurisdiction County/Parish |
CER-22 | Jurisdiction Breadth |
CER-23 | Granting Date |
CER-24 | Issuing Date |
CER-25 | Activation Date |
CER-26 | Inactivation Date |
CER-27 | Expiration Date |
CER-28 | Renewal Date |
CER-29 | Revocation Date |
CER-30 | Revocation Reason Code |
CER-31 | Certificate Status Code |
Field | Field Description |
---|---|
CM0-1 | Set ID - CM0 |
CM0-2 | Sponsor Study ID |
CM0-3 | Alternate Study ID |
CM0-4 | Title of Study |
CM0-5 | Chairman of Study |
CM0-6 | Last IRB Approval Date |
CM0-7 | Total Accrual to Date |
CM0-8 | Last Accrual Date |
CM0-9 | Contact for Study |
CM0-10 | Contact's Telephone Number |
CM0-11 | Contact's Address |
Field | Field Description |
---|---|
CM1-1 | Set ID - CM1 |
CM1-2 | Study Phase Identifier |
CM1-3 | Description of Study Phase |
Field | Field Description |
---|---|
CM2-1 | Set ID- CM2 |
CM2-2 | Scheduled Time Point |
CM2-3 | Description of Time Point |
CM2-4 | Events Scheduled This Time Point |
Field | Field Description |
---|---|
CNS-1 | Starting Notification Reference Number |
CNS-2 | Ending Notification Reference Number |
CNS-3 | Starting Notification Date/Time |
CNS-4 | Ending Notification Date/Time |
CNS-5 | Starting Notification Code |
CNS-6 | Ending Notification Code |
Field | Field Description |
---|---|
CON-1 | Set ID - CON |
CON-2 | Consent Type |
CON-3 | Consent Form ID and Version |
CON-4 | Consent Form Number |
CON-5 | Consent Text |
CON-6 | Subject-specific Consent Text |
CON-7 | Consent Background Information |
CON-8 | Subject-specific Consent Background Text |
CON-9 | Consenter-imposed limitations |
CON-10 | Consent Mode |
CON-11 | Consent Status |
CON-12 | Consent Discussion Date/Time |
CON-13 | Consent Decision Date/Time |
CON-14 | Consent Effective Date/Time |
CON-15 | Consent End Date/Time |
CON-16 | Subject Competence Indicator |
CON-17 | Translator Assistance Indicator |
CON-18 | Language Translated To |
CON-19 | Informational Material Supplied Indicator |
CON-20 | Consent Bypass Reason |
CON-21 | Consent Disclosure Level |
CON-22 | Consent Non-disclosure Reason |
CON-23 | Non-subject Consenter Reason |
CON-24 | Consenter ID |
CON-25 | Relationship to Subject |
Field | Field Description |
---|---|
CSP-1 | Study Phase Identifier |
CSP-2 | Date/time Study Phase Began |
CSP-3 | Date/time Study Phase Ended |
CSP-4 | Study Phase Evaluability |
Field | Field Description |
---|---|
CSR-1 | Sponsor Study ID |
CSR-2 | Alternate Study ID |
CSR-3 | Institution Registering the Patient |
CSR-4 | Sponsor Patient ID |
CSR-5 | Alternate Patient ID - CSR |
CSR-6 | Date/Time of Patient Study Registration |
CSR-7 | Person Performing Study Registration |
CSR-8 | Study Authorizing Provider |
CSR-9 | Date/Time Patient Study Consent Signed |
CSR-10 | Patient Study Eligibility Status |
CSR-11 | Study Randomization Date/time |
CSR-12 | Randomized Study Arm |
CSR-13 | Stratum for Study Randomization |
CSR-14 | Patient Evaluability Status |
CSR-15 | Date/Time Ended Study |
CSR-16 | Reason Ended Study |
Field | Field Description |
---|---|
CSS-1 | Study Scheduled Time Point |
CSS-2 | Study Scheduled Patient Time Point |
CSS-3 | Study Quality Control Codes |
Field | Field Description |
---|---|
CTD-1 | Contact Role |
CTD-2 | Contact Name |
CTD-3 | Contact Address |
CTD-4 | Contact Location |
CTD-5 | Contact Communication Information |
CTD-6 | Preferred Method of Contact |
CTD-7 | Contact Identifiers |
Field | Field Description |
---|---|
CTI-1 | Sponsor Study ID |
CTI-2 | Study Phase Identifier |
CTI-3 | Study Scheduled Time Point |
Field | Field Description |
---|---|
DB1-1 | Set ID - DB1 |
DB1-2 | Disabled Person Code |
DB1-3 | Disabled Person Identifier |
DB1-4 | Disability Indicator |
DB1-5 | Disability Start Date |
DB1-6 | Disability End Date |
DB1-7 | Disability Return to Work Date |
DB1-8 | Disability Unable to Work Date |
Field | Field Description |
---|---|
DG1-1 | Set ID - DG1 |
DG1-2 | Diagnosis Coding Method |
DG1-3 | Diagnosis Code - DG1 |
DG1-4 | Diagnosis Description |
DG1-5 | Diagnosis Date/Time |
DG1-6 | Diagnosis Type |
DG1-7 | Major Diagnostic Category |
DG1-8 | Diagnostic Related Group |
DG1-9 | DRG Approval Indicator |
DG1-10 | DRG Grouper Review Code |
DG1-11 | Outlier Type |
DG1-12 | Outlier Days |
DG1-13 | Outlier Cost |
DG1-14 | Grouper Version And Type |
DG1-15 | Diagnosis Priority |
DG1-16 | Diagnosing Clinician |
DG1-17 | Diagnosis Classification |
DG1-18 | Confidential Indicator |
DG1-19 | Attestation Date/Time |
DG1-20 | Diagnosis Identifier |
DG1-21 | Diagnosis Action Code |
DG1-22 | Parent Diagnosis |
DG1-23 | DRG CCL Value Code |
DG1-24 | DRG Grouping Usage |
DG1-25 | DRG Diagnosis Determination Status |
DG1-26 | Present On Admission (POA) Indicator |
Field | Field Description |
---|---|
DMI-1 | Diagnostic Related Group |
DMI-2 | Major Diagnostic Category |
DMI-3 | Lower and Upper Trim Points |
DMI-4 | Average Length of Stay |
DMI-5 | Relative Weight |
Field | Field Description |
---|---|
DON-1 | Donation Identification Number - DIN |
DON-2 | Donation Type |
DON-3 | Phlebotomy Start Date/Time |
DON-4 | Phlebotomy End Date/Time |
DON-5 | Donation Duration |
DON-6 | Donation Duration Units |
DON-7 | Intended Procedure Type |
DON-8 | Actual Procedure Type |
DON-9 | Donor Eligibility Flag |
DON-10 | Donor Eligibility Procedure Type |
DON-11 | Donor Eligibility Date |
DON-12 | Process Interruption |
DON-13 | Process Interruption Reason |
DON-14 | Phlebotomy Issue |
DON-15 | Intended Recipient Blood Relative |
DON-16 | Intended Recipient Name |
DON-17 | Intended Recipient DOB |
DON-18 | Intended Recipient Facility |
DON-19 | Intended Recipient Procedure Date |
DON-20 | Intended Recipient Ordering Provider |
DON-21 | Phlebotomy Status |
DON-22 | Arm Stick |
DON-23 | Bleed Start Phlebotomist |
DON-24 | Bleed End Phlebotomist |
DON-25 | Aphaeresis Type Machine |
DON-26 | Aphaeresis Machine Serial Number |
DON-27 | Donor Reaction |
DON-28 | Final Review Staff ID |
DON-29 | Final Review Date/Time |
DON-30 | Number of Tubes Collected |
DON-31 | Donation Sample Identifier |
DON-32 | Donation Accept Staff |
DON-33 | Donation Material Review Staff |
Field | Field Description |
---|---|
DRG-1 | Diagnostic Related Group |
DRG-2 | DRG Assigned Date/Time |
DRG-3 | DRG Approval Indicator |
DRG-4 | DRG Grouper Review Code |
DRG-5 | Outlier Type |
DRG-6 | Outlier Days |
DRG-7 | Outlier Cost |
DRG-8 | DRG Payor |
DRG-9 | Outlier Reimbursement |
DRG-10 | Confidential Indicator |
DRG-11 | DRG Transfer Type |
DRG-12 | Name of Coder |
DRG-13 | Grouper Status |
DRG-14 | PCCL Value Code |
DRG-15 | Effective Weight |
DRG-16 | Monetary Amount |
DRG-17 | Status Patient |
DRG-18 | Grouper Software Name |
DRG-19 | Grouper Software Version |
DRG-20 | Status Financial Calculation |
DRG-21 | Relative Discount/Surcharge |
DRG-22 | Basic Charge |
DRG-23 | Total Charge |
DRG-24 | Discount/Surcharge |
DRG-25 | Calculated Days |
DRG-26 | Status Gender |
DRG-27 | Status Age |
DRG-28 | Status Length of Stay |
DRG-29 | Status Same Day Flag |
DRG-30 | Status Separation Mode |
DRG-31 | Status Weight at Birth |
DRG-32 | Status Respiration Minutes |
DRG-33 | Status Admission |
Field | Field Description |
---|---|
DSC-1 | Continuation Pointer |
DSC-2 | Continuation Style |
Field | Field Description |
---|---|
DSP-1 | Set ID - DSP |
DSP-2 | Display Level |
DSP-3 | Data Line |
DSP-4 | Logical Break Point |
DSP-5 | Result ID |
Field | Field Description |
---|---|
ECD-1 | Reference Command Number |
ECD-2 | Remote Control Command |
ECD-3 | Response Required |
ECD-4 | Requested Completion Time |
ECD-5 | Parameters |
Field | Field Description |
---|---|
ECR-1 | Command Response |
ECR-2 | Date/Time Completed |
ECR-3 | Command Response Parameters |
Field | Field Description |
---|---|
EDU-1 | Set ID - EDU |
EDU-2 | Academic Degree |
EDU-3 | Academic Degree Program Date Range |
EDU-4 | Academic Degree Program Participation Date Range |
EDU-5 | Academic Degree Granted Date |
EDU-6 | School |
EDU-7 | School Type Code |
EDU-8 | School Address |
EDU-9 | Major Field of Study |
Field | Field Description |
---|---|
EQP-1 | Event type |
EQP-2 | File Name |
EQP-3 | Start Date/Time |
EQP-4 | End Date/Time |
EQP-5 | Transaction Data |
Field | Field Description |
---|---|
EQU-1 | Equipment Instance Identifier |
EQU-2 | Event Date/Time |
EQU-3 | Equipment State |
EQU-4 | Local/Remote Control State |
EQU-5 | Alert Level |
Field | Field Description |
---|---|
ERR-1 | Error Code and Location |
ERR-2 | Error Location |
ERR-3 | HL7 Error Code |
ERR-4 | Severity |
ERR-5 | Application Error Code |
ERR-6 | Application Error Parameter |
ERR-7 | Diagnostic Information |
ERR-8 | User Message |
ERR-9 | Inform Person Indicator |
ERR-10 | Override Type |
ERR-11 | Override Reason Code |
ERR-12 | Help Desk Contact Point |
Field | Field Description |
---|---|
EVN-1 | Event Type Code |
EVN-2 | Recorded Date/Time |
EVN-3 | Date/Time Planned Event |
EVN-4 | Event Reason Code |
EVN-5 | Operator ID |
EVN-6 | Event Occurred |
EVN-7 | Event Facility |
Field | Field Description |
---|---|
FAC-1 | Facility ID-FAC |
FAC-2 | Facility Type |
FAC-3 | Facility Address |
FAC-4 | Facility Telecommunication |
FAC-5 | Contact Person |
FAC-6 | Contact Title |
FAC-7 | Contact Address |
FAC-8 | Contact Telecommunication |
FAC-9 | Signature Authority |
FAC-10 | Signature Authority Title |
FAC-11 | Signature Authority Address |
FAC-12 | Signature Authority Telecommunication |
Field | Field Description |
---|---|
FHS-1 | File Field Separator |
FHS-2 | File Encoding Characters |
FHS-3 | File Sending Application |
FHS-4 | File Sending Facility |
FHS-5 | File Receiving Application |
FHS-6 | File Receiving Facility |
FHS-7 | File Creation Date/Time |
FHS-8 | File Security |
FHS-9 | File Name/ID |
FHS-10 | File Header Comment |
FHS-11 | File Control ID |
FHS-12 | Reference File Control ID |
FHS-13 | File Sending Network Address |
FHS-14 | File Receiving Network Address |
Field | Field Description |
---|---|
FT1-1 | Set ID - FT1 |
FT1-2 | Transaction ID |
FT1-3 | Transaction Batch ID |
FT1-4 | Transaction Date |
FT1-5 | Transaction Posting Date |
FT1-6 | Transaction Type |
FT1-7 | Transaction Code |
FT1-8 | Transaction Description |
FT1-9 | Transaction Description - Alt |
FT1-10 | Transaction Quantity |
FT1-11 | Transaction Amount - Extended |
FT1-12 | Transaction amount - unit |
FT1-13 | Department Code |
