HL7 Segments for

Athena  Technologies

ACC - Accident Information

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100527Accident Date TS (26)P225 AccidentDateTimeAccidentDate AccidentDate
200528Accident Code ID (2) AccidentCodeAccidentCode (0050)
300529Accident Location ST (25)P224 AccidentSiteAccidentLocation AccidentSiteC,T,P, etc.
AccidentHistory ST P726 AccidentHistoryAccidentHistory AccidentHistorytext desc.
AccidentFlag ST Accident AccidentFlagAccident Y/N. Process if Y.


DG1 - Diagnosis Information

Note that DRG's are not addressed at this time. When we start getting DRG's from SMS, we will have to revisit this message.

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100375Set ID - Diagnosis RSI
(4)
N/ASet ID_Diagnosis Not Used
200376Diagnosis Coding Method RID
(2)
N/A (Calculated?)DiagnosisCodingMethod "I9" = ICD9(0053)
300377Diagnosis Code ID
(8)
P261

P244

P964

P966

P968

P970

P980

P982

P984

ICDCode#DiagnosisCode DiagnosisCode(0051)
400378Diagnosis Description ST
(40)
P262

P245

P965

P967

P969

P971

P981

P983

P985

Diagnosis#DiagnosisDescription DiagnosisDescription
500379Diagnosis Date/Time TS
(26)
P242AdmissionDateTimeDiagnosisDate_Time DiagnosisDate
600380Diagnosis/DRG Type RID
(2)
N/ADiagnosis_DRGType DiagnosisType(0052)
700381Major Diagnostic Category CE
(60)
N/AMajorDiagnosticCategory MDC (Not used)(0118)
800382Diagnostic Related Group ID
(4)
N/ADiagnosticRelatedGroup DRG (Not used)(0055)
900383DRG Approval Indicator ID
(2)
N/ADRGApprovalIndicator Not used
1000384DRG Grouper Review Code ID
(2)
N/ADRGGrouperReviewCode Not used(0056)
1100385Outlier Type CE
(60)
N/AOutlierType Not used(0083)
1200386Outlier Days NM
(3)
N/AOutlierDays Not used
1300387Outlier Cost NM
(12)
N/AOutlierCost Not used
1400388Grouper Version and Type ST
(4)
N/AGrouperVersion_Type Not used
1500389Diagnosis/DRG Priority NM
(2)
(Calculated)Diagnosis_DRGPriority DiagnosisPriority
1600390Diagnosing Clinician CN
(60)
P201

P200

AdmittingDrNum, AdmittingDrName DiagnosingClinicianDrNum (Name)
Diagnosis Indicator ST DiagnosisIndicatorDiagnosisIndicator
ICD9Year NM (Calculated) ICD9YearICD9Year


EVN - Event Type

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100099Event Type Code RID
(3)
EventTypeCode (0003)
200100Date/Time of Event RTS
(26)
DateTimeOfEvent SystemDate
300101Date/Time Planned Event TS
(26)
DateTimePlannedEvent
400102Event Reason Code ID
(3)
EventReasonCode (0062)
500103Operator ID US
(5)
P251

P254

U5

AdmittedBy

RegisteredBy

ReviewedBy

OperatorID(0188)


GT1 - Guarantor

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100405Set ID - Guarantor RSI
(4)
PN/ASetID_Guarantor
200406Guarantor Number CK
(20)
N/AGuarantorNumber
300407Guarantor Name RPN
(48)
N/AGuarantorName
400408Guarantor Spouse Name PN
(48)
N/AGuarantorSpouseName
500409Guarantor Address AD
(106)
N/AGuarantorAddress
600410Guarantor Phone - Home TN
(40)
( ) N/AGuarantorPhone_Home
700411Guarantor Phone - Bus. TN
(40)
( ) N/AGuarantorPhone_Bus
800412Guarantor Date of Birth DT
(8)
N/AGuarantorDateOfBirth
900413Guarantor Sex ID
(1)
N/AGuarantorSex (0001)
1000414Guarantor Type ID
(2)
N/AGuarantorType (0068)
1100415Guarantor Relationship ID
(2)
N/AGuarantorRelationship (0063)
1200416Guarantor SSN ST
(11)
N/AGuarantorSSN
1300417Guarantor Date - Begin DT
(8)
N/AGuarantorDate_Begin
1400418Guarantor Date - End DT
(8)
N/AGuarantorDate_End
1500419Guarantor Priority NM
(2)
N/AGuarantorPriority
1600420Guarantor Employer Name ST
(45)
N/AGuarantorEmployerName
1700421Guarantor Employer Addr. AD
(106)
N/AGuarantorEmployerAddr
1800422Guarantor Employer Phone TN
(40)
( ) N/AGuarantorEmployerPhone
1900423Guarantor Employee ID # ST
(20)
N/AGuarantorEmployeeID
2000424Guarantor Employment Status ID
(2)
N/AGuarantorEmploymentStatus (0066)
2100425Guarantor Organization ST
(60)
N/AGuarantorOrganization


IN1 - Insurance

There is a set of IN1, IN2, and IN3 for each insurance plan. Note that warehouse VisitInsurance fields PayorCoverageKey, EligibleSource, ReimbursementInd, and ReimbusementAmt are not currently populated or mapped to HL7.

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100426Set ID - Insurance RSI
(4)
SetID_Insurance
200368Insurance Plan ID RID
(8)
InsurancePlanID Not used(0072)
300428Insurance Company ID RST
(6)
P111

P131

P151

P171

INS#PrimaryPlan InsuranceCompanyIDInsuranceCode
400429Insurance Company Name ST
(45)
P112

P132

P152

P172

INS#PayorDescription InsuranceCompanyNamemstInsurance.

Name, VisitInsurance.

PayorDescription

500430Insurance Company Address AD
(106)
P118

P804 P805 P806

P138

P826

P827

P828

P158

P834

P835

P836

INS#Address, INS#City, INS#State, INS#Zip InsuranceCompanyAddressInsuranceCarrier.

Address, City, State, Zip

600431Insurance Co. Contact Person PN
(48)
N/A (Calculated)InsuranceCoContactPerson InsuranceCarrier.

Name

700432Insurance Co. Phone Number TN
(40)
P2000

P2005

P2009

INS#Phone InsuranceCoPhoneNumberInsuranceCarrier.

Phone

800433Group Number ST
(12)
P114

P134

P154

INS#PolicyNumContrNum GroupNumberGroupNumber
900434Group Name ST
(35)
N/AGroupName Not used
1000435 Insured's Group Emp. ID ST
(12)
P718

P820

P821

Subscr#EmplCodeInsuredGroup EmpID ??
1100436Insured's Group Emp. Name ST
(45)
P88

P657

P676

Subscr#EmplName

Subscr#Employer

InsuredGroupEmpNameNot used
1200437Plan Effective Date DT
(8)
P120

P140

P160

P180

INS#EffectiveDate PlanEffectiveDateEffectiveDate
1300438Plan Expiration Date DT
(8)
N/APlanExpirationDate Not used
1400439Authorization Information CM
(55)
AuthorizationInformation AuthorizationNum
1500440Plan Type ID
(2)
PlanType Not used(0086)
1600441Name of Insured PN
(48)
P76

P77

P809

P810

P830

P831

Subscr#LastName, FirstNameMINameOfInsured Subscriber.

FullName, LastName, FirstName, MiddleName

1700442Insured's Relation to Patient ID
(2)
P75

P808

P829

Subscr# RelativeCode InsuredRelationToPatientSubscriber.

RelativeCode

(0063)
1800443Insured's Date of Birth DT
(8)
P2017

P2022

P2023

Subscr# BirthDate InsuredDateOfBirthSubscriber.

BirthDate

1900444Insured's Address AD
(106)
P78

P80

P81

P82

P652

P653

P654

P655

P671

P672

P673

P674

Subscr# Address, City, State, ZipInsuredAddress Subscriber.Address, City, State, Zip
2000445Assignment of Benefits ID
(2)
N/AAssignmentOfBenefits Not used(0135)
2100446Coordination Benefits ID
(2)
N/ACoordinationBenefits Not used(0173)
2200447Coordination Priority ST
(2)
CoordinationPriority InsurancePriorityCalculated (1,2,3,etc.)
2300448Notice of Admission Code ID
(2)
N/ANoticeOfAdmissionCode Not used
2400449Notice of Admission Date DT
(8)
N/ANoticeOf AdmissionDate Not used
2500450Rpt. of Eligibility Code ID
(2)
N/ARptOfEligibilityCode Not used
2600451Rpt. of Eligibility Date DT
(8)
N/ARptOf EligibilityDate Not used
2700452Release Information Code ID
(2)
N/AReleaseInformationCode Not used(0093)
2800453Pre-Admit Cert. (PAC) ST
(15)
N/APreAdmitCert PreCertificationRefferal #?
2900454Verification Date TS
(26)
N/AVerificationDate Not used
3000455Verification By CN
(60)
N/AVerificationBy Not used
3100456Type of Agreement Code ID
(2)
N/ATypeOfAgreementCode Not used(0098)
3200457Billing Status ID
(2)
N/ABillingStatus Not used(0022)
3300458Lifetime Reserve Days NM
(4)
P876LtrDaysMSPLifetimeReserveDays Patient.

LifetimeReserveDays

3400459Delay Before L. R. Day NM
(4)
N/ADelayBeforeLRDay Not used
3500460Company Plan Code ID
(8)
N/ACompanyPlanCode Not used(0042)
3600461Policy Number ST
(15)
P113

P133

P153

INS#SubscrEmplNum

RecipientNumber (4th Insurance)

PolicyNumberPolicyNumber
3700462Policy Deductible NM
(12)
N/APolicyDeductible PolicyDeductible
3800463Policy Limit - Amount NM
(12)
N/APolicyLimit_Amount PolicyLimit
3900464Policy Limit - Days NM
(4)
N/APolicyLimit_Days DaysCovered
4000465Room Rate - Semi-Private NM
(12)
N/ARoomRate_SemiPrivate Not used
41 00466Room Rate - Private NM
(12)
N/ARoomRate_Private Not used
4200467Insured's Employ Status CE
(60)
P801

P1176

P1195

Subscr#EmplStatus InsuredEmployStatusSubscriber.EmployerIndicator (0066)
4300468Insured's Sex ID
(1)
P85

P1178

P1197

Subscr#Sex InsuredSexSubscriber.Sex (0001)
4400469Insured's Employer Addr. AD
(106)
P90

P91

P92

P93

P658

P659

P660

P661

P677

P678

P679

P680

Subscr#EmplAddress, City, State, ZipInsuredEmployerAddress Employer.Address, City, State, Zip
450470Verification Status ST
(2)
N/AVerificationStatus Not used
460471Prior Insurance Plan ID ID
(8)
N/APriorInsurancePlan Not used(0072)
Insured's Phone TN P83

P656

PP675

Subscr#PhoneInsuredPhone Subscriber.Phone
Insured's Employer Phone TN N/A InsuredEmployerPhoneEmployer.Phone
Insured's Employer Code ST N/A InsuredEmployerCodeEmployer. EmployerCode
Remarks ST P714

P770

INS#RemarksRemarksRemarks
Pre-Certification Code ST insprecertification PreCertificationCode Y/N/

UNK


IN2 - Insurance Additional Info

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100472Insured's Employee ID ST
(15)
InsuredEmployeeID Not used
200473Insured's Social Security # NM
(9)
P817Subscr#SSNInsuredSocialSecurity Subscriber.SSN(0072)
300474Insured's Employer Name CN
(60)
P657Subscr#EmplName

Subscr#Employer

InsuredEmployerNameEmployer.Name, mstEmployer.Name
400475Employer Information Data ID
(1)
P812Subscr#EmplInfoEmployerInformationData EmployerInfo(0139)
Insured's Occupation ST P818 Subscr#OccupationInsuredOccupation Occupation
500476Mail Claim Party ID
(1)
N/AMailClaimParty Not used(0137)
600477Medicare Card Number NM
(15)
MedicareCardNumber Not used
700478Medicaid Case Name PN
(48)
MedicaidCaseName Not used
800479Medicaid Case Number MP
(15)
MedicaidCaseNumber Not used
900480Champus Sponsor Name NN
(48)
ChampusSponsorName Not used
1000481Champus ID Number NM
(20)
ChampusIDNumber Not used
1100482Dependent of Champus Rcp'nt. ID
(1)
DependentOfChampusRecpnt Not used
1200483Champus Organization ST
(25)
ChampusOrganization Not used
1300484Champus Station ST
(25)
ChampusStation Not used
1400485Champus Service ID
(14)
ChampusService Not used(0140)
1500486Champus Rank/Grade ID
(2)
ChampusRank_Grade Not used(0141)
1600487Champus Status ID
(3)
ChampusStatus Not used(0142)
1700488Champus Retire Date DT
(8)
ChampusRetireDate Not used
1800489Champus NA Cert. on File ID
(1)
ChampusNACertOnFile Not used(0143)
1900490Baby Coverage ID
(1)
BabyCoverage Not used
2000491Combine Baby Bill ID
(1)
CombineBabyBill Not used
2100492Blood Deductible NM
(1)
BloodDeductible Not used
2200493Special Coverage Apprv. Name PN
(48)
SpecialCoverageApprvName Not used
2300494Special Coverage Apprv. Title ST
(30)
SpecialCoverageApprvTitle Not used
2400495Non-Covered Ins. Code ID
(8)
( ) NonCoveredInsCode Not used
2500496Payor ID ST
(6)
P628

P647

P666

INS#PayorID PayorIDPayorID
2600497Payor Subscriber ID ST
(6)
N/APayorSubscriberID PayorSubID(0144)
2700498Eligibility Source ID
(1)
N/AEligibilitySource Not used
2800499Room Coverage Type/Amount CM
(25)
( ) N/ARoomCoverageType_Amount Not used
2900500Policy Type/Amount CM
(25)
( ) N/APolicyType_Amount Not used
3000501Daily Deductible CM
(25)
N/ADailyDeductible Not used


IN3 - Insurance Certification Info

Nothing in this segment is currently used.