FT1-14 | Health Plan ID |
FT1-15 | Insurance Amount |
FT1-16 | Assigned Patient Location |
FT1-17 | Fee Schedule |
FT1-18 | Patient Type |
FT1-19 | Diagnosis Code - FT1 |
FT1-20 | Performed By Code |
FT1-21 | Ordered By Code |
FT1-22 | Unit Cost |
FT1-23 | Filler Order Number |
FT1-24 | Entered By Code |
FT1-25 | Procedure Code |
FT1-26 | Procedure Code Modifier |
FT1-27 | Advanced Beneficiary Notice Code |
FT1-28 | Medically Necessary Duplicate Procedure Reason |
FT1-29 | NDC Code |
FT1-30 | Payment Reference ID |
FT1-31 | Transaction Reference Key |
FT1-32 | Performing Facility |
FT1-33 | Ordering Facility |
FT1-34 | Item Number |
FT1-35 | Model Number |
FT1-36 | Special Processing Code |
FT1-37 | Clinic Code |
FT1-38 | Referral Number |
FT1-39 | Authorization Number |
FT1-40 | Service Provider Taxonomy Code |
FT1-41 | Revenue Code |
FT1-42 | Prescription Number |
FT1-43 | NDC Qty and UOM |
Field | Field Description |
---|---|
FTS-1 | File Batch Count |
FTS-2 | File Trailer Comment |
Field | Field Description |
---|---|
GOL-1 | Action Code |
GOL-2 | Action Date/Time |
GOL-3 | Goal ID |
GOL-4 | Goal Instance ID |
GOL-5 | Episode of Care ID |
GOL-6 | Goal List Priority |
GOL-7 | Goal Established Date/Time |
GOL-8 | Expected Goal Achieve Date/Time |
GOL-9 | Goal Classification |
GOL-10 | Goal Management Discipline |
GOL-11 | Current Goal Review Status |
GOL-12 | Current Goal Review Date/Time |
GOL-13 | Next Goal Review Date/Time |
GOL-14 | Previous Goal Review Date/Time |
GOL-15 | Goal Review Interval |
GOL-16 | Goal Evaluation |
GOL-17 | Goal Evaluation Comment |
GOL-18 | Goal Life Cycle Status |
GOL-19 | Goal Life Cycle Status Date/Time |
GOL-20 | Goal Target Type |
GOL-21 | Goal Target Name |
GOL-22 | Mood Code |
Field | Field Description |
---|---|
GP1-1 | Type of Bill Code |
GP1-2 | Revenue Code |
GP1-3 | Overall Claim Disposition Code |
GP1-4 | OCE Edits per Visit Code |
GP1-5 | Outlier Cost |
Field | Field Description |
---|---|
GP2-1 | Revenue Code |
GP2-2 | Number of Service Units |
GP2-3 | Charge |
GP2-4 | Reimbursement Action Code |
GP2-5 | Denial or Rejection Code |
GP2-6 | OCE Edit Code |
GP2-7 | Ambulatory Payment Classification Code |
GP2-8 | Modifier Edit Code |
GP2-9 | Payment Adjustment Code |
GP2-10 | Packaging Status Code |
GP2-11 | Expected CMS Payment Amount |
GP2-12 | Reimbursement Type Code |
GP2-13 | Co-Pay Amount |
GP2-14 | Pay Rate per Service Unit |
Field | Field Description |
---|---|
GT1-1 | Set ID - GT1 |
GT1-2 | Guarantor Number |
GT1-3 | Guarantor Name |
GT1-4 | Guarantor Spouse Name |
GT1-5 | Guarantor Address |
GT1-6 | Guarantor Ph Num - Home |
GT1-7 | Guarantor Ph Num - Business |
GT1-8 | Guarantor Date/Time Of Birth |
GT1-9 | Guarantor Administrative Sex |
GT1-10 | Guarantor Type |
GT1-11 | Guarantor Relationship |
GT1-12 | Guarantor SSN |
GT1-13 | Guarantor Date - Begin |
GT1-14 | Guarantor Date - End |
GT1-15 | Guarantor Priority |
GT1-16 | Guarantor Employer Name |
GT1-17 | Guarantor Employer Address |
GT1-18 | Guarantor Employer Phone Number |
GT1-19 | Guarantor Employee ID Number |
GT1-20 | Guarantor Employment Status |
GT1-21 | Guarantor Organization Name |
GT1-22 | Guarantor Billing Hold Flag |
GT1-23 | Guarantor Credit Rating Code |
GT1-24 | Guarantor Death Date And Time |
GT1-25 | Guarantor Death Flag |
GT1-26 | Guarantor Charge Adjustment Code |
GT1-27 | Guarantor Household Annual Income |
GT1-28 | Guarantor Household Size |
GT1-29 | Guarantor Employer ID Number |
GT1-30 | Guarantor Marital Status Code |
GT1-31 | Guarantor Hire Effective Date |
GT1-32 | Employment Stop Date |
GT1-33 | Living Dependency |
GT1-34 | Ambulatory Status |
GT1-35 | Citizenship |
GT1-36 | Primary Language |
GT1-37 | Living Arrangement |
GT1-38 | Publicity Code |
GT1-39 | Protection Indicator |
GT1-40 | Student Indicator |
GT1-41 | Religion |
GT1-42 | Mother's Maiden Name |
GT1-43 | Nationality |
GT1-44 | Ethnic Group |
GT1-45 | Contact Person's Name |
GT1-46 | Contact Person's Telephone Number |
GT1-47 | Contact Reason |
GT1-48 | Contact Relationship |
GT1-49 | Job Title |
GT1-50 | Job Code/Class |
GT1-51 | Guarantor Employer's Organization Name |
GT1-52 | Handicap |
GT1-53 | Job Status |
GT1-54 | Guarantor Financial Class |
GT1-55 | Guarantor Race |
GT1-56 | Guarantor Birth Place |
GT1-57 | VIP Indicator |
Field | Field Description |
---|---|
IAM-1 | Set ID - IAM |
IAM-2 | Allergen Type Code |
IAM-3 | Allergen Code/Mnemonic/Description |
IAM-4 | Allergy Severity Code |
IAM-5 | Allergy Reaction Code |
IAM-6 | Allergy Action Code |
IAM-7 | Allergy Unique Identifier |
IAM-8 | Action Reason |
IAM-9 | Sensitivity to Causative Agent Code |
IAM-10 | Allergen Group Code/Mnemonic/Description |
IAM-11 | Onset Date |
IAM-12 | Onset Date Text |
IAM-13 | Reported Date/Time |
IAM-14 | Reported By |
IAM-15 | Relationship to Patient Code |
IAM-16 | Alert Device Code |
IAM-17 | Allergy Clinical Status Code |
IAM-18 | Statused by Person |
IAM-19 | Statused by Organization |
IAM-20 | Statused at Date/Time |
IAM-21 | Inactivated by Person |
IAM-22 | Inactivated Date/Time |
IAM-23 | Initially Recorded by Person |
IAM-24 | Initially Recorded Date/Time |
IAM-25 | Modified by Person |
IAM-26 | Modified Date/Time |
IAM-27 | Clinician Identified Code |
IAM-28 | Initially Recorded by Organization |
IAM-29 | Modified by Organization |
IAM-30 | Inactivated by Organization |
Field | Field Description |
---|---|
IAR-1 | Allergy Reaction Code |
IAR-2 | Allergy Severity Code |
IAR-3 | Sensitivity to Causative Agent Code |
IAR-4 | Management |
Field | Field Description |
---|---|
IIM-1 | Primary Key Value - IIM |
IIM-2 | Service Item Code |
IIM-3 | Inventory Lot Number |
IIM-4 | Inventory Expiration Date |
IIM-5 | Inventory Manufacturer Name |
IIM-6 | Inventory Location |
IIM-7 | Inventory Received Date |
IIM-8 | Inventory Received Quantity |
IIM-9 | Inventory Received Quantity Unit |
IIM-10 | Inventory Received Item Cost |
IIM-11 | Inventory On Hand Date |
IIM-12 | Inventory On Hand Quantity |
IIM-13 | Inventory On Hand Quantity Unit |
IIM-14 | Procedure Code |
IIM-15 | Procedure Code Modifier |
Field | Field Description |
---|---|
ILT-1 | Set Id - ILT |
ILT-2 | Inventory Lot Number |
ILT-3 | Inventory Expiration Date |
ILT-4 | Inventory Received Date |
ILT-5 | Inventory Received Quantity |
ILT-6 | Inventory Received Quantity Unit |
ILT-7 | Inventory Received Item Cost |
ILT-8 | Inventory On Hand Date |
ILT-9 | Inventory On Hand Quantity |
ILT-10 | Inventory On Hand Quantity Unit |
Field | Field Description |
---|---|
IN1-1 | Set ID - IN1 |
IN1-2 | Health Plan ID |
IN1-3 | Insurance Company ID |
IN1-4 | Insurance Company Name |
IN1-5 | Insurance Company Address |
IN1-6 | Insurance Co Contact Person |
IN1-7 | Insurance Co Phone Number |
IN1-8 | Group Number |
IN1-9 | Group Name |
IN1-10 | Insured's Group Emp ID |
IN1-11 | Insured's Group Emp Name |
IN1-12 | Plan Effective Date |
IN1-13 | Plan Expiration Date |
IN1-14 | Authorization Information |
IN1-15 | Plan Type |
IN1-16 | Name Of Insured |
IN1-17 | Insured's Relationship To Patient |
IN1-18 | Insured's Date Of Birth |
IN1-19 | Insured's Address |
IN1-20 | Assignment Of Benefits |
IN1-21 | Coordination Of Benefits |
IN1-22 | Coord Of Ben. Priority |
IN1-23 | Notice Of Admission Flag |
IN1-24 | Notice Of Admission Date |
IN1-25 | Report Of Eligibility Flag |
IN1-26 | Report Of Eligibility Date |
IN1-27 | Release Information Code |
IN1-28 | Pre-Admit Cert (PAC) |
IN1-29 | Verification Date/Time |
IN1-30 | Verification By |
IN1-31 | Type Of Agreement Code |
IN1-32 | Billing Status |
IN1-33 | Lifetime Reserve Days |
IN1-34 | Delay Before L.R. Day |
IN1-35 | Company Plan Code |
IN1-36 | Policy Number |
IN1-37 | Policy Deductible |
IN1-38 | Policy Limit - Amount |
IN1-39 | Policy Limit - Days |
IN1-40 | Room Rate - Semi-Private |
IN1-41 | Room Rate - Private |
IN1-42 | Insured's Employment Status |
IN1-43 | Insured's Administrative Sex |
IN1-44 | Insured's Employer's Address |
IN1-45 | Verification Status |
IN1-46 | Prior Insurance Plan ID |
IN1-47 | Coverage Type |
IN1-48 | Handicap |
IN1-49 | Insured's ID Number |
IN1-50 | Signature Code |
IN1-51 | Signature Code Date |
IN1-52 | Insured's Birth Place |
IN1-53 | VIP Indicator |
IN1-54 | External Health Plan Identifiers |
IN1-55 | Insurance Action Code |
Field | Field Description |
---|---|
IN2-1 | Insured's Employee ID |
IN2-2 | Insured's Social Security Number |
IN2-3 | Insured's Employer's Name and ID |
IN2-4 | Employer Information Data |
IN2-5 | Mail Claim Party |
IN2-6 | Medicare Health Ins Card Number |
IN2-7 | Medicaid Case Name |
IN2-8 | Medicaid Case Number |
IN2-9 | Military Sponsor Name |
IN2-10 | Military ID Number |
IN2-11 | Dependent Of Military Recipient |
IN2-12 | Military Organization |
IN2-13 | Military Station |
IN2-14 | Military Service |
IN2-15 | Military Rank/Grade |
IN2-16 | Military Status |
IN2-17 | Military Retire Date |
IN2-18 | Military Non-Avail Cert On File |
IN2-19 | Baby Coverage |
IN2-20 | Combine Baby Bill |
IN2-21 | Blood Deductible |
IN2-22 | Special Coverage Approval Name |
IN2-23 | Special Coverage Approval Title |
IN2-24 | Non-Covered Insurance Code |
IN2-25 | Payor ID |
IN2-26 | Payor Subscriber ID |
IN2-27 | Eligibility Source |
IN2-28 | Room Coverage Type/Amount |
IN2-29 | Policy Type/Amount |
IN2-30 | Daily Deductible |
IN2-31 | Living Dependency |
IN2-32 | Ambulatory Status |
IN2-33 | Citizenship |
IN2-34 | Primary Language |
IN2-35 | Living Arrangement |
IN2-36 | Publicity Code |
IN2-37 | Protection Indicator |
IN2-38 | Student Indicator |
IN2-39 | Religion |
IN2-40 | Mother's Maiden Name |
IN2-41 | Nationality |
IN2-42 | Ethnic Group |
IN2-43 | Marital Status |
IN2-44 | Insured's Employment Start Date |
IN2-45 | Employment Stop Date |
IN2-46 | Job Title |
IN2-47 | Job Code/Class |
IN2-48 | Job Status |
IN2-49 | Employer Contact Person Name |
IN2-50 | Employer Contact Person Phone Number |
IN2-51 | Employer Contact Reason |
IN2-52 | Insured's Contact Person's Name |
IN2-53 | Insured's Contact Person Phone Number |
IN2-54 | Insured's Contact Person Reason |
IN2-55 | Relationship to the Patient Start Date |
IN2-56 | Relationship to the Patient Stop Date |
IN2-57 | Insurance Co Contact Reason |
IN2-58 | Insurance Co Contact Phone Number |
IN2-59 | Policy Scope |
IN2-60 | Policy Source |
IN2-61 | Patient Member Number |
IN2-62 | Guarantor's Relationship to Insured |
IN2-63 | Insured's Phone Number - Home |
IN2-64 | Insured's Employer Phone Number |
IN2-65 | Military Handicapped Program |
IN2-66 | Suspend Flag |
IN2-67 | Copay Limit Flag |
IN2-68 | Stoploss Limit Flag |
IN2-69 | Insured Organization Name and ID |
IN2-70 | Insured Employer Organization Name and ID |
IN2-71 | Race |
IN2-72 | Patient's Relationship to Insured |
Field | Field Description |
---|---|
IN3-1 | Set ID - IN3 |
IN3-2 | Certification Number |
IN3-3 | Certified By |
IN3-4 | Certification Required |
IN3-5 | Penalty |
IN3-6 | Certification Date/Time |
IN3-7 | Certification Modify Date/Time |
IN3-8 | Operator |
IN3-9 | Certification Begin Date |
IN3-10 | Certification End Date |
IN3-11 | Days |
IN3-12 | Non-Concur Code/Description |
IN3-13 | Non-Concur Effective Date/Time |
IN3-14 | Physician Reviewer |
IN3-15 | Certification Contact |
IN3-16 | Certification Contact Phone Number |
IN3-17 | Appeal Reason |
IN3-18 | Certification Agency |
IN3-19 | Certification Agency Phone Number |
IN3-20 | Pre-Certification Requirement |
IN3-21 | Case Manager |
IN3-22 | Second Opinion Date |
IN3-23 | Second Opinion Status |
IN3-24 | Second Opinion Documentation Received |
IN3-25 | Second Opinion Physician |
IN3-26 | Certification Type |
IN3-27 | Certification Category |
Field | Field Description |
---|---|
INV-1 | Substance Identifier |
INV-2 | Substance Status |
INV-3 | Substance Type |
INV-4 | Inventory Container Identifier |
INV-5 | Container Carrier Identifier |
INV-6 | Position on Carrier |
INV-7 | Initial Quantity |
INV-8 | Current Quantity |
INV-9 | Available Quantity |
INV-10 | Consumption Quantity |
INV-11 | Quantity Units |
INV-12 | Expiration Date/Time |
INV-13 | First Used Date/Time |
INV-14 | On Board Stability Duration |
INV-15 | Test/Fluid Identifier(s) |
INV-16 | Manufacturer Lot Number |
INV-17 | Manufacturer Identifier |
INV-18 | Supplier Identifier |
INV-19 | On Board Stability Time |
INV-20 | Target Value |
Field | Field Description |
---|---|
IPC-1 | Accession Identifier |
IPC-2 | Requested Procedure ID |
IPC-3 | Study Instance UID |
IPC-4 | Scheduled Procedure Step ID |
IPC-5 | Modality |
IPC-6 | Protocol Code |
IPC-7 | Scheduled Station Name |
IPC-8 | Scheduled Procedure Step Location |
IPC-9 | Scheduled Station AE Title |
Field | Field Description |
---|---|
IPR-1 | IPR Identifier |
IPR-2 | Provider Cross Reference Identifier |
IPR-3 | Payer Cross Reference Identifier |
IPR-4 | IPR Status |
IPR-5 | IPR Date/Time |
IPR-6 | Adjudicated/Paid Amount |
IPR-7 | Expected Payment Date/Time |
IPR-8 | IPR Checksum |
Field | Field Description |
---|---|
ISD-1 | Reference Interaction Number |
ISD-2 | Interaction Type Identifier |
ISD-3 | Interaction Active State |
Field | Field Description |
---|---|
ITM-1 | Item Identifier |
ITM-2 | Item Description |
ITM-3 | Item Status |
ITM-4 | Item Type |
ITM-5 | Item Category |
ITM-6 | Subject to Expiration Indicator |
ITM-7 | Manufacturer Identifier |
ITM-8 | Manufacturer Name |
ITM-9 | Manufacturer Catalog Number |
ITM-10 | Manufacturer Labeler Identification Code |
ITM-11 | Patient Chargeable Indicator |
ITM-12 | Transaction Code |
ITM-13 | Transaction amount - unit |
ITM-14 | Stocked Item Indicator |
ITM-15 | Supply Risk Codes |
ITM-16 | Approving Regulatory Agency |
ITM-17 | Latex Indicator |
ITM-18 | Ruling Act |
ITM-19 | Item Natural Account Code |
ITM-20 | Approved To Buy Quantity |
ITM-21 | Approved To Buy Price |
ITM-22 | Taxable Item Indicator |
ITM-23 | Freight Charge Indicator |
ITM-24 | Item Set Indicator |
ITM-25 | Item Set Identifier |
ITM-26 | Track Department Usage Indicator |
ITM-27 | Procedure Code |
ITM-28 | Procedure Code Modifier |
ITM-29 | Special Handling Code |
ITM-30 | Hazardous Indicator |
ITM-31 | Sterile Indicator |
ITM-32 | Material Data Safety Sheet Number |
ITM-33 | United Nations Standard Products and Services Code (UNSPSC) |
Field | Field Description |
---|---|
IVC-1 | Provider Invoice Number |
IVC-2 | Payer Invoice Number |
IVC-3 | Contract/Agreement Number |
IVC-4 | Invoice Control |
IVC-5 | Invoice Reason |
IVC-6 | Invoice Type |
IVC-7 | Invoice Date/Time |
IVC-8 | Invoice Amount |
IVC-9 | Payment Terms |
IVC-10 | Provider Organization |
IVC-11 | Payer Organization |
IVC-12 | Attention |
IVC-13 | Last Invoice Indicator |
IVC-14 | Invoice Booking Period |
IVC-15 | Origin |
IVC-16 | Invoice Fixed Amount |
IVC-17 | Special Costs |
IVC-18 | Amount for Doctors Treatment |
IVC-19 | Responsible Physician |
IVC-20 | Cost Center |
IVC-21 | Invoice Prepaid Amount |
IVC-22 | Total Invoice Amount without Prepaid Amount |
IVC-23 | Total-Amount of VAT |
IVC-24 | VAT-Rates applied |
IVC-25 | Benefit Group |
IVC-26 | Provider Tax ID |
IVC-27 | Payer Tax ID |
IVC-28 | Provider Tax Status |
IVC-29 | Payer Tax Status |
IVC-30 | Sales Tax ID |
Field | Field Description |
---|---|
IVT-1 | Set Id - IVT |
IVT-2 | Inventory Location Identifier |
IVT-3 | Inventory Location Name |
IVT-4 | Source Location Identifier |
IVT-5 | Source Location Name |
IVT-6 | Item Status |
IVT-7 | Bin Location Identifier |
IVT-8 | Order Packaging |
IVT-9 | Issue Packaging |
IVT-10 | Default Inventory Asset Account |
IVT-11 | Patient Chargeable Indicator |
IVT-12 | Transaction Code |
IVT-13 | Transaction amount - unit |
IVT-14 | Item Importance Code |
IVT-15 | Stocked Item Indicator |
IVT-16 | Consignment Item Indicator |
IVT-17 | Reusable Item Indicator |
IVT-18 | Reusable Cost |
IVT-19 | Substitute Item Identifier |
IVT-20 | Latex-Free Substitute Item Identifier |
IVT-21 | Recommended Reorder Theory |
IVT-22 | Recommended Safety Stock Days |
IVT-23 | Recommended Maximum Days Inventory |
IVT-24 | Recommended Order Point |
IVT-25 | Recommended Order Amount |
IVT-26 | Operating Room Par Level Indicator |
Field | Field Description |
---|---|
LAN-1 | Set ID - LAN |
LAN-2 | Language Code |
LAN-3 | Language Ability Code |
LAN-4 | Language Proficiency Code |
Field | Field Description |
---|---|
LCC-1 | Primary Key Value - LCC |
LCC-2 | Location Department |
LCC-3 | Accommodation Type |
LCC-4 | Charge Code |
Field | Field Description |
---|---|
LCH-1 | Primary Key Value - LCH |
LCH-2 | Segment Action Code |
LCH-3 | Segment Unique Key |
LCH-4 | Location Characteristic ID |
LCH-5 | Location Characteristic Value - LCH |
Field | Field Description |
---|---|
LDP-1 | Primary Key Value - LDP |
LDP-2 | Location Department |
LDP-3 | Location Service |
LDP-4 | Specialty Type |
LDP-5 | Valid Patient Classes |
LDP-6 | Active/Inactive Flag |
LDP-7 | Activation Date - LDP |
LDP-8 | Inactivation Date - LDP |
LDP-9 | Inactivated Reason |
LDP-10 | Visiting Hours |
LDP-11 | Contact Phone |
LDP-12 | Location Cost Center |
Field | Field Description |
---|---|
LOC-1 | Primary Key Value - LOC |
LOC-2 | Location Description |
LOC-3 | Location Type - LOC |
LOC-4 | Organization Name - LOC |
LOC-5 | Location Address |
LOC-6 | Location Phone |
LOC-7 | License Number |
LOC-8 | Location Equipment |
LOC-9 | Location Service Code |
Field | Field Description |
---|---|
LRL-1 | Primary Key Value - LRL |
LRL-2 | Segment Action Code |
LRL-3 | Segment Unique Key |
LRL-4 | Location Relationship ID |
LRL-5 | Organizational Location Relationship Value |
LRL-6 | Patient Location Relationship Value |
Field | Field Description |
---|---|
MFA-1 | Record-Level Event Code |
MFA-2 | MFN Control ID |
MFA-3 | Event Completion Date/Time |
MFA-4 | MFN Record Level Error Return |
MFA-5 | Primary Key Value - MFA |
MFA-6 | Primary Key Value Type - MFA |
Field | Field Description |
---|---|
MFE-1 | Record-Level Event Code |
MFE-2 | MFN Control ID |
MFE-3 | Effective Date/Time |
MFE-4 | Primary Key Value - MFE |
MFE-5 | Primary Key Value Type |
MFE-6 | Entered Date/Time |
MFE-7 | Entered By |
Field | Field Description |
---|---|
MFI-1 | Master File Identifier |
MFI-2 | Master File Application Identifier |
MFI-3 | File-Level Event Code |
MFI-4 | Entered Date/Time |
MFI-5 | Effective Date/Time |
MFI-6 | Response Level Code |
Field | Field Description |
---|---|
MRG-1 | Prior Patient Identifier List |
MRG-2 | Prior Alternate Patient ID |
MRG-3 | Prior Patient Account Number |
MRG-4 | Prior Patient ID |
MRG-5 | Prior Visit Number |
MRG-6 | Prior Alternate Visit ID |
MRG-7 | Prior Patient Name |
Field | Field Description |
---|---|
MSA-1 | Acknowledgment Code |
MSA-2 | Message Control ID |
MSA-3 | Text Message |
MSA-4 | Expected Sequence Number |
MSA-5 | Delayed Acknowledgment Type |
MSA-6 | Error Condition |
MSA-7 | Message Waiting Number |
MSA-8 | Message Waiting Priority |
Field | Field Description |
---|---|
MSH-1 | Field Separator |
MSH-2 | Encoding Characters |
MSH-3 | Sending Application |
MSH-4 | Sending Facility |
MSH-5 | Receiving Application |
MSH-6 | Receiving Facility |
MSH-7 | Date/Time of Message |
MSH-8 | Security |
MSH-9 | Message Type |
MSH-10 | Message Control ID |
MSH-11 | Processing ID |
MSH-12 | Version ID |
MSH-13 | Sequence Number |
MSH-14 | Continuation Pointer |
MSH-15 | Accept Acknowledgment Type |
MSH-16 | Application Acknowledgment Type |
MSH-17 | Country Code |
MSH-18 | Character Set |
MSH-19 | Principal Language Of Message |
MSH-20 | Alternate Character Set Handling Scheme |
MSH-21 | Message Profile Identifier |
MSH-22 | Sending Responsible Organization |
MSH-23 | Receiving Responsible Organization |
MSH-24 | Sending Network Address |
MSH-25 | Receiving Network Address |
Field | Field Description |
---|---|
NCK-1 | System Date/Time |
Field | Field Description |
---|---|
NDS-1 | Notification Reference Number |
NDS-2 | Notification Date/Time |
NDS-3 | Notification Alert Severity |
NDS-4 | Notification Code |
Field | Field Description |
---|---|
NK1-1 | Set ID - NK1 |
NK1-2 | Name |
NK1-3 | Relationship |
NK1-4 | Address |
NK1-5 | Phone Number |
NK1-6 | Business Phone Number |
NK1-7 | Contact Role |
NK1-8 | Start Date |
NK1-9 | End Date |
NK1-10 | Next of Kin / Associated Parties Job Title |
NK1-11 | Next of Kin / Associated Parties Job Code/Class |
NK1-12 | Next of Kin / Associated Parties Employee Number |
NK1-13 | Organization Name - NK1 |
NK1-14 | Marital Status |
NK1-15 | Administrative Sex |
NK1-16 | Date/Time of Birth |
NK1-17 | Living Dependency |
NK1-18 | Ambulatory Status |
NK1-19 | Citizenship |
NK1-20 | Primary Language |
NK1-21 | Living Arrangement |
NK1-22 | Publicity Code |
NK1-23 | Protection Indicator |
NK1-24 | Student Indicator |
NK1-25 | Religion |