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100502Set ID - Insurance Certification RSI
(4)
N/ASetID_ InsurCertification
200503Certification Number ST
(25)
CertificationNumber (0072)
300504Certified By CN
(60)
CertifiedBy
400505Certification Required ID
(1)
CertificationRequired
500506Penalty CM
(10)
Penalty (0148)
600507Certification Date/Time TS
(26)
CertificationDate_Time
700508Certification Modify D/T TS
(26)
CertificationModifyD_T
800509Operator CN
(60)
Operator
900510Certification Begin Date DT
(8)
CertificationBeginDate
1000511Certification End Date DT
(8)
CertificationEndDate
1100512Days CM
(3)
Days (0149)
1200513Non-Concur Code/Desc. CE
(60)
NonConcur Code_Desc
1300514Non-Concur Effective D/T TS
(26)
NonConcurEffectiveD_T
1400515Physician Reviewer CN
(60)
PhysicianReviewer
1500516Certification Contact ST
(48)
CertificationContact
1600517Certification Contact Phone # TN
(40)
( ) CertificationContactPhone
1700518Appeal Reason CE
(60)
AppealReason
1800519Certification Agency CE
(60)
CertificationAgency
1900520Certification Agency Phone # TN
(40)
( ) CertificationAgencyPhone
2000521Pre-Certification Req./Window CM
(40)
( ) PreCertificationReqWindow 150)
2100522Case Manager ST
48)
CaseManager
2200523Second Opinion Date DT
(8)
SecondOpinionDate
2300524Second Opinion Status ID
(1)
SecondOpinionStatus (0151)
2400525Second Opinion Doc Rcv'd. ID
(1)
SecondOpinion DocRcv (0152)
2500526Second Opinion Practitioner CN
(60)
SecondOpinionPractitioner


MRG - Merge Patient Information

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100211Prior Patient ID - Internal RCM
(20)
P1291OldPatientNumberPriorPatientID_Internal (0061)
200212Prior Alternate Patient ID ST
(16)
N/APriorAlternatePatientID (0061)
300213Prior Patient Account Number CK
(20)
P1291OldPatientNumberPriorPatientAccountNumber (0061)
400214Prior Patient ID - External CK
(16)
U3OldMecRecNumPriorPatientID_External (0061)


MSA - Message Acknowledgment

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100018Acknowledgment Code RID
(2)
(0006)
200019Message Control ID RST
(20)
300020Text Message ST
(80)
400021Expected Sequence Number NM
(15)
500022Delayed ACK Type ID
(1)
(0102)
600023Error Condition CE
(100)


MSH - Message Header (Required segment)

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100001Field Separator RST
(1)
N/A
200002Encoding Characters RST
(4)
300003Sending Application ST
(15)
400004Sending Facility ST
(20)
FacilityID
500005Receiving Application ST
(30)
600006Receiving Facility ST
(30)
700007Date/Time of Message TS
(26)
800008Security ST
(40)
N/A
900009Message Type RCM
(7)
N/A (0076)
1000010Message Control ID RST
(20)
N/A
1100011Processing ID RID
(1)
N/A (0103)
1200012Version ID RID
(8)
N/A (0104)
1300013Sequence Number NM
(15)
N/A
1400014Continuation Pointer ST
(180)
N/A
1500015Accept Acknowledgment Type ID
(2)
N/A (0155)
1600016Application Acknowledge Type ID
(2)
N/A (0155)
1700017Country Code ID
(2)
N/A


NK1 - Next of Kin

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100190Set ID - Next of Kin R SI
(4)
N/ASetID_NextOfKin ??
200191Next of Kin Name PN
(48)
P46RelativeNameNextOfKinName FullName, LN, FN, MN
300192Next of Kin Relationship CE
(60)
P45NearestRelativeNextOfKinRelationship RelativeCode(0063)
400193Next of Kin Address AD
(106)
N/ANextOfKinAddress NA
500194Next of Kin Phone Number TN
(40)
( ) P52RelativePhoneNextOfKinPhoneNumber Phone
600195Business Phone Number TN
(40)
P1006RelativeWorkPhoneBusinessPhoneNumber WorkPhone
700196Contact Role CE
(60)
N/AContactRole NA(0131)
800197Start Date DT
(8)
N/AStartDate NA
900198End Date DT
(8)
N/AEndDate NA
1000199Next of Kin Job Title ST
(60)
N/ANextOfKinJobTitle NA
1100200Next of Kin Job Code/Class CM
(20)
N/ANextOfKinJobCode_Class NextOfKin
1200201Next of Kin Employee Number ST
(20)
N/ANextOfKinEmployeeNumber NA
1300202Organization Name ST
(60)
N/AOrganizationName NA


NPU - Bed Status Update

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100209Bed Location R CM
(12)
PBedLocation (0079)
200170Bed Status ID
(1)
BedStatus (0116)


OBR - Observation Request

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100237Set ID - Observation Request SI
(4)
PSetID _ObservationRequest
200216Placer Order Number CM
(75)
PlacerOrderNumber
300217Filler Order Number CM
(75)
( ) FillerOrderNumber TransactionStamp
400238Universal Service ID RCE
(200)
UniversalServiceID ExecutableTestCode
500239Priority ID
(2)
Priority Not Used-see #27
600240Requested Date/Time TS
(26)
RequestedDate_Time Not Used-see #27
700241Observation Date/Time TS
(26)
ObservationDate_Time Not used
800242Observation End Date/Time TS
(26)
ObservationEndDate_Time CompletionDateTime
900243Collection Volume CQ
(20)
CollectionVolume Not used
1000244Collector Identifier CN
(60)
( ) CollectorIdentifier Not used
1100245Specimen Action Code ID
(1)
SpecimenActionCode Not used(0065)
1200246Danger Code CM
(60)
DangerCode Not used
1300247Relevant Clinical Info. ST
(300)
Relevant ClinicalInfo MicroResult.DiagnosisDescription
1400248Specimen Rcv'd. Date/Time TS
(26)
Specimen