NK1-26 | Mother's Maiden Name |
NK1-27 | Nationality |
NK1-28 | Ethnic Group |
NK1-29 | Contact Reason |
NK1-30 | Contact Person's Name |
NK1-31 | Contact Person's Telephone Number |
NK1-32 | Contact Person's Address |
NK1-33 | Next of Kin/Associated Party's Identifiers |
NK1-34 | Job Status |
NK1-35 | Race |
NK1-36 | Handicap |
NK1-37 | Contact Person Social Security Number |
NK1-38 | Next of Kin Birth Place |
NK1-39 | VIP Indicator |
NK1-40 | Next of Kin Telecommunication Information |
NK1-41 | Contact Person's Telecommunication Information |
Field | Field Description |
---|---|
NPU-1 | Bed Location |
NPU-2 | Bed Status |
Field | Field Description |
---|---|
NSC-1 | Application Change Type |
NSC-2 | Current CPU |
NSC-3 | Current Fileserver |
NSC-4 | Current Application |
NSC-5 | Current Facility |
NSC-6 | New CPU |
NSC-7 | New Fileserver |
NSC-8 | New Application |
NSC-9 | New Facility |
Field | Field Description |
---|---|
NST-1 | Statistics Available |
NST-2 | Source Identifier |
NST-3 | Source Type |
NST-4 | Statistics Start |
NST-5 | Statistics End |
NST-6 | Receive Character Count |
NST-7 | Send Character Count |
NST-8 | Messages Received |
NST-9 | Messages Sent |
NST-10 | Checksum Errors Received |
NST-11 | Length Errors Received |
NST-12 | Other Errors Received |
NST-13 | Connect Timeouts |
NST-14 | Receive Timeouts |
NST-15 | Application control-level Errors |
Field | Field Description |
---|---|
NTE-1 | Set ID - NTE |
NTE-2 | Source of Comment |
NTE-3 | Comment |
NTE-4 | Comment Type |
NTE-5 | Entered By |
NTE-6 | Entered Date/Time |
NTE-7 | Effective Start Date |
NTE-8 | Expiration Date |
Field | Field Description |
---|---|
OBR-1 | Set ID - OBR |
OBR-2 | Placer Order Number |
OBR-3 | Filler Order Number |
OBR-4 | Universal Service Identifier |
OBR-5 | Priority |
OBR-6 | Requested Date/Time |
OBR-7 | Observation Date/Time # |
OBR-8 | Observation End Date/Time # |
OBR-9 | Collection Volume * |
OBR-10 | Collector Identifier * |
OBR-11 | Specimen Action Code * |
OBR-12 | Danger Code |
OBR-13 | Relevant Clinical Information |
OBR-14 | Specimen Received Date/Time |
OBR-15 | Specimen Source |
OBR-16 | Ordering Provider |
OBR-17 | Order Callback Phone Number |
OBR-18 | Placer Field 1 |
OBR-19 | Placer Field 2 |
OBR-20 | Filler Field 1 + |
OBR-21 | Filler Field 2 + |
OBR-22 | Results Rpt/Status Chng - Date/Time + |
OBR-23 | Charge to Practice + |
OBR-24 | Diagnostic Serv Sect ID |
OBR-25 | Result Status + |
OBR-26 | Parent Result + |
OBR-27 | Quantity/Timing |
OBR-28 | Result Copies To |
OBR-29 | Parent Results Observation Identifier |
OBR-30 | Transportation Mode |
OBR-31 | Reason for Study |
OBR-32 | Principal Result Interpreter + |
OBR-33 | Assistant Result Interpreter + |
OBR-34 | Technician + |
OBR-35 | Transcriptionist + |
OBR-36 | Scheduled Date/Time + |
OBR-37 | Number of Sample Containers * |
OBR-38 | Transport Logistics of Collected Sample * |
OBR-39 | Collector's Comment * |
OBR-40 | Transport Arrangement Responsibility |
OBR-41 | Transport Arranged |
OBR-42 | Escort Required |
OBR-43 | Planned Patient Transport Comment |
OBR-44 | Procedure Code |
OBR-45 | Procedure Code Modifier |
OBR-46 | Placer Supplemental Service Information |
OBR-47 | Filler Supplemental Service Information |
OBR-48 | Medically Necessary Duplicate Procedure Reason |
OBR-49 | Result Handling |
OBR-50 | Parent Universal Service Identifier |
OBR-51 | Observation Group ID |
OBR-52 | Parent Observation Group ID |
OBR-53 | Alternate Placer Order Number |
OBR-54 | Parent Order |
Field | Field Description |
---|---|
OBX-1 | Set ID - OBX |
OBX-2 | Value Type |
OBX-3 | Observation Identifier |
OBX-4 | Observation Sub-ID |
OBX-5 | Observation Value |
OBX-6 | Units |
OBX-7 | References Range |
OBX-8 | Interpretation Codes |
OBX-9 | Probability |
OBX-10 | Nature of Abnormal Test |
OBX-11 | Observation Result Status |
OBX-12 | Effective Date of Reference Range |
OBX-13 | User Defined Access Checks |
OBX-14 | Date/Time of the Observation |
OBX-15 | Producer's ID |
OBX-16 | Responsible Observer |
OBX-17 | Observation Method |
OBX-18 | Equipment Instance Identifier |
OBX-19 | Date/Time of the Analysis |
OBX-20 | Observation Site |
OBX-21 | Observation Instance Identifier |
OBX-22 | Mood Code |
OBX-23 | Performing Organization Name |
OBX-24 | Performing Organization Address |
OBX-25 | Performing Organization Medical Director |
OBX-26 | Patient Results Release Category |
OBX-27 | Root Cause |
OBX-28 | Local Process Control |
Field | Field Description |
---|---|
ODS-1 | Type |
ODS-2 | Service Period |
ODS-3 | Diet, Supplement, or Preference Code |
ODS-4 | Text Instruction |
Field | Field Description |
---|---|
ODT-1 | Tray Type |
ODT-2 | Service Period |
ODT-3 | Text Instruction |
Field | Field Description |
---|---|
OM1-1 | Sequence Number - Test/Observation Master File |
OM1-2 | Producer's Service/Test/Observation ID |
OM1-3 | Permitted Data Types |
OM1-4 | Specimen Required |
OM1-5 | Producer ID |
OM1-6 | Observation Description |
OM1-7 | Other Service/Test/Observation IDs for the Observation |
OM1-8 | Other Names |
OM1-9 | Preferred Report Name for the Observation |
OM1-10 | Preferred Short Name or Mnemonic for the Observation |
OM1-11 | Preferred Long Name for the Observation |
OM1-12 | Orderability |
OM1-13 | Identity of Instrument Used to Perform this Study |
OM1-14 | Coded Representation of Method |
OM1-15 | Portable Device Indicator |
OM1-16 | Observation Producing Department/Section |
OM1-17 | Telephone Number of Section |
OM1-18 | Nature of Service/Test/Observation |
OM1-19 | Report Subheader |
OM1-20 | Report Display Order |
OM1-21 | Date/Time Stamp for Any Change in Definition for the Observation |
OM1-22 | Effective Date/Time of Change |
OM1-23 | Typical Turn-Around Time |
OM1-24 | Processing Time |
OM1-25 | Processing Priority |
OM1-26 | Reporting Priority |
OM1-27 | Outside Site(s) Where Observation May Be Performed |
OM1-28 | Address of Outside Site(s) |
OM1-29 | Phone Number of Outside Site |
OM1-30 | Confidentiality Code |
OM1-31 | Observations Required to Interpret this Observation |
OM1-32 | Interpretation of Observations |
OM1-33 | Contraindications to Observations |
OM1-34 | Reflex Tests/Observations |
OM1-35 | Rules that Trigger Reflex Testing |
OM1-36 | Fixed Canned Message |
OM1-37 | Patient Preparation |
OM1-38 | Procedure Medication |
OM1-39 | Factors that may Affect the Observation |
OM1-40 | Service/Test/Observation Performance Schedule |
OM1-41 | Description of Test Methods |
OM1-42 | Kind of Quantity Observed |
OM1-43 | Point Versus Interval |
OM1-44 | Challenge Information |
OM1-45 | Relationship Modifier |
OM1-46 | Target Anatomic Site Of Test |
OM1-47 | Modality of Imaging Measurement |
OM1-48 | Exclusive Test |
OM1-49 | Diagnostic Serv Sect ID |
OM1-50 | Taxonomic Classification Code |
OM1-51 | Other Names |
Field | Field Description |
---|---|
OM2-1 | Sequence Number - Test/Observation Master File |
OM2-2 | Units of Measure |
OM2-3 | Range of Decimal Precision |
OM2-4 | Corresponding SI Units of Measure |
OM2-5 | SI Conversion Factor |
OM2-6 | Reference (Normal) Range for Ordinal and Continuous Observations |
OM2-7 | Critical Range for Ordinal and Continuous Observations |
OM2-8 | Absolute Range for Ordinal and Continuous Observations |
OM2-9 | Delta Check Criteria |
OM2-10 | Minimum Meaningful Increments |
Field | Field Description |
---|---|
OM3-1 | Sequence Number - Test/Observation Master File |
OM3-2 | Preferred Coding System |
OM3-3 | Valid Coded Answers |
OM3-4 | Normal Text/Codes for Categorical Observations |
OM3-5 | Abnormal Text/Codes for Categorical Observations |
OM3-6 | Critical Text/Codes for Categorical Observations |
OM3-7 | Value Type |
Field | Field Description |
---|---|
OM4-1 | Sequence Number - Test/Observation Master File |
OM4-2 | Derived Specimen |
OM4-3 | Container Description |
OM4-4 | Container Volume |
OM4-5 | Container Units |
OM4-6 | Specimen |
OM4-7 | Additive |
OM4-8 | Preparation |
OM4-9 | Special Handling Requirements |
OM4-10 | Normal Collection Volume |
OM4-11 | Minimum Collection Volume |
OM4-12 | Specimen Requirements |
OM4-13 | Specimen Priorities |
OM4-14 | Specimen Retention Time |
OM4-15 | Specimen Handling Code |
OM4-16 | Specimen Preference |
OM4-17 | Preferred Specimen/Attribture Sequence ID |
OM4-18 | Taxonomic Classification Code |
Field | Field Description |
---|---|
OM5-1 | Sequence Number - Test/Observation Master File |
OM5-2 | Test/Observations Included Within an Ordered Test Battery |
OM5-3 | Observation ID Suffixes |
Field | Field Description |
---|---|
OM6-1 | Sequence Number - Test/Observation Master File |
OM6-2 | Derivation Rule |
Field | Field Description |
---|---|
OM7-1 | Sequence Number - Test/Observation Master File |
OM7-2 | Universal Service Identifier |
OM7-3 | Category Identifier |
OM7-4 | Category Description |
OM7-5 | Category Synonym |
OM7-6 | Effective Test/Service Start Date/Time |
OM7-7 | Effective Test/Service End Date/Time |
OM7-8 | Test/Service Default Duration Quantity |
OM7-9 | Test/Service Default Duration Units |
OM7-10 | Test/Service Default Frequency |
OM7-11 | Consent Indicator |
OM7-12 | Consent Identifier |
OM7-13 | Consent Effective Start Date/Time |
OM7-14 | Consent Effective End Date/Time |
OM7-15 | Consent Interval Quantity |
OM7-16 | Consent Interval Units |
OM7-17 | Consent Waiting Period Quantity |
OM7-18 | Consent Waiting Period Units |
OM7-19 | Effective Date/Time of Change |
OM7-20 | Entered By |
OM7-21 | Orderable-at Location |
OM7-22 | Formulary Status |
OM7-23 | Special Order Indicator |
OM7-24 | Primary Key Value - CDM |
Field | Field Description |
---|---|
ORC-1 | Order Control |
ORC-2 | Placer Order Number |
ORC-3 | Filler Order Number |
ORC-4 | Placer Group Number |
ORC-5 | Order Status |
ORC-6 | Response Flag |
ORC-7 | Quantity/Timing |
ORC-8 | Parent Order |
ORC-9 | Date/Time of Transaction |
ORC-10 | Entered By |
ORC-11 | Verified By |
ORC-12 | Ordering Provider |
ORC-13 | Enterer's Location |
ORC-14 | Call Back Phone Number |
ORC-15 | Order Effective Date/Time |
ORC-16 | Order Control Code Reason |
ORC-17 | Entering Organization |
ORC-18 | Entering Device |
ORC-19 | Action By |
ORC-20 | Advanced Beneficiary Notice Code |
ORC-21 | Ordering Facility Name |
ORC-22 | Ordering Facility Address |
ORC-23 | Ordering Facility Phone Number |
ORC-24 | Ordering Provider Address |
ORC-25 | Order Status Modifier |
ORC-26 | Advanced Beneficiary Notice Override Reason |
ORC-27 | Filler's Expected Availability Date/Time |
ORC-28 | Confidentiality Code |
ORC-29 | Order Type |
ORC-30 | Enterer Authorization Mode |
ORC-31 | Parent Universal Service Identifier |
ORC-32 | Advanced Beneficiary Notice Date |
ORC-33 | Alternate Placer Order Number |
ORC-34 | Order Workflow Profile |
Field | Field Description |
---|---|
ORG-1 | Set ID - ORG |
ORG-2 | Organization Unit Code |
ORG-3 | Organization Unit Type Code |
ORG-4 | Primary Org Unit Indicator |
ORG-5 | Practitioner Org Unit Identifier |
ORG-6 | Health Care Provider Type Code |
ORG-7 | Health Care Provider Classification Code |
ORG-8 | Health Care Provider Area of Specialization Code |
ORG-9 | Effective Date Range |
ORG-10 | Employment Status Code |
ORG-11 | Board Approval Indicator |
ORG-12 | Primary Care Physician Indicator |
ORG-13 | Cost Center Code |
Field | Field Description |
---|---|
OVR-1 | Business Rule Override Type |
OVR-2 | Business Rule Override Code |
OVR-3 | Override Comments |
OVR-4 | Override Entered By |
OVR-5 | Override Authorized By |
Field | Field Description |
---|---|
PAC-1 | Set Id - PAC |
PAC-2 | Package ID |
PAC-3 | Parent Package ID |
PAC-4 | Position in Parent Package |
PAC-5 | Package Type |
PAC-6 | Package Condition |
PAC-7 | Package Handling Code |
PAC-8 | Package Risk Code |
Field | Field Description |
---|---|
PCE-1 | Set ID - PCE |
PCE-2 | Cost Center Account Number |
PCE-3 | Transaction Code |
PCE-4 | Transaction amount - unit |
Field | Field Description |
---|---|
PCR-1 | Implicated Product |
PCR-2 | Generic Product |
PCR-3 | Product Class |
PCR-4 | Total Duration Of Therapy |
PCR-5 | Product Manufacture Date |
PCR-6 | Product Expiration Date |
PCR-7 | Product Implantation Date |
PCR-8 | Product Explantation Date |
PCR-9 | Single Use Device |
PCR-10 | Indication For Product Use |
PCR-11 | Product Problem |
PCR-12 | Product Serial/Lot Number |
PCR-13 | Product Available For Inspection |
PCR-14 | Product Evaluation Performed |
PCR-15 | Product Evaluation Status |
PCR-16 | Product Evaluation Results |
PCR-17 | Evaluated Product Source |
PCR-18 | Date Product Returned To Manufacturer |
PCR-19 | Device Operator Qualifications |
PCR-20 | Relatedness Assessment |
PCR-21 | Action Taken In Response To The Event |
PCR-22 | Event Causality Observations |
PCR-23 | Indirect Exposure Mechanism |
Field | Field Description |
---|---|
PD1-1 | Living Dependency |
PD1-2 | Living Arrangement |
PD1-3 | Patient Primary Facility |
PD1-4 | Patient Primary Care Provider Name & ID No. |
PD1-5 | Student Indicator |
PD1-6 | Handicap |
PD1-7 | Living Will Code |
PD1-8 | Organ Donor Code |
PD1-9 | Separate Bill |
PD1-10 | Duplicate Patient |
PD1-11 | Publicity Code |
PD1-12 | Protection Indicator |
PD1-13 | Protection Indicator Effective Date |
PD1-14 | Place of Worship |
PD1-15 | Advance Directive Code |
PD1-16 | Immunization Registry Status |
PD1-17 | Immunization Registry Status Effective Date |
PD1-18 | Publicity Code Effective Date |
PD1-19 | Military Branch |
PD1-20 | Military Rank/Grade |
PD1-21 | Military Status |
PD1-22 | Advance Directive Last Verified Date |
Field | Field Description |
---|---|
PDA-1 | Death Cause Code |
PDA-2 | Death Location |
PDA-3 | Death Certified Indicator |
PDA-4 | Death Certificate Signed Date/Time |
PDA-5 | Death Certified By |
PDA-6 | Autopsy Indicator |
PDA-7 | Autopsy Start and End Date/Time |
PDA-8 | Autopsy Performed By |
PDA-9 | Coroner Indicator |
Field | Field Description |
---|---|
PDC-1 | Manufacturer/Distributor |
PDC-2 | Country |
PDC-3 | Brand Name |
PDC-4 | Device Family Name |
PDC-5 | Generic Name |
PDC-6 | Model Identifier |
PDC-7 | Catalogue Identifier |
PDC-8 | Other Identifier |
PDC-9 | Product Code |
PDC-10 | Marketing Basis |
PDC-11 | Marketing Approval ID |
PDC-12 | Labeled Shelf Life |
PDC-13 | Expected Shelf Life |
PDC-14 | Date First Marketed |
PDC-15 | Date Last Marketed |
Field | Field Description |
---|---|
PEO-1 | Event Identifiers Used |
PEO-2 | Event Symptom/Diagnosis Code |
PEO-3 | Event Onset Date/Time |
PEO-4 | Event Exacerbation Date/Time |
PEO-5 | Event Improved Date/Time |
PEO-6 | Event Ended Data/Time |
PEO-7 | Event Location Occurred Address |
PEO-8 | Event Qualification |
PEO-9 | Event Serious |
PEO-10 | Event Expected |
PEO-11 | Event Outcome |
PEO-12 | Patient Outcome |
PEO-13 | Event Description from Others |
PEO-14 | Event Description from Original Reporter |
PEO-15 | Event Description from Patient |
PEO-16 | Event Description from Practitioner |
PEO-17 | Event Description from Autopsy |
PEO-18 | Cause Of Death |
PEO-19 | Primary Observer Name |
PEO-20 | Primary Observer Address |
PEO-21 | Primary Observer Telephone |
PEO-22 | Primary Observer's Qualification |
PEO-23 | Confirmation Provided By |
PEO-24 | Primary Observer Aware Date/Time |
PEO-25 | Primary Observer's identity May Be Divulged |
Field | Field Description |
---|---|
PES-1 | Sender Organization Name |
PES-2 | Sender Individual Name |
PES-3 | Sender Address |
PES-4 | Sender Telephone |
PES-5 | Sender Event Identifier |
PES-6 | Sender Sequence Number |
PES-7 | Sender Event Description |
PES-8 | Sender Comment |
PES-9 | Sender Aware Date/Time |
PES-10 | Event Report Date |
PES-11 | Event Report Timing/Type |
PES-12 | Event Report Source |
PES-13 | Event Reported To |
Field | Field Description |
---|---|
PID-1 | Set ID - PID |
PID-2 | Patient ID |
PID-3 | Patient Identifier List |
PID-4 | Alternate Patient ID - PID |
PID-5 | Patient Name |
PID-6 | Mother's Maiden Name |
PID-7 | Date/Time of Birth |
PID-8 | Administrative Sex |
PID-9 | Patient Alias |
PID-10 | Race |
PID-11 | Patient Address |
PID-12 | County Code |
PID-13 | Phone Number - Home |
PID-14 | Phone Number - Business |
PID-15 | Primary Language |
PID-16 | Marital Status |
PID-17 | Religion |
PID-18 | Patient Account Number |
PID-19 | SSN Number - Patient |
PID-20 | Driver's License Number - Patient |
PID-21 | Mother's Identifier |
PID-22 | Ethnic Group |
PID-23 | Birth Place |
PID-24 | Multiple Birth Indicator |
PID-25 | Birth Order |
PID-26 | Citizenship |
PID-27 | Veterans Military Status |
PID-28 | Nationality |
PID-29 | Patient Death Date and Time |
PID-30 | Patient Death Indicator |
PID-31 | Identity Unknown Indicator |
PID-32 | Identity Reliability Code |
PID-33 | Last Update Date/Time |
PID-34 | Last Update Facility |
PID-35 | Taxonomic Classification Code |
PID-36 | Breed Code |
PID-37 | Strain |
PID-38 | Production Class Code |
PID-39 | Tribal Citizenship |
PID-40 | Patient Telecommunication Information |
Field | Field Description |
---|---|
PKG-1 | Set Id - PKG |
PKG-2 | Packaging Units |
PKG-3 | Default Order Unit Of Measure Indicator |
PKG-4 | Package Quantity |
PKG-5 | Price |
PKG-6 | Future Item Price |
PKG-7 | Future Item Price Effective Date |
PKG-8 | Global Trade Item Number |
Field | Field Description |
---|---|
PMT-1 | Payment/Remittance Advice Number |
PMT-2 | Payment/Remittance Effective Date/Time |
PMT-3 | Payment/Remittance Expiration Date/Time |
PMT-4 | Payment Method |
PMT-5 | Payment/Remittance Date/Time |
PMT-6 | Payment/Remittance Amount |
PMT-7 | Check Number |
PMT-8 | Payee Bank Identification |
PMT-9 | Payee Transit Number |
PMT-10 | Payee Bank Account ID |
PMT-11 | Payment Organization |
PMT-12 | ESR-Code-Line |
Field | Field Description |
---|---|
PR1-1 | Set ID - PR1 |
PR1-2 | Procedure Coding Method |
PR1-3 | Procedure Code |
PR1-4 | Procedure Description |
PR1-5 | Procedure Date/Time |
PR1-6 | Procedure Functional Type |
PR1-7 | Procedure Minutes |
PR1-8 | Anesthesiologist |
PR1-9 | Anesthesia Code |
PR1-10 | Anesthesia Minutes |
PR1-11 | Surgeon |
PR1-12 | Procedure Practitioner |
PR1-13 | Consent Code |
PR1-14 | Procedure Priority |
PR1-15 | Associated Diagnosis Code |
PR1-16 | Procedure Code Modifier |
PR1-17 | Procedure DRG Type |
PR1-18 | Tissue Type Code |
PR1-19 | Procedure Identifier |
PR1-20 | Procedure Action Code |
PR1-21 | DRG Procedure Determination Status |
PR1-22 | DRG Procedure Relevance |
PR1-23 | Treating Organizational Unit |
PR1-24 | Respiratory Within Surgery |
PR1-25 | Parent Procedure ID |
Field | Field Description |
---|---|
PRA-1 | Primary Key Value - PRA |
PRA-2 | Practitioner Group |
PRA-3 | Practitioner Category |
PRA-4 | Provider Billing |
PRA-5 | Specialty |
PRA-6 | Practitioner ID Numbers |
PRA-7 | Privileges |
PRA-8 | Date Entered Practice |
PRA-9 | Institution |
PRA-10 | Date Left Practice |
PRA-11 | Government Reimbursement Billing Eligibility |
PRA-12 | Set ID - PRA |
Field | Field Description |
---|---|
PRB-1 | Action Code |
PRB-2 | Action Date/Time |
PRB-3 | Problem ID |
PRB-4 | Problem Instance ID |
PRB-5 | Episode of Care ID |
PRB-6 | Problem List Priority |
PRB-7 | Problem Established Date/Time |
PRB-8 | Anticipated Problem Resolution Date/Time |
PRB-9 | Actual Problem Resolution Date/Time |
PRB-10 | Problem Classification |
PRB-11 | Problem Management Discipline |
PRB-12 | Problem Persistence |
PRB-13 | Problem Confirmation Status |
PRB-14 | Problem Life Cycle Status |
PRB-15 | Problem Life Cycle Status Date/Time |
PRB-16 | Problem Date of Onset |
PRB-17 | Problem Onset Text |
PRB-18 | Problem Ranking |
PRB-19 | Certainty of Problem |
PRB-20 | Probability of Problem (0-1) |
PRB-21 | Individual Awareness of Problem |
PRB-22 | Problem Prognosis |
PRB-23 | Individual Awareness of Prognosis |
PRB-24 | Family/Significant Other Awareness of Problem/Prognosis |
PRB-25 | Security/Sensitivity |
PRB-26 | Problem Severity |
PRB-27 | Problem Perspective |
PRB-28 | Mood Code |
Field | Field Description |
---|---|
PRC-1 | Primary Key Value - PRC |
PRC-2 | Facility ID - PRC |
PRC-3 | Department |
PRC-4 | Valid Patient Classes |
PRC-5 | Price |
PRC-6 | Formula |
PRC-7 | Minimum Quantity |
PRC-8 | Maximum Quantity |
PRC-9 | Minimum Price |
PRC-10 | Maximum Price |
PRC-11 | Effective Start Date |
PRC-12 | Effective End Date |
PRC-13 | Price Override Flag |
PRC-14 | Billing Category |
PRC-15 | Chargeable Flag |
PRC-16 | Active/Inactive Flag |
PRC-17 | Cost |
PRC-18 | Charge on Indicator |
Field | Field Description |
---|---|
PRD-1 | Provider Role |
PRD-2 | Provider Name |
PRD-3 | Provider Address |
PRD-4 | Provider Location |
PRD-5 | Provider Communication Information |
PRD-6 | Preferred Method of Contact |
PRD-7 | Provider Identifiers |