RcvdDate_Time

ReceiptDateTime
15a00249SpecimenSource.Code CM
(300)
SpecimenSourceCode SpecimenCode(0070)
15b00249SpecimenSource.Additives CM
(300)
SpecimenSourceAdditives Not Used(0070)
15c00249SpecimenSource.Text CM
(300)
SpecimenSourceText LabSpecimen.Description, also MicroResult.Specimen (0070)
15d00249SpecimenSource.BodySite CM
(300)
SpecimenSourceBodySite MicroResult.BodySite(0070)
15d00249SpecimenSource. SiteModifier CM
(300)
SpecimenSourceSiteModifier Category(0070)
1600226Ordering Provider CN
(80)
( ) OrderingProvider RequestingDocNum
1700250Order Callback Phone Number TN
(40)
( ) OrderCallbackPhoneNumber Not used
1800251Placers Field 1 ST
(60)
PlacersField1 Not used
1900252Placers Field 2 ST
(60)
PlacersField2 Not used
2000253Filler Field 1 ST
(60)
FillerField1 RequestableTestCode
2100254Filler Field 2 ST
(60)
FillerField2
2200255Results Rpt./Status Change TS
(26)
ResultsRpt_StatusChange TransactionTime
2300256Charge to Practice CM
(40)
ChargetoPractice Not used
2400257Diagnostic Service Sect Id ID
(10)
DiagnosticServiceSectID Not used(0074)
2500258Result Status CE
(1)
ResultStatus ProcessingCode(0123)
2600259Parent Result CM
(200)
ParentResult Not used
27a00221QuantityTiming.quantity TQ
(200)
( ) QuantityTimingQuantity Not used
27b00221QuantityTiming.interval TQ
(200)
( ) QuantityTimingInterval Not used
27c00221QuantityTiming.duration TQ
(200)
( ) QuantityTimingDuration Not used
27d00221QuantityTiming.StartTime TQ
(200)
( ) QuantityTimingStartTime RequestingDateTime
27e00221QuantityTiming.EndTime TQ
(200)
( ) QuantityTimingEndTime Not used
27f00221QuantityTiming.priority TQ
(200)
( ) QuantityTimingPriority PriorityCode
27g00221QuantityTiming.condition TQ
(200)
( ) QuantityTimingCondition Not used
27h00221QuantityTiming.text TQ
(200)
( ) QuantityTimingText Priority Description
27i00221QuantityTiming.conjunction TQ
(200)
( ) QuantityTimingConjunction Not used
27j00221QuantityTiming.Sequence TQ
(200)
( ) QuantityTimingSequence Not used
2800260Result Copies to CN
(150)
( ) ResultCopiesTo Not used
2900261Parent Number CM
(150)
ParentNumber Not used
3000262Transportation Mode ID
(20)
TransportationMode Not used(0124)
3100263Reason for Study CE
300)
( ) ReasonforStudy Not used
3200264Principal Result Interpreter CM
60)
Principal Result Interpreter TransactionLabUserID
3300265Assistant Result Interpreter CM
60)
( ) Assistant Result Interpreter Not used
3400266Technician CM
(60)
( ) Technician Not used
3500267Transcriptionist CM
(60)
( ) Transcriptionist Not used
3600268Scheduled Date/Time TS
(26)
Scheduled Date/Time Not used


OBX - Standard HL7 Result

This segment is used for observational data not related to a lab test, such as height, weight, etc.

1010.1^Body Weight

1010.3^Height

2000.31^Smoking Hx current (Zero for non-smoker, 1 for smoker)

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100559Set Id SI
(4)
P
200676Value Type ID
(2)
300560Observation Identifier RCE
(80)
1010.1^Body Weight

1010.3^Height

2000.31^Smoker

400769Observation Sub-Id ST
(20)
500561Observation Results R ST
(65)
600562Units ST
(20)
700563Reference Range ST
(60)
800564Abnormal Flags ST
(10)
900639Probability NM
(5)
1000565Nature of Abnormal Test ID
(5)
1100566Observ. Result Status ID
(2)
1200567Date Last Normal Value TS
(19)


OBX - Result - Lab Non-Micro

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100559Set Id SI
(4)
P
200676Value Type ID
(2)
Numeric type as an HL7 type

NM = "N"

ST = "A"

TX = "O"

3a00560Observation Identifier .identifier RCE
(80)
ResultCode
3b00560Observation Identifier .text RCE
(80)
ResultName
400769Observation Sub-Id ST
(20)
500561Observation Results R ST
(65)
Result Value
600562Units ST
(20)
Result Units
7a00563ReferenceRange.low CM
(60)
Low Normal *
7b00563ReferenceRange.high CM
(60)
High Normal *
800564Abnormal Flags ST
(10)
"N" for normal, "H" for High,

"L" for low

2nd character is Delta Flag

*
900639Probability NM
(5)
Not used
1000565Nature of Abnormal Test ID
(5)
1100566Observ. Result Status ID
(2)
Same as OBR.ResultStatus
1200567Date Last Normal Value TS
(19)
13User Defined Access Checks ST ResReportableFlag
14Date/Time of Observation TS Verify Date (if status is verified)
15Producer's ID CE "PATHLAB"
16Responsible Observer CN Verify User ID
Entering User CN Entering User
Performing User CN Performing User
Method Name ST Method Name
Department ST Department
ResultType ST ResultType
DeltaResultRecNum NM DeltaResultRecNum
ResNum NM ResNum
SeqNum ST SeqNum

*Note these are different from the HL7 specs


OBX - Result - Lab Micro Result Text

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100559Set Id SI
(4)
P
200676Value Type ID
(2)
300560Observation Identifier RCE
(80)
400769Observation Sub-Id ST
(20)
500561Observation Results R ST
(65)
ResultText
600562Units ST
(20)
700563Reference Range ST
(60)
800564Abnormal Flags ST
(10)
900639Probability NM
(5)
1000565Nature of Abnormal Test ID
(5)
1100566Observ. Result Status ID
(2)
1200567Date Last Normal Value TS
(19)
SeqNum ST SeqNum


PID - Patient Identification

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse

Variable

Notes
100104Set ID - Patient ID SI
(4)
Not used
200105Patient ID (External ID) CK
(16)
P38MedRecNo MedRecNo
300106Patient ID (Internal ID) R CM
(20)
P1
400107Alternate Patient ID ST
(12)
P950FPChartNum ExternalVisitID.

ExternalID

500108Patient's Name R PN
(48)
P2, P3PatLastName

PatFirstNameMI

Same
600109Mother's Maiden Name ST
(30)
P332MothersName Same
700110Date of Birth DT
(26)
P13PatBirthDate Same
800111Sex ID
(1)
P11PatSex Same(0001)
900112Patient Alias PN
(48)
( ) Not Used
1000113Race ID
(1)
P16PatRace Same(0005)
1100114Patient Address AD
(106)
( ) P4, P6, P7, P8PatAddress

PatCity

PatState

PatZip

Same
1200115County Code ID
(4)
P22OriginCode Not used
1300116Phone Number - Home TN
(40)
( ) P9Phone Same1
1400117Phone Number - Business TN
(40)
( ) N/AEmployerPhone 1
1500118Language - Patient ST
(25)
N/ANot used
1600119Marital Status ID
(1)
P12N/A Same(0002)
1700120Religion ID
(3)
P17DenominationCode Denomination Code(0006)
1800121 Patient Account Number CK
(20)
Not Used Not used(0061)
1900122SSN Number - Patient ST
(16)
P10PatSSN Same
2000123Drivers License - Patient CM
(25)
N/ANot Used
2100124Mother's Identifier CK
(20)
N/ANot Used
2200125Ethnic Group ID
(1)
N/ANot Used (0189)
2300126Birth Place ST
(25)
N/ANot Used
2400127Multiple Birth Indicator ID
(2)
N/ANot Used
2500128Birth Order NM
(2)
N/ANot Used
2600129Citizenship ID
(3)
( ) N/ANot Used
2700130Veteran's Military Status CE
(60)
N/ANot Used
Occupation ST
()
OccupationOccupation
Employer

Address

AD Employer Address, City, State, Zip
Employer CE EmployerCode

EmployerName

EmployerCode, EmployerName
Church ST PatChurch Church
ChurchLocation ST (17) Location
Mother's Name ST (1)
Nearest Relative ST (1)


PR1 - Procedures

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100391Set ID - Procedure RSI
(4)
N/A
200392Procedure Coding Method RID
(2)
( ) "I9" = ICD9 (0089)
300393Procedure Code R ID
(10)
( ) P437, P446PrimaryProcCode, Secondary#ProcCode ProcedureCode(0088)
400394Procedure Description ST
(40)
( ) N/ADescription Calculated
500395Procedure Date/Time R TS
(19)
P457, P461PrimaryProcDate, Secondary#ProcDate ProcedureDate
600396Procedure Type RID
(2)
N/AProcedureType (0090)
700397Procedure Minutes NM
(4)
N/ANot used
800398Anesthesiologist CN
(60)
N/ANot used
900399Anesthesia Code ID
(2)
N/ANot used (0019)
1000400Anesthesia Minutes NM
(4)
N/ANot used
1100401Surgeon CN
(60)
P460, P465PrimaryProcDr, Secondary#ProcDr DrNum (Name)
1200402Resident Code CM
(60)
( ) Not used
1300403Consent Code ID
(2)
Not Used (0059)
1400404Procedure Priority NM
(2)
N/A (Calculated) ProcedurePriority
????Diagnosis Indicator (Procedure Indicator?) ST N/A DiagnosisIndicator
ICD9Year NM ICD9Year


PV1 - Patient Visit

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100131Set Id - Patient Visit SI
(4)
P1CMSPatientNumberSetId_PatientVisit ExternalVisitID.

ExternalID

200132Patient Class R ID
(1)
(Calculated)PatientClass VisitClass(0004)
300133Assigned Patient Location CM
(12)
P290

P291

NurseStation, PatBed AssignedPatientLocationVisit.FacilityID, BedEvent.

NurseStation, Room, Bed, BedStatus

400134Admission Type ID
(2)
P365AdmitPriorityAdmissionType (0007) ?? ER, ACC, Labor, or routine.
500135Pre-Admit Number ST
(20)
OldPreAdmitNumberPreAdmitNumber ExternalID
600136Prior Patient Location CM
(12)
DischargeBed

DischargeNurseStation

PriorPatientLocationVisit.FacilityID,

BedEvent.

NurseStation, Room, Bed, BedStatus

700137Attending Doctor CN
(60)
P201

P202

AdmittingDrNum

AdmittingDrName

AttendingDoctorDrNum, Name (0010)
800138Referring Doctor CN
(60)
P203

P202

P1706

P1707

AttendingDrNum

AttendingDrName

ReferringDrNum

ReferringDrName

OrderingDrLocation

ReferringDoctorDrNum, Name (0010)
900139Consulting Doctor CN
(60)
( ) P205/204

P207/P206

P209/P208

P1110/P1111

P1112/P756

P757/P758

P763/P764

P766/767

ConsultDr#Num

ConsultDr#Name

ConsultingDoctor DrNum, Name(0010)
1000140Hospital Service ID
(3)
P292

P299

P298

PatService, EmergencyService

OpService

HospitalServiceVisit.ServiceCode (0069)
1100141Temporary Location CM
(12)
TemporaryLocation Visit.FacilityID,

BedEvent.

NurseStation, Room, Bed, BedStatus

1200142Pre-Admit Test Indicator ID
(2)
P241PreAdmitTestPreAdmitTestIndicator PreAdmissionTest(ing)?(0087)
1300143Re-Admission Indicator ID
(2)
ReturnTreatmentReAdmissionIndicator PreAdmission.

ReAdmissionInd

(0092)
1400144Admit Source ID
(3)
P368PatAdmitSourceAdmitSource mstAdmissionSource/Registration.

AdmissionSource

(0023)
1500145Ambulatory Status ID
(2)
( ) N/AAmbulatoryStatus PreAdmission.

AmbulatoryState

(0009)
1600146VIP Indicators ID
(2)
P702VipCardVIPIndicators HospitalVisit.

VIPCard

(0099)
1700147Admitting Doctor CN
(50)
P201

P203

AdmittingDrNum

AdmittingDrName

AdmittingDoctorDrNum, Name (0010)
1800148Patient Type ID
(2)
P293

P297

P296

PatType

EmergencyType

OpType

PatientTypeVisit.

VisitType

-
1900149Visit Number NM
(15)
P1CMSPatientNumberVisitNumber ExternalVisitID.

ExternalID

2000150Financial Class ID
(60)
( ) P19FinancialClassFinancialClass Visit.

FinancialClass

(0064)
2100151Charge Price Indicator ID
(2)
ChargePriceIndicator Not used(0032)
2200152Courtesy Code ID
(2)
CourtesyCode Not used(0045)
2300153Credit Rating ID
(2)
CreditRating Not used(0046)
2400154Contract Code ID
(2)
( ) ContractCode Not used(0044)
2500155Contract Effective Date DT
(8)
( ) ContractEffectiveDate Not used
2600156Contract Amount NM
(12)
( ) ContractAmount Not used
2700157Contract Period NM
(3)
( ) ContractPeriod Not used
2800158Interest Code ID
(2)
InterestCode Not used(0073)
2900159Transfer to Bad Debt Code ID
(1)
TransferToBadDebt Code Not used(0110)
3000160Transfer to Bad Debt Date DT
(8)
TransferToBadDebtDate Not used
3100161Bad Debt Agency Code ID
(10)
BadDebtAgencyCode Not used(0021)
3200162Bad Debt Transfer Amount NM
(12)
BadDebtTransfer Amount Not used
3300163Bad Debt Recovery Amount NM
(12)
BadDebtRecoveryAmount Not used
3400164Delete Account Indicator ID
(1)
DeleteAccountIndicator Not used(0111)
3500165Delete Account Date DT
(8)
DeleteAccountDate Not used
3600166Discharge Disposition ID
(3)
P374DischargeDispDischargeDisposition Discharge.

DispositionCode

(0112)
3700167Discharged to Location CM
(25)
DischargedToLocation Discharge.

Destination

(0113)
3800168Diet Type ID
(2)
DietType Not used(0114)
3900169Servicing Facility ID
(2)
ServicingFacility Not used(0115)
4000170Bed Status ID
(1)
BedStatus BedEvent./mstBed.

BedStatus

(0116)
4100171Account Status CM
(2)
Account Status Not used(0117)
4200172Pending Location CM
(12)
Pending Location Visit.FacilityID,

BedEvent.

NurseStation, Room, Bed, BedStatus

4300173Prior Temporary Location CM
(12)
Prior Temporary Location Visit.FacilityID,

BedEvent.

NurseStation, Room, Bed, BedStatus

(0079)
4400174Admit Date/Time TS
(26)
P242, P253

U1

U2

U5

AdmissionDateTime

RegistrationDateTime

NewAdmitDate

NewAdmitTime

TransferDateTime

Admit Date/TimeVisit.BeginDate
4500175Discharge Date/Time TS
(26)
P260DischargeDateTimeDischarge Date/Time Visit.EndDate
4600176Current Patient Balance NM
(12)
Current Patient Balance Not used
4700177Total Charges NM
(12)
Total Charges Not used
4800178Total Adjustments NM
(12)
Total Adjustments Not used
4900179Total Payments NM
(12)
Total Payments Not used
5000180Alternate Visit ID CM
(20)
P950CMSUniquePIDAlternate Visit ID ExternalVisitID.

ExternalID

Alternate Visit ID 2 CM
(20)
LabPatientNumAlternate Visit ID 2 ExternalVisitID, ExternalID
PriorFacility ST OtherHospital PriorFacility
PriorFacilityAddress AD Address PriorFacilityAddress
PriorFacilityDischargeDate TS OtherDischargeDate PriorFacilityDischargeDate
FinClassEffectiveDate TS FinClassEffectiveDate FinClassEffectiveDate
OtherDischargeDate TS OtherDischargeDate OtherDischargeDate
Pre-AdmitClerk ST PreAdmitClerk Pre-AdmitClerk


PV2 - Patient Visit - Additional Information

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100181Prior Pending Location CM
(12)
200182Accommodation Code CE
(60)
(0129)
300183Admit Reason CE
(60)
P244

P773

P245

P2016

P733

ICDCode1

AdmissionDiagnosis1

AdmissionDiagnosis

ReasonForVisit

ReasonForVisit2

PreAdmission.

ReasonForVisit

400184Transfer Reason CE
(60)
500185Patient Valuables ST
(25)
( )
600186Patient Valuables Location ST
(25)
700187Visit User Code ID
(2)
(0130)
800188Expected Admit Date DT
(8)
P240ExpectedDate
900189Expected Discharge Date DT
(8)
Cair Pair 1 ST
()
BedEvent.

CairPair1

Cair Pair 2 ST
()
BedEvent.

CairPair2

Extension 1 ST
(4)
BedEvent.

Extension1

Comment ST
(4)
BedEvent.

Comment

Missing Insurance Info ST
(1)
MissingInfoGiven
Ambulance Service ST
()
AmbulanceService
Copy To Doctor CN
()
CopyDrName
Copy To Address CopyDrCity

CopyDrState

CopyDrZip

Discharge Type ST DischargeType
Autopsy Indicator ST
Surgery Related ST SurgeryRelated,

SurgRelated

Advance Directive ST AdvanceDirective

e.g. DNR

Family With You ST FamilyWithYou
Newspaper Name NewspaperName
OP Visit Code OpVisitCode
Phone Calls PhoneCalls
Produce Card ProduceCard
Publicity Indicator PublicityIndicator
Room Phone RoomPhone
SSP Patient SspPatient
Symptoms Onset SymptomsOnset
Visitors Visitors
Mode Arrival ModeArrival
Employee ST
(1)
Share Member ST
(1)
Compensation ST
(1)


ZLB - TMC Lab

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
Test Type CE P TestType
Accession ST Accession
Control Num ST ControlNum
Component Num ST ComponentNum
Order Entry Mode ST OrderEntyMode
External Test ID ST ExternalTestID
Cancel Lab User ST CancelLabUser
Collect Lab User ST CollectLabUser
Location Code ST LocationCode
Lab TRR Num ST LabTRRNum
Interface Line ST InterfaceLine
Collection Date/ Time TS CollectionDateTime
Sent Out Date/Time TS SentOutDateTime
Cancel Date/Time TS CancelDateTime
Canceled Processing Code ST CancelledPRocessingCode
Patient Location ST PatientLocation


ZMS - Medicare Secondary Payor

Note: Eghp: Employer Group Health Plan

Seq#
Item# Name R/ODT Len (Max)Reps External ElementSender Variable OLE
Variable
Warehouse VariableNotes
Black Lung ST
(1)
P861BlankLungMSP
Coordination Period ST
(1)
P874CoordPerIdMSP 18 Mo. before transplant
Covered Sp Eghp ST
(1)
P868CovdSpEghp
Dialysis Date DT
(8)
P875DiaDtMSP
Illness Compensation ST
(1)
P860IllnessCompMsp
Illness Injury Va ST
(1)
P859IllnessInjuryVAMsp
Lifetime Reserve Days ST
(1)
P876LtrDaysMsp
Medical Disability ST
(1)
P857MedDisMsp
Medicare ST
(1)
P869MedicareMsp
Medicare Number ST
(1)
Medicare Transfer ID ST
(1)
Medicare Type ST
(1)
Number of Employees ST
(1)
P870NumEmplMsp
Patient Eghp ST
(1)
P863PatEghpMsp
Patient Employed ST
(1)
P862PatEmplMsp
Renal Kidney ST
(1)
P871RenalKidneyMsp
Retirement Date DT
(8)
P864RetDateMsp
Solely Esrd ST
(1)
P873SoEsrdMsp
Spouse Eghp ST
(1)
P866SpEghpMsp
Spouse Employed ST
(1)
P865SpEmplMsp
Spouse Retirement Date ST
(1)
P867SpRetDtMsp
Transplant Date DT
(8)
P872TrDtMsp
Va Fee ST
(1)
P858VaFeeMsp
Date Entered DT
(8)
Not Used ????
Student ST
(1)
Not Used ????


ADD - Addendum

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100066Addendum Cont. Pointer ST (60) AddendumContPointer


AL1 - Patient Allergy Information

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100203Set ID R SI (4) N/ASetIDNot used
200204Allergy Type ID (2) N/AAllergyTypeNot used (0127)
3a00205AllergyCode.Code R CE (60)( ) N/AAllergyCodeCodeAllergyCode
3b00205AllergyCode.Text R CE (60)( ) N/AAllergyCodeTextDescription
400206Allergy Severity ID (2) N/AAllergySeverityNot used (0128)
500207Allergy Reaction ST (15) N/AAllergyReactionNot used
600208Identification Date DT (8) N/AIdentificationDateNot used


BHS - Batch Header

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100081Batch Field Separator RST
(1)
200082Batch Encoding Characters RST
(3)
300083Batch Sending Application ST
(15)
400084Batch Sending Facility ST
(20)
500085Batch Rcv'ing Application ST
(15)
600086Batch Receiving Facility ST
(20)
700087Batch Creation Date/Time TS
(19)
800088Batch Security ST
(40)
900089Batch Name/ID/Type ST
(20)
1000090Batch Comment ST
(80)
1100091Batch Control ID ST
(20)
1200092Reference Batch Control ID ST
(20)


BLG - Billing

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100234When to Charge CM
(15)
200235Charge Type ID
(50)
300236Account ID CM
(100)


BTS - Batch Trailer

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100093Batch Message Count ST
(10)
200094Batch Comment ST
(80)
300095Batch Totals CM
(100)


DSC - Continuation Pointer

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100167Continuation Pointer ST
(60)
PContinuationPointer


DSP - Display Data

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100570Set ID - Display Data SI
(4)
P
200571Display Level SI
(4)
300153Data Line R TX
(300)
400154Logical Break Point ST
(2)
500599Result ID TX
(20)


ERR - Error

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100024Error Code and Location RID
(80)
P (0060)


FHS - File Header

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100067File Field Separators RST
(1)
200068File Encoding Characters RST
(4)
300069File Sending Application ST
(15)
400070File Sending Facility ST
(20)
500071File Rcv'ing Application ST
(15)
600072File Receiving Facility ST
(20)
700073File Creation Date/Time TS
(19)
800074File Security ST
(40)
900075File Name/ID/Type ST
(20)
1000076File Comment ST
(80)
1100077File Control ID ST
(20)
1200078Reference File Control ID ST
(20)


FT1 - Financial Transaction

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100355Set ID - Financial Trans. SI
(4)
P
200356Transaction ID ST
(12)
300357Transaction Batch ID ST
(10)
400358Transaction Date RDT
(8)
500359Transaction Posting Date DT
(8)
600360Transaction Type RID
(8)
(0017)
700361Transaction Code RID
(20)
(0132)
800362Transaction Description ST
(40)
900363Transaction Desc. - Alt ST
(40)
1000364Transaction Quantity NM
(4)
1100365Transaction Amount - Ext. NM
(12)
1200366Transaction Amount - Unit NM
(12)
1300367Department Code CE
(60)
(0049)
1400368Insurance Plan ID ID
(8)
(0072)
1500369Insurance Amount CM
(12)
1600138Assigned Patient Location ST
(12)
(0079)
1700370Fee Schedule ID
(1)
(0024)
1800148Patient Type ID
(2)
(0018)
1900371Diagnosis Code CE
(8)
( ) (0051)
2000372Performed by Code CN
(60)
(0084)
2100373Ordered by Code CN
(60)
2200374Unit Cost NM
(12)
2300217Filling Order Number CM
(75)


FTS - File Trailer

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100667File Batch Count ST (10)P
200668File Trailer Comment CM (80)


MFA - Master File Acknowledgment

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100664Record-Level Event Code RID
(3)
P (0180)
200665MFN Control ID ST
(20)
300668Event Completion Date/Time TS
(26)
400669Error Return Code RCE
(60)
(0181)
500670Primary Key Value RCE
(60)


MFE - Master File Entry

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100664Record-Level Event Code RID
(3)
P (0180)
200665MFN Control ID ST
(20)
300666Effective Date/Time TS
(26)
400667Primary Key Value RCE
(60)


MFI - Master File Identification

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100658Master File Identifier RCE
(60)
P (0175)
200659Master File Application ID ID
(6)
(0176)
300660File-Level Event Code RID
(3)
(0178)
400661Entered Date/Time TS
(26)
500662Effective Date/Time TS
(26)
600663Response Level Code RID
(2)
(0179)


NTE - Notes and Comments

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100573Set ID SI
(4)
PSetID
200574Source of Comment ID
(8)
SourceofComment (0105)
300575Comment R TX
(120)
Comment


ODS - Dietary Orders

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100269Type RID
(1)
P (0159)
200270Service Period CE
(60)
( )
300271Diet, Supplement or Pref. Code RCE
(60)
( )
400272Text Instruction ST
(80)
( )


ODT- Diet Tray Instructions

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100273Tray Type RID
(60)
P (0160)
200270Service Period CE
(30)
( )
300272Text Instruction ST
(80)


ORC - Common Order

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100215Order Control RID
(2)
P
200216Placer Order Number CM
(75)
300217Filler Order Number CM
(75)
400218Placer Order Number CM
(75)
500219Order Status ID
(2)
(0038)
600220Response Flag ID
(1)
(0121)
700221Quantity/Timing TQ
(200)
800222Parent CM
(200)
900223Date/Time of Transaction TS
(26)
10 00224Entered By CN
(80)
1100225Verified By CN
(80)
1200226Ordering Provider CN
(80)
1300227Enterer's Location CM
(80)
1400228Call Back Phone Number TN
(40)
( )
1500229Order Effective Date/Time TS
(26)
1600230Order Control Code Reason CE
(200)
1700231Entering Organization CE
(60)
1800232Entering Device CE
(60)
1900233Action By CN
(80)


PRA - Practitioner Detail

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100685PRA - Primary Key Value RST
(20)
P
200686Practitioner Group CE
(60)
( )
300687Practitioner Category ID
(3)
( )
400688Provider Billing ID
(1)
(0186)
500689Specialty CM
(100)
( ) (0187)
600690Practitioner ID Numbers CM
(100)
( )
700691Privileges CM
(200)
( )


QRD - Query Definition

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100025Query Date/Time RTS
(26)
P
200026Query Format Code RID
(1)
(0106)
300027Query Priority RID
(1)
(0091)
400028Query ID RST
(10)
500029Deferred Response Type ID
(1)
(0107)
600030Def. Resp. Date/Time TS
(26)
700031Quantity Limited Request RCQ
(10)
(0126)
800032Who Subject Filter RST
(20)
( )
9 00033What Subject Filter RID
(3)
( ) (0048)
1000034What Dept. Data Code RST
(20)
( )
1100035What data Cd. Value Qua. ST
(20)
1200036Query Results Level ID
(1)
(0108)


QRF - Query Filter

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100037Where Subject Filter R ST
(20)
( ) P
200038When Data Start Date/Time TS
(26)
300039When Data End Date/Time TS
(26)
400040What User Qualifier ST
(20)
( )
500041Other Query Subject Filter ST
(20)
( )
600042Which Date/Time Qualifier ID
(12)
( ) (0156)
700043Which Date/Time Status Qualifier ID
(12)
( ) (0157)
800044Date/Time Selection Qualifier ID
(12)
( ) (0158)


RQD - Requisition Detail

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100275Requisition Line Number SI
(4)
P
200276Item Code - Internal CE
(60)
300277Item Code - External CE
(60)
400278Hospital Item Code CE
(60)
500279Requisition Quantity NM
(6)
600280Requisition Unit of Measure CE
(60)
700281Dept. Cost Center ID
(30)
800282Item Natural Account Number ID
(30)
900283Deliver to ID CE
(60)
1000284Date Needed DT
(8)


RQ1- Requisition Detail 1

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100285Anticipated Price ST
(10)
P
200286Manufactured ID CE
(60)
300287Manufacturer's Catalog ST
(16)
400288Vendor ID CE
(60)
500289Vendor Catalog ST
(16)
600290Taxable ID
(1)
700291Substitute Allowed ID
(1)


RXA - Pharmacy Administration

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100342Give Sub-ID Counter RNM
(4)
P
200344Sub-ID Counter RNM
(4)
300345Date/Time Admin. Start RTS
(26)
400346Date/Time Admin. End RTS
(26)
500347Administered Code RCE
(100)
600348Administered Amount RNM
(20)
700349Administered Units CE
(60)
800350Administered Dosage Form CE
(60)
900351Administration Notes ST
(200)
1000352Administering Provider CN
(200)
1100353Administered-At Location ID
(12)
1200354Administered Per (Time Unit) ST
(20)


RXD- Pharmacy Dispense

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100334Dispense Sub-ID Counter RNM
(4)
P
200335Dispense/Give Code RCE
(100)
300336Date/Time Dispensed RTS
(26)
400337Actual Dispense Amount RNM
(20)
500338Actual Dispense Units CE
(60)
600339Actual Dosage Form CE
(60)
700325Prescription Number NM
(20)
800326Number of Refills Remaining NM
(20)
900340Dispense Notes ST
(200)
1000341Dispensing Provider CN
(200)
1100342Substitution Status ID
(1)
(0167)
1200328Total Daily Dose NM
(10)
1300299Dispense-to Location ID
(12)
1400329Needs Human Review ID
(1)
1500325Special Dispensing Instructions ST
(200)


RXE- Pharmacy Encoded

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100221Quantity/Timing RTQ
(200)
P
200317Give Code RCE
(100)
300318Give Amount - Minimum RNM
(20)
400319Give Amount - Maximum NM
(20)
500320Give Units RCE
(60)
600321Give Dosage Form CE
(60)
700298Administration Instructions ST
(200)
800299Deliver-to Location ID
(12)
900322Substitution Status ID
(1)
1000323Dispense Amount NM
(20)
1100324Dispense Units CE
(60)
1200304Number of Refills NM
(3)
1300305Ordering Provider's DEA # CN
(60)
1400306Pharmacist Verifier ID CN
(60)
1500325Prescription Number RST
(20)
1600326Number of Refills Remaining NM
(20)
1700327Number of Doses Dispensed NM
(20)
1800328Date/Time of Dose Dispensed TS
(26)
1900329Total Daily Dose CQ
(10)
2000307Needs Human Review ID
(1)
2100330Pharmacy Special Instructions ST
(200)
2200331Give Per (Time Unit) ST
(20)
2300332Give Rate Amount ST
(6)
2400333Give Rate Units CE
(20)


RXG - Pharmacy Give

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100342Give Sub-ID Counter RNM
(4)
P
200333Dispense Sub-ID NM
(4)
300221Quantity/Timing RTQ
(200)
400317Give Code RCE
(100)
500318Give Amount - Minimum RNM
(20)
600319Give Amount - Maximum NM
(20)
700320Give Units CE
(60)
800321Give Dosage Form CE
(60)
900343Administration Notes TS
(26)
1000322Substitution Status ID
(20)
(0167)
1100299Dispense-To Location ID
(12)
1200307Needs Human Review ID
(1)
1300344Special Admin. Instructions ST
(200)
1400330Give Per (Time Unit) ST
(20)
1500331Give Rate Amount ST
(6)
1600332Give Rate Units CE
(60)


RXO - Pharmacy Prescription Order

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100292Requested Give Code RCE
(100)
P
200293Requested Amount - Minimum RNM
(20)
300293Requested Amount - Maximum NM
(20)
400295Requested Give Units RCE
(60)
500296Requested Dosage Form CE
(60)
600297Pharmacy Instructions ST
(200)
700298Administration Instructions ST
(200)
800299Deliver-to Location ID
(12)
900300Allow Substitutions ID
(1)
(0161)
1000301Requested Dispense Code CE
(100)
1100302Requested Dispense Amount NM
(20)
1200303Requested Dispense Units CE
(60)
1300304Number of Refills NM
(3)
1400305Ordering Provider's DEA # CN
(60)
1500306Pharmacist Verifier ID CN
(60)
1600307Needs Human Review ID
(1)
( )
1700308Requested Give Per Time ST
(20)


RXC - Pharmacy Component

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100313RX Component Type RID
(1)
P (0166)
200314Component Code RCE
(100)
300315Component Amount RNM
(20)
400316Component Units RCE
(20)


RXR - Pharmacy Route

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100309Route RCE
(60)
P (0162)
200310Site CE
(60)
(0163)
300311Administration Device CE
(60)
(0164)
400312Administration Method CE
(60)
(0165)


STF - Staff Identification

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100671STF - Primary Key Value RCE
(50)
P
200672Staff ID Code CE
(60)
( )
300673Staff Name PN
(48)
400674Staff Type ID
(2)
( ) (0182)
500111Sex ID
(1)
(0001)
600110Date of Birth DT
(8)
700675Active/Inactive ID
(1)
(0183)
800676Department CE
(200)
( ) (0184)
900677Service CE
(200)
( )
1000678Phone TN
(40)
( )
1100679Office/Home Address AD
(106)
( )
1200680Activation Date CM
(26)
( )
1300681Inactivation Date CM
(26)
( )
1400682Backup Person ID CE
(60)
( )
1500683E-Mail Address ST
(40)
( )
1600684Preferred Contact Method ID
(1)
(0185)


UB1 - UB82 Data

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100530Set ID - UB82 SI
(4)
P
200531Blood Deductible (43) NM
(1)
300532Blood Furn.-Pints of (40) NM
(2)
400533Blood Replaced-Pints (41) NM
(2)
500534Blood Not Replaced-Pints(42) NM
(2)
600535Co-Insurance Days (25) NM
(2)
700536Condition Code (35-39) ID
(2)
( ) (0043)
800537Covered Days (23) NM
(3)
900538Non-Covered Days (24) NM
(3)
1000539Value Amount, Code (46-49) ID
(12)
( ) (0153)
1100540Number of Grace Days (90) NM
(2)
1200541Spec. Prog. Indicator(44) ID
(2)
1300542PSRO/UR Approval Ind. (87) ID
(1)
1400543PSRO/UR Apprvd Stay-Fm (88) DT
(8)
1500544PSRO/UR Apprvd Stay-To (89) DT
(8)
1600545Occurrence (28-32) CM
(20)
( )
1700546Occurrence Span (33) ID
(2)
1800547Occur Span Start Date(33) DT
(8)
1900548Occur Span End Date (33) DT
(8)
2000549UB-82 Locator 2 ST
(30)
2100550UB-82 Locator 9 ST
(7)
2200551UB-82 Locator 27 ST
(8)
2300552UB-82 Locator 45 ST
(17)


UB2 - UB92 Data

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100553Set ID - UB92 SI
(4)
P
200554Co-Insurance Days (9) ST
(3)
300555Condition