PRD-8 | Effective Start Date of Provider Role |
PRD-9 | Effective End Date of Provider Role |
PRD-10 | Provider Organization Name and Identifier |
PRD-11 | Provider Organization Address |
PRD-12 | Provider Organization Location Information |
PRD-13 | Provider Organization Communication Information |
PRD-14 | Provider Organization Method of Contact |
Field | Field Description |
---|---|
PRT-1 | Participation Instance ID |
PRT-2 | Action Code |
PRT-3 | Action Reason |
PRT-4 | Participation |
PRT-5 | Participation Person |
PRT-6 | Participation Person Provider Type |
PRT-7 | Participant Organization Unit Type |
PRT-8 | Participation Organization |
PRT-9 | Participant Location |
PRT-10 | Participation Device |
PRT-11 | Participation Begin Date/Time (arrival time) |
PRT-12 | Participation End Date/Time (departure time) |
PRT-13 | Participation Qualitative Duration |
PRT-14 | Participation Address |
PRT-15 | Participant Telecommunication Address |
Field | Field Description |
---|---|
PSG-1 | Provider Product/Service Group Number |
PSG-2 | Payer Product/Service Group Number |
PSG-3 | Product/Service Group Sequence Number |
PSG-4 | Adjudicate as Group |
PSG-5 | Product/Service Group Billed Amount |
PSG-6 | Product/Service Group Description |
Field | Field Description |
---|---|
PSH-1 | Report Type |
PSH-2 | Report Form Identifier |
PSH-3 | Report Date |
PSH-4 | Report Interval Start Date |
PSH-5 | Report Interval End Date |
PSH-6 | Quantity Manufactured |
PSH-7 | Quantity Distributed |
PSH-8 | Quantity Distributed Method |
PSH-9 | Quantity Distributed Comment |
PSH-10 | Quantity in Use |
PSH-11 | Quantity in Use Method |
PSH-12 | Quantity in Use Comment |
PSH-13 | Number of Product Experience Reports Filed by Facility |
PSH-14 | Number of Product Experience Reports Filed by Distributor |
Field | Field Description |
---|---|
PSL-1 | Provider Product/Service Line Item Number |
PSL-2 | Payer Product/Service Line Item Number |
PSL-3 | Product/Service Line Item Sequence Number |
PSL-4 | Provider Tracking ID |
PSL-5 | Payer Tracking ID |
PSL-6 | Product/Service Line Item Status |
PSL-7 | Product/Service Code |
PSL-8 | Product/Service Code Modifier |
PSL-9 | Product/Service Code Description |
PSL-10 | Product/Service Effective Date |
PSL-11 | Product/Service Expiration Date |
PSL-12 | Product/Service Quantity |
PSL-13 | Product/Service Unit Cost |
PSL-14 | Number of Items per Unit |
PSL-15 | Product/Service Gross Amount |
PSL-16 | Product/Service Billed Amount |
PSL-17 | Product/Service Clarification Code Type |
PSL-18 | Product/Service Clarification Code Value |
PSL-19 | Health Document Reference Identifier |
PSL-20 | Processing Consideration Code |
PSL-21 | Restricted Disclosure Indicator |
PSL-22 | Related Product/Service Code Indicator |
PSL-23 | Product/Service Amount for Physician |
PSL-24 | Product/Service Cost Factor |
PSL-25 | Cost Center |
PSL-26 | Billing Period |
PSL-27 | Days without Billing |
PSL-28 | Session-No |
PSL-29 | Executing Physician ID |
PSL-30 | Responsible Physician ID |
PSL-31 | Role Executing Physician |
PSL-32 | Medical Role Executing Physician |
PSL-33 | Side of body |
PSL-34 | Number of TP's PP |
PSL-35 | TP-Value PP |
PSL-36 | Internal Scaling Factor PP |
PSL-37 | External Scaling Factor PP |
PSL-38 | Amount PP |
PSL-39 | Number of TP's Technical Part |
PSL-40 | TP-Value Technical Part |
PSL-41 | Internal Scaling Factor Technical Part |
PSL-42 | External Scaling Factor Technical Part |
PSL-43 | Amount Technical Part |
PSL-44 | Total Amount Professional Part + Technical Part |
PSL-45 | VAT-Rate |
PSL-46 | Main-Service |
PSL-47 | Validation |
PSL-48 | Comment |
Field | Field Description |
---|---|
PSS-1 | Provider Product/Service Section Number |
PSS-2 | Payer Product/Service Section Number |
PSS-3 | Product/Service Section Sequence Number |
PSS-4 | Billed Amount |
PSS-5 | Section Description or Heading |
Field | Field Description |
---|---|
PTH-1 | Action Code |
PTH-2 | Pathway ID |
PTH-3 | Pathway Instance ID |
PTH-4 | Pathway Established Date/Time |
PTH-5 | Pathway Life Cycle Status |
PTH-6 | Change Pathway Life Cycle Status Date/Time |
PTH-7 | Mood Code |
Field | Field Description |
---|---|
PV1-1 | Set ID - PV1 |
PV1-2 | Patient Class |
PV1-3 | Assigned Patient Location |
PV1-4 | Admission Type |
PV1-5 | Preadmit Number |
PV1-6 | Prior Patient Location |
PV1-7 | Attending Doctor |
PV1-8 | Referring Doctor |
PV1-9 | Consulting Doctor |
PV1-10 | Hospital Service |
PV1-11 | Temporary Location |
PV1-12 | Preadmit Test Indicator |
PV1-13 | Re-admission Indicator |
PV1-14 | Admit Source |
PV1-15 | Ambulatory Status |
PV1-16 | VIP Indicator |
PV1-17 | Admitting Doctor |
PV1-18 | Patient Type |
PV1-19 | Visit Number |
PV1-20 | Financial Class |
PV1-21 | Charge Price Indicator |
PV1-22 | Courtesy Code |
PV1-23 | Credit Rating |
PV1-24 | Contract Code |
PV1-25 | Contract Effective Date |
PV1-26 | Contract Amount |
PV1-27 | Contract Period |
PV1-28 | Interest Code |
PV1-29 | Transfer to Bad Debt Code |
PV1-30 | Transfer to Bad Debt Date |
PV1-31 | Bad Debt Agency Code |
PV1-32 | Bad Debt Transfer Amount |
PV1-33 | Bad Debt Recovery Amount |
PV1-34 | Delete Account Indicator |
PV1-35 | Delete Account Date |
PV1-36 | Discharge Disposition |
PV1-37 | Discharged to Location |
PV1-38 | Diet Type |
PV1-39 | Servicing Facility |
PV1-40 | Bed Status |
PV1-41 | Account Status |
PV1-42 | Pending Location |
PV1-43 | Prior Temporary Location |
PV1-44 | Admit Date/Time |
PV1-45 | Discharge Date/Time |
PV1-46 | Current Patient Balance |
PV1-47 | Total Charges |
PV1-48 | Total Adjustments |
PV1-49 | Total Payments |
PV1-50 | Alternate Visit ID |
PV1-51 | Visit Indicator |
PV1-52 | Other Healthcare Provider |
PV1-53 | Service Episode Description |
PV1-54 | Service Episode Identifier |
Field | Field Description |
---|---|
PV2-1 | Prior Pending Location |
PV2-2 | Accommodation Code |
PV2-3 | Admit Reason |
PV2-4 | Transfer Reason |
PV2-5 | Patient Valuables |
PV2-6 | Patient Valuables Location |
PV2-7 | Visit User Code |
PV2-8 | Expected Admit Date/Time |
PV2-9 | Expected Discharge Date/Time |
PV2-10 | Estimated Length of Inpatient Stay |
PV2-11 | Actual Length of Inpatient Stay |
PV2-12 | Visit Description |
PV2-13 | Referral Source Code |
PV2-14 | Previous Service Date |
PV2-15 | Employment Illness Related Indicator |
PV2-16 | Purge Status Code |
PV2-17 | Purge Status Date |
PV2-18 | Special Program Code |
PV2-19 | Retention Indicator |
PV2-20 | Expected Number of Insurance Plans |
PV2-21 | Visit Publicity Code |
PV2-22 | Visit Protection Indicator |
PV2-23 | Clinic Organization Name |
PV2-24 | Patient Status Code |
PV2-25 | Visit Priority Code |
PV2-26 | Previous Treatment Date |
PV2-27 | Expected Discharge Disposition |
PV2-28 | Signature on File Date |
PV2-29 | First Similar Illness Date |
PV2-30 | Patient Charge Adjustment Code |
PV2-31 | Recurring Service Code |
PV2-32 | Billing Media Code |
PV2-33 | Expected Surgery Date and Time |
PV2-34 | Military Partnership Code |
PV2-35 | Military Non-Availability Code |
PV2-36 | Newborn Baby Indicator |
PV2-37 | Baby Detained Indicator |
PV2-38 | Mode of Arrival Code |
PV2-39 | Recreational Drug Use Code |
PV2-40 | Admission Level of Care Code |
PV2-41 | Precaution Code |
PV2-42 | Patient Condition Code |
PV2-43 | Living Will Code |
PV2-44 | Organ Donor Code |
PV2-45 | Advance Directive Code |
PV2-46 | Patient Status Effective Date |
PV2-47 | Expected LOA Return Date/Time |
PV2-48 | Expected Pre-admission Testing Date/Time |
PV2-49 | Notify Clergy Code |
PV2-50 | Advance Directive Last Verified Date |
Field | Field Description |
---|---|
PYE-1 | Set ID - PYE |
PYE-2 | Payee Type |
PYE-3 | Payee Relationship to Invoice (Patient) |
PYE-4 | Payee Identification List |
PYE-5 | Payee Person Name |
PYE-6 | Payee Address |
PYE-7 | Payment Method |
Field | Field Description |
---|---|
QAK-1 | Query Tag |
QAK-2 | Query Response Status |
QAK-3 | Message Query Name |
QAK-4 | Hit Count Total |
QAK-5 | This payload |
QAK-6 | Hits remaining |
Field | Field Description |
---|---|
QID-1 | Query Tag |
QID-2 | Message Query Name |
Field | Field Description |
---|---|
QPD-1 | Message Query Name |
QPD-2 | Query Tag |
QPD-3 | User Parameters (in successive fields) |
Field | Field Description |
---|---|
QRI-1 | Candidate Confidence |
QRI-2 | Match Reason Code |
QRI-3 | Algorithm Descriptor |
Field | Field Description |
---|---|
RCP-1 | Query Priority |
RCP-2 | Quantity Limited Request |
RCP-3 | Response Modality |
RCP-4 | Execution and Delivery Time |
RCP-5 | Modify Indicator |
RCP-6 | Sort-by Field |
RCP-7 | Segment group inclusion |
Field | Field Description |
---|---|
RDF-1 | Number of Columns per Row |
RDF-2 | Column Description |
Field | Field Description |
---|---|
RDT-1 | Column Value |
Field | Field Description |
---|---|
REL-1 | Set ID -REL |
REL-2 | Relationship Type |
REL-3 | This Relationship Instance Identifier |
REL-4 | Source Information Instance Identifier |
REL-5 | Target Information Instance Identifier |
REL-6 | Asserting Entity Instance ID |
REL-7 | Asserting Person |
REL-8 | Asserting Organization |
REL-9 | Assertor Address |
REL-10 | Assertor Contact |
REL-11 | Assertion Date Range |
REL-12 | Negation Indicator |
REL-13 | Certainty of Relationship |
REL-14 | Priority No |
REL-15 | Priority Sequence No (rel preference for consideration) |
REL-16 | Separability Indicator |
Field | Field Description |
---|---|
RF1-1 | Referral Status |
RF1-2 | Referral Priority |
RF1-3 | Referral Type |
RF1-4 | Referral Disposition |
RF1-5 | Referral Category |
RF1-6 | Originating Referral Identifier |
RF1-7 | Effective Date |
RF1-8 | Expiration Date |
RF1-9 | Process Date |
RF1-10 | Referral Reason |
RF1-11 | External Referral Identifier |
RF1-12 | Referral Documentation Completion Status |
RF1-13 | Planned Treatment Stop Date |
RF1-14 | Referral Reason Text |
RF1-15 | Number of Authorized Treatments/Units |
RF1-16 | Number of Used Treatments/Units |
RF1-17 | Number of Schedule Treatments/Units |
RF1-18 | Remaining Benefit Amount |
RF1-19 | Authorized Provider |
RF1-20 | Authorized Health Professional |
RF1-21 | Source Text |
RF1-22 | Source Date |
RF1-23 | Source Phone |
RF1-24 | Comment |
RF1-25 | Action Code |
Field | Field Description |
---|---|
RFI-1 | Request Date |
RFI-2 | Response Due Date |
RFI-3 | Patient Consent |
RFI-4 | Date Additional Information Was Submitted |
Field | Field Description |
---|---|
RGS-1 | Set ID - RGS |
RGS-2 | Segment Action Code |
RGS-3 | Resource Group ID |
Field | Field Description |
---|---|
RMI-1 | Risk Management Incident Code |
RMI-2 | Date/Time Incident |
RMI-3 | Incident Type Code |
Field | Field Description |
---|---|
ROL-1 | Role Instance ID |
ROL-2 | Action Code |
ROL-3 | Role-ROL |
ROL-4 | Role Person |
ROL-5 | Role Begin Date/Time |
ROL-6 | Role End Date/Time |
ROL-7 | Role Duration |
ROL-8 | Role Action Reason |
ROL-9 | Provider Type |
ROL-10 | Organization Unit Type |
ROL-11 | Office/Home Address/Birthplace |
ROL-12 | Phone |
ROL-13 | Person's Location |
ROL-14 | Organization |
Field | Field Description |
---|---|
RQ1-1 | Anticipated Price |
RQ1-2 | Manufacturer Identifier |
RQ1-3 | Manufacturer's Catalog |
RQ1-4 | Vendor ID |
RQ1-5 | Vendor Catalog |
RQ1-6 | Taxable |
RQ1-7 | Substitute Allowed |
Field | Field Description |
---|---|
RQD-1 | Requisition Line Number |
RQD-2 | Item Code - Internal |
RQD-3 | Item Code - External |
RQD-4 | Hospital Item Code |
RQD-5 | Requisition Quantity |
RQD-6 | Requisition Unit of Measure |
RQD-7 | Cost Center Account Number |
RQD-8 | Item Natural Account Code |
RQD-9 | Deliver To ID |
RQD-10 | Date Needed |
Field | Field Description |
---|---|
RXA-1 | Give Sub-ID Counter |
RXA-2 | Administration Sub-ID Counter |
RXA-3 | Date/Time Start of Administration |
RXA-4 | Date/Time End of Administration |
RXA-5 | Administered Code |
RXA-6 | Administered Amount |
RXA-7 | Administered Units |
RXA-8 | Administered Dosage Form |
RXA-9 | Administration Notes |
RXA-10 | Administering Provider |
RXA-11 | Administered-at Location |
RXA-12 | Administered Per (Time Unit) |
RXA-13 | Administered Strength |
RXA-14 | Administered Strength Units |
RXA-15 | Substance Lot Number |
RXA-16 | Substance Expiration Date |
RXA-17 | Substance Manufacturer Name |
RXA-18 | Substance/Treatment Refusal Reason |
RXA-19 | Indication |
RXA-20 | Completion Status |
RXA-21 | Action Code - RXA |
RXA-22 | System Entry Date/Time |
RXA-23 | Administered Drug Strength Volume |
RXA-24 | Administered Drug Strength Volume Units |
RXA-25 | Administered Barcode Identifier |
RXA-26 | Pharmacy Order Type |
RXA-27 | Administer-at |
RXA-28 | Administered-at Address |
RXA-29 | Administered Tag Identifier |
Field | Field Description |
---|---|
RXC-1 | RX Component Type |
RXC-2 | Component Code |
RXC-3 | Component Amount |
RXC-4 | Component Units |
RXC-5 | Component Strength |
RXC-6 | Component Strength Units |
RXC-7 | Supplementary Code |
RXC-8 | Component Drug Strength Volume |
RXC-9 | Component Drug Strength Volume Units |
RXC-10 | Dispense Amount |
RXC-11 | Dispense Units |
Field | Field Description |
---|---|
RXD-1 | Dispense Sub-ID Counter |
RXD-2 | Dispense/Give Code |
RXD-3 | Date/Time Dispensed |
RXD-4 | Actual Dispense Amount |
RXD-5 | Actual Dispense Units |
RXD-6 | Actual Dosage Form |
RXD-7 | Prescription Number |
RXD-8 | Number of Refills Remaining |
RXD-9 | Dispense Notes |
RXD-10 | Dispensing Provider |
RXD-11 | Substitution Status |
RXD-12 | Total Daily Dose |
RXD-13 | Dispense-to Location |
RXD-14 | Needs Human Review |
RXD-15 | Special Dispensing Instructions |
RXD-16 | Actual Strength |
RXD-17 | Actual Strength Unit |
RXD-18 | Substance Lot Number |
RXD-19 | Substance Expiration Date |
RXD-20 | Substance Manufacturer Name |
RXD-21 | Indication |
RXD-22 | Dispense Package Size |
RXD-23 | Dispense Package Size Unit |
RXD-24 | Dispense Package Method |
RXD-25 | Supplementary Code |
RXD-26 | Initiating Location |
RXD-27 | Packaging/Assembly Location |
RXD-28 | Actual Drug Strength Volume |
RXD-29 | Actual Drug Strength Volume Units |
RXD-30 | Dispense to Pharmacy |
RXD-31 | Dispense to Pharmacy Address |
RXD-32 | Pharmacy Order Type |
RXD-33 | Dispense Type |
RXD-34 | Pharmacy Phone Number |
RXD-35 | Dispense Tag Identifier |
Field | Field Description |
---|---|
RXE-1 | Quantity/Timing |
RXE-2 | Give Code |
RXE-3 | Give Amount - Minimum |
RXE-4 | Give Amount - Maximum |
RXE-5 | Give Units |
RXE-6 | Give Dosage Form |
RXE-7 | Provider's Administration Instructions |
RXE-8 | Deliver-To Location |
RXE-9 | Substitution Status |
RXE-10 | Dispense Amount |
RXE-11 | Dispense Units |
RXE-12 | Number Of Refills |
RXE-13 | Ordering Provider's DEA Number |
RXE-14 | Pharmacist/Treatment Supplier's Verifier ID |
RXE-15 | Prescription Number |
RXE-16 | Number of Refills Remaining |
RXE-17 | Number of Refills/Doses Dispensed |
RXE-18 | D/T of Most Recent Refill or Dose Dispensed |
RXE-19 | Total Daily Dose |
RXE-20 | Needs Human Review |
RXE-21 | Special Dispensing Instructions |
RXE-22 | Give Per (Time Unit) |
RXE-23 | Give Rate Amount |
RXE-24 | Give Rate Units |
RXE-25 | Give Strength |
RXE-26 | Give Strength Units |
RXE-27 | Give Indication |
RXE-28 | Dispense Package Size |
RXE-29 | Dispense Package Size Unit |
RXE-30 | Dispense Package Method |
RXE-31 | Supplementary Code |
RXE-32 | Original Order Date/Time |
RXE-33 | Give Drug Strength Volume |
RXE-34 | Give Drug Strength Volume Units |
RXE-35 | Controlled Substance Schedule |
RXE-36 | Formulary Status |
RXE-37 | Pharmaceutical Substance Alternative |
RXE-38 | Pharmacy of Most Recent Fill |
RXE-39 | Initial Dispense Amount |
RXE-40 | Dispensing Pharmacy |
RXE-41 | Dispensing Pharmacy Address |
RXE-42 | Deliver-to Patient Location |
RXE-43 | Deliver-to Address |
RXE-44 | Pharmacy Order Type |
RXE-45 | Pharmacy Phone Number |
Field | Field Description |
---|---|
RXG-1 | Give Sub-ID Counter |
RXG-2 | Dispense Sub-ID Counter |
RXG-3 | Quantity/Timing |
RXG-4 | Give Code |
RXG-5 | Give Amount - Minimum |
RXG-6 | Give Amount - Maximum |
RXG-7 | Give Units |
RXG-8 | Give Dosage Form |
RXG-9 | Administration Notes |
RXG-10 | Substitution Status |
RXG-11 | Dispense-to Location |
RXG-12 | Needs Human Review |
RXG-13 | Special Administration Instructions |
RXG-14 | Give Per (Time Unit) |
RXG-15 | Give Rate Amount |
RXG-16 | Give Rate Units |
RXG-17 | Give Strength |
RXG-18 | Give Strength Units |
RXG-19 | Substance Lot Number |
RXG-20 | Substance Expiration Date |
RXG-21 | Substance Manufacturer Name |
RXG-22 | Indication |
RXG-23 | Give Drug Strength Volume |
RXG-24 | Give Drug Strength Volume Units |
RXG-25 | Give Barcode Identifier |
RXG-26 | Pharmacy Order Type |
RXG-27 | Dispense to Pharmacy |
RXG-28 | Dispense to Pharmacy Address |
RXG-29 | Deliver-to Patient Location |
RXG-30 | Deliver-to Address |
RXG-31 | Give Tag Identifier |
RXG-32 | Dispense Amount |
RXG-33 | Dispense Units |
Field | Field Description |
---|---|
RXO-1 | Requested Give Code |
RXO-2 | Requested Give Amount - Minimum |
RXO-3 | Requested Give Amount - Maximum |
RXO-4 | Requested Give Units |
RXO-5 | Requested Dosage Form |
RXO-6 | Provider's Pharmacy/Treatment Instructions |
RXO-7 | Provider's Administration Instructions |
RXO-8 | Deliver-To Location |
RXO-9 | Allow Substitutions |
RXO-10 | Requested Dispense Code |
RXO-11 | Requested Dispense Amount |
RXO-12 | Requested Dispense Units |
RXO-13 | Number Of Refills |
RXO-14 | Ordering Provider's DEA Number |
RXO-15 | Pharmacist/Treatment Supplier's Verifier ID |
RXO-16 | Needs Human Review |
RXO-17 | Requested Give Per (Time Unit) |
RXO-18 | Requested Give Strength |
RXO-19 | Requested Give Strength Units |
RXO-20 | Indication |
RXO-21 | Requested Give Rate Amount |
RXO-22 | Requested Give Rate Units |
RXO-23 | Total Daily Dose |
RXO-24 | Supplementary Code |
RXO-25 | Requested Drug Strength Volume |
RXO-26 | Requested Drug Strength Volume Units |
RXO-27 | Pharmacy Order Type |
RXO-28 | Dispensing Interval |
RXO-29 | Medication Instance Identifier |
RXO-30 | Segment Instance Identifier |
RXO-31 | Mood Code |
RXO-32 | Dispensing Pharmacy |
RXO-33 | Dispensing Pharmacy Address |
RXO-34 | Deliver-to Patient Location |
RXO-35 | Deliver-to Address |
RXO-36 | Pharmacy Phone Number |
Field | Field Description |
---|---|
RXR-1 | Route |
RXR-2 | Administration Site |
RXR-3 | Administration Device |
RXR-4 | Administration Method |
RXR-5 | Routing Instruction |
RXR-6 | Administration Site Modifier |
Field | Field Description |
---|---|
RXV-1 | Set ID - RXV |
RXV-2 | Bolus Type |
RXV-3 | Bolus Dose Amount |
RXV-4 | Bolus Dose Amount Units |
RXV-5 | Bolus Dose Volume |
RXV-6 | Bolus Dose Volume Units |
RXV-7 | PCA Type |
RXV-8 | PCA Dose Amount |
RXV-9 | PCA Dose Amount Units |
RXV-10 | PCA Dose Amount Volume |
RXV-11 | PCA Dose Amount Volume Units |
RXV-12 | Max Dose Amount |
RXV-13 | Max Dose Amount Units |
RXV-14 | Max Dose Amount Volume |
RXV-15 | Max Dose Amount Volume Units |
RXV-16 | Max Dose per Time |
RXV-17 | Lockout Interval |
RXV-18 | Syringe Manufacturer |
RXV-19 | Syringe Model Number |
RXV-20 | Syringe Size |
RXV-21 | Syringe Size Units |
RXV-22 | Action Code |
Field | Field Description |
---|---|
SAC-1 | External Accession Identifier |
SAC-2 | Accession Identifier |
SAC-3 | Container Identifier |
SAC-4 | Primary (Parent) Container Identifier |
SAC-5 | Equipment Container Identifier |
SAC-6 | Specimen Source |
SAC-7 | Registration Date/Time |
SAC-8 | Container Status |
SAC-9 | Carrier Type |
SAC-10 | Carrier Identifier |
SAC-11 | Position in Carrier |
SAC-12 | Tray Type - SAC |
SAC-13 | Tray Identifier |
SAC-14 | Position in Tray |
SAC-15 | Location |
SAC-16 | Container Height |
SAC-17 | Container Diameter |
SAC-18 | Barrier Delta |
SAC-19 | Bottom Delta |
SAC-20 | Container Height/Diameter/Delta Units |
SAC-21 | Container Volume |
SAC-22 | Available Specimen Volume |
SAC-23 | Initial Specimen Volume |
SAC-24 | Volume Units |
SAC-25 | Separator Type |
SAC-26 | Cap Type |
SAC-27 | Additive |
SAC-28 | Specimen Component |
SAC-29 | Dilution Factor |
SAC-30 | Treatment |
SAC-31 | Temperature |
SAC-32 | Hemolysis Index |
SAC-33 | Hemolysis Index Units |
SAC-34 | Lipemia Index |
SAC-35 | Lipemia Index Units |
SAC-36 | Icterus Index |
SAC-37 | Icterus Index Units |
SAC-38 | Fibrin Index |
SAC-39 | Fibrin Index Units |
SAC-40 | System Induced Contaminants |
SAC-41 | Drug Interference |
SAC-42 | Artificial Blood |
SAC-43 | Special Handling Code |
SAC-44 | Other Environmental Factors |
Field | Field Description |
---|---|
SCD-1 | Cycle Start Time |
SCD-2 | Cycle Count |
SCD-3 | Temp Max |
SCD-4 | Temp Min |
SCD-5 | Load Number |
SCD-6 | Condition Time |
SCD-7 | Sterilize Time |
SCD-8 | Exhaust Time |
SCD-9 | Total Cycle Time |
SCD-10 | Device Status |
SCD-11 | Cycle Start Date/Time |
SCD-12 | Dry Time |
SCD-13 | Leak Rate |
SCD-14 | Control Temperature |
SCD-15 | Sterilizer Temperature |
SCD-16 | Cycle Complete Time |
SCD-17 | Under Temperature |
SCD-18 | Over Temperature |
SCD-19 | Abort Cycle |
SCD-20 | Alarm |
SCD-21 | Long in Charge Phase |
SCD-22 | Long in Exhaust Phase |
SCD-23 | Long in Fast Exhaust Phase |
SCD-24 | Reset |
SCD-25 | Operator - Unload |
SCD-26 | Door Open |
SCD-27 | Reading Failure |
SCD-28 | Cycle Type |
SCD-29 | Thermal Rinse Time |
SCD-30 | Wash Time |
SCD-31 | Injection Rate |
SCD-32 | Procedure Code |
SCD-33 | Patient Identifier List |
SCD-34 | Attending Doctor |
SCD-35 | Dilution Factor |
SCD-36 | Fill Time |
SCD-37 | Inlet Temperature |
Field | Field Description |
---|---|
SCH-1 | Placer Appointment ID |
SCH-2 | Filler Appointment ID |
SCH-3 | Occurrence Number |
SCH-4 | Placer Group Number |
SCH-5 | Schedule ID |
SCH-6 | Event Reason |
SCH-7 | Appointment Reason |
SCH-8 | Appointment Type |
SCH-9 | Appointment Duration |
SCH-10 | Appointment Duration Units |
SCH-11 | Appointment Timing Quantity |
SCH-12 | Placer Contact Person |
SCH-13 | Placer Contact Phone Number |
SCH-14 | Placer Contact Address |
SCH-15 | Placer Contact Location |
SCH-16 | Filler Contact Person |
SCH-17 | Filler Contact Phone Number |
SCH-18 | Filler Contact Address |
SCH-19 | Filler Contact Location |
SCH-20 | Entered By Person |
SCH-21 | Entered By Phone Number |
SCH-22 | Entered By Location |
SCH-23 | Parent Placer Appointment ID |
SCH-24 | Parent Filler Appointment ID |
SCH-25 | Filler Status Code |
SCH-26 | Placer Order Number |
SCH-27 | Filler Order Number |
Field | Field Description |
---|---|
SCP-1 | Number Of Decontamination/Sterilization Devices |
SCP-2 | Labor Calculation Type |
SCP-3 | Date Format |
SCP-4 | Device Number |
SCP-5 | Device Name |
SCP-6 | Device Model Name |
SCP-7 | Device Type |
SCP-8 | Lot Control |
Field | Field Description |
---|---|
SDD-1 | Lot Number |
SDD-2 | Device Number |
SDD-3 | Device Name |
SDD-4 | Device Data State |
SDD-5 | Load Status |
SDD-6 | Control Code |
SDD-7 | Operator Name |
Field | Field Description |
---|---|
SFT-1 | Software Vendor Organization |
SFT-2 | Software Certified Version or Release Number |
SFT-3 | Software Product Name |
SFT-4 | Software Binary ID |
SFT-5 | Software Product Information |
SFT-6 | Software Install Date |
Field | Field Description |
---|---|
SGH-1 | Set ID - SGH |
SGH-2 | Segment Group Name |
Field | Field Description |
---|---|
SGT-1 | Set ID - SGT |
SGT-2 | Segment Group Name |
Field | Field Description |
---|---|
SHP-1 | Shipment ID |
SHP-2 | Internal Shipment ID |
SHP-3 | Shipment Status |
SHP-4 | Shipment Status Date/Time |
SHP-5 | Shipment Status Reason |
SHP-6 | Shipment Priority |
SHP-7 | Shipment Confidentiality |
SHP-8 | Number of Packages in Shipment |
SHP-9 | Shipment Condition |
SHP-10 | Shipment Handling Code |
SHP-11 | Shipment Risk Code |
Field | Field Description |
---|---|
SID-1 | Application/Method Identifier |
SID-2 | Substance Lot Number |
SID-3 | Substance Container Identifier |
SID-4 | Substance Manufacturer Identifier |
Field | Field Description |
---|---|
SLT-1 | Device Number |
SLT-2 | Device Name |
SLT-3 | Lot Number |
SLT-4 | Item Identifier |
SLT-5 | Bar Code |
Field | Field Description |
---|---|
SPM-1 | Set ID - SPM |
SPM-2 | Specimen ID |
SPM-3 | Specimen Parent IDs |
SPM-4 | Specimen Type |
SPM-5 | Specimen Type Modifier |
SPM-6 | Specimen Additives |
SPM-7 | Specimen Collection Method |
SPM-8 | Specimen Source Site |
SPM-9 | Specimen Source Site Modifier |
SPM-10 | Specimen Collection Site |
SPM-11 | Specimen Role |
SPM-12 | Specimen Collection Amount |
SPM-13 | Grouped Specimen Count |
SPM-14 | Specimen Description |
SPM-15 | Specimen Handling Code |
SPM-16 | Specimen Risk Code |
SPM-17 | Specimen Collection Date/Time |
SPM-18 | Specimen Received Date/Time |
SPM-19 | Specimen Expiration Date/Time |
SPM-20 | Specimen Availability |
SPM-21 | Specimen Reject Reason |
SPM-22 | Specimen Quality |
SPM-23 | Specimen Appropriateness |
SPM-24 | Specimen Condition |
SPM-25 | Specimen Current Quantity |
SPM-26 | Number of Specimen Containers |
SPM-27 | Container Type |
SPM-28 | Container Condition |
SPM-29 | Specimen Child Role |
SPM-30 | Accession ID |
SPM-31 | Other Specimen ID |
SPM-32 | Shipment ID |
Field | Field Description |
---|---|
STF-1 | Primary Key Value - STF |
STF-2 | Staff Identifier List |
STF-3 | Staff Name |
STF-4 | Staff Type |
STF-5 | Administrative Sex |
STF-6 | Date/Time of Birth |
STF-7 | Active/Inactive Flag |
STF-8 | Department |
STF-9 | Hospital Service - STF |
STF-10 | Phone |
STF-11 | Office/Home Address/Birthplace |
STF-12 | Institution Activation Date |
STF-13 | Institution Inactivation Date |
STF-14 | Backup Person ID |
STF-15 | E-Mail Address |
STF-16 | Preferred Method of Contact |
STF-17 | Marital Status |
STF-18 | Job Title |
STF-19 | Job Code/Class |
STF-20 | Employment Status Code |
STF-21 | Additional Insured on Auto |
STF-22 | Driver's License Number - Staff |
STF-23 | Copy Auto Ins |
STF-24 | Auto Ins Expires |
STF-25 | Date Last DMV Review |
STF-26 | Date Next DMV Review |
STF-27 | Race |
STF-28 | Ethnic Group |
STF-29 | Re-activation Approval Indicator |
STF-30 | Citizenship |
STF-31 | Date/Time of Death |
STF-32 | Death Indicator |
STF-33 | Institution Relationship Type Code |
STF-34 | Institution Relationship Period |
STF-35 | Expected Return Date |
STF-36 | Cost Center Code |
STF-37 | Generic Classification Indicator |
STF-38 | Inactive Reason Code |
STF-39 | Generic resource type or category |
STF-40 | Religion |
STF-41 | Signature |
Field | Field Description |
---|---|
STZ-1 | Sterilization Type |
STZ-2 | Sterilization Cycle |
STZ-3 | Maintenance Cycle |
STZ-4 | Maintenance Type |
Field | Field Description |
---|---|
TCC-1 | Universal Service Identifier |
TCC-2 | Equipment Test Application Identifier |
TCC-3 | Specimen Source |
TCC-4 | Auto-Dilution Factor Default |
TCC-5 | Rerun Dilution Factor Default |
TCC-6 | Pre-Dilution Factor Default |
TCC-7 | Endogenous Content of Pre-Dilution Diluent |
TCC-8 | Inventory Limits Warning Level |
TCC-9 | Automatic Rerun Allowed |
TCC-10 | Automatic Repeat Allowed |
TCC-11 | Automatic Reflex Allowed |
TCC-12 | Equipment Dynamic Range |
TCC-13 | Units |
TCC-14 | Processing Type |
TCC-15 | Test Criticality |
Field | Field Description |
---|---|
TCD-1 | Universal Service Identifier |
TCD-2 | Auto-Dilution Factor |
TCD-3 | Rerun Dilution Factor |
TCD-4 | Pre-Dilution Factor |
TCD-5 | Endogenous Content of Pre-Dilution Diluent |
TCD-6 | Automatic Repeat Allowed |
TCD-7 | Reflex Allowed |
TCD-8 | Analyte Repeat Status |
Field | Field Description |
---|---|
TQ1-1 | Set ID - TQ1 |
TQ1-2 | Quantity |
TQ1-3 | Repeat Pattern |
TQ1-4 | Explicit Time |
TQ1-5 | Relative Time and Units |
TQ1-6 | Service Duration |
TQ1-7 | Start date/time |
TQ1-8 | End date/time |
TQ1-9 | Priority |
TQ1-10 | Condition text |
TQ1-11 | Text instruction |
TQ1-12 | Conjunction |
TQ1-13 | Occurrence duration |
TQ1-14 | Total occurrences |
Field | Field Description |
---|---|
TQ2-1 | Set ID - TQ2 |
TQ2-2 | Sequence/Results Flag |
TQ2-3 | Related Placer Number |
TQ2-4 | Related Filler Number |
TQ2-5 | Related Placer Group Number |
TQ2-6 | Sequence Condition Code |
TQ2-7 | Cyclic Entry/Exit Indicator |
TQ2-8 | Sequence Condition Time Interval |
TQ2-9 | Cyclic Group Maximum Number of Repeats |
TQ2-10 | Special Service Request Relationship |
Field | Field Description |
---|---|
TXA-1 | Set ID- TXA |
TXA-2 | Document Type |
TXA-3 | Document Content Presentation |
TXA-4 | Activity Date/Time |
TXA-5 | Primary Activity Provider Code/Name |
TXA-6 | Origination Date/Time |
TXA-7 | Transcription Date/Time |
TXA-8 | Edit Date/Time |
TXA-9 | Originator Code/Name |
TXA-10 | Assigned Document Authenticator |
TXA-11 | Transcriptionist Code/Name |
TXA-12 | Unique Document Number |
TXA-13 | Parent Document Number |
TXA-14 | Placer Order Number |
TXA-15 | Filler Order Number |
TXA-16 | Unique Document File Name |
TXA-17 | Document Completion Status |
TXA-18 | Document Confidentiality Status |
TXA-19 | Document Availability Status |
TXA-20 | Document Storage Status |
TXA-21 | Document Change Reason |
TXA-22 | Authentication Person, Time Stamp (set) |
TXA-23 | Distributed Copies (Code and Name of Recipient(s) ) |
TXA-24 | Folder Assignment |
TXA-25 | Document Title |
TXA-26 | Agreed Due Date/Time |
Field | Field Description |
---|---|
UAC-1 | User Authentication Credential Type Code |
UAC-2 | User Authentication Credential |
Field | Field Description |
---|---|
UB1-1 | Set ID - UB1 |
UB1-2 | Blood Deductible |
UB1-3 | Blood Furnished-Pints |
UB1-4 | Blood Replaced-Pints |
UB1-5 | Blood Not Replaced-Pints |
UB1-6 | Co-Insurance Days |
UB1-7 | Condition Code |
UB1-8 | Covered Days |
UB1-9 | Non Covered Days |
UB1-10 | Value Amount & Code |
UB1-11 | Number Of Grace Days |
UB1-12 | Special Program Indicator |
UB1-13 | PSRO/UR Approval Indicator |
UB1-14 | PSRO/UR Approved Stay-Fm |
UB1-15 | PSRO/UR Approved Stay-To |
UB1-16 | Occurrence |
UB1-17 | Occurrence Span |
UB1-18 | Occur Span Start Date |
UB1-19 | Occur Span End Date |
UB1-20 | UB-82 Locator 2 |
UB1-21 | UB-82 Locator 9 |
UB1-22 | UB-82 Locator 27 |
UB1-23 | UB-82 Locator 45 |
Field | Field Description |
---|---|
UB2-1 | Set ID - UB2 |
UB2-2 | Co-Insurance Days (9) |
UB2-3 | Condition Code (24-30) |
UB2-4 | Covered Days (7) |
UB2-5 | Non-Covered Days (8) |
UB2-6 | Value Amount & Code (39-41) |
UB2-7 | Occurrence Code & Date (32-35) |
UB2-8 | Occurrence Span Code/Dates (36) |
UB2-9 | Uniform Billing Locator 2 (state) |
UB2-10 | Uniform Billing Locator 11 (state) |
UB2-11 | Uniform Billing Locator 31 (national) |
UB2-12 | Document Control Number |
UB2-13 | Uniform Billing Locator 49 (national) |
UB2-14 | Uniform Billing Locator 56 (state) |
UB2-15 | Uniform Billing Locator 57 (sational) |
UB2-16 | Uniform Billing Locator 78 (state) |
UB2-17 | Special Visit Count |
Field | Field Description |
---|---|
VAR-1 | Variance Instance ID |
VAR-2 | Documented Date/Time |
VAR-3 | Stated Variance Date/Time |
VAR-4 | Variance Originator |
VAR-5 | Variance Classification |
VAR-6 | Variance Description |
Field | Field Description |
---|---|
VND-1 | Set Id - VND |
VND-2 | Vendor Identifier |
VND-3 | Vendor Name |
VND-4 | Vendor Catalog Number |
VND-5 | Primary Vendor Indicator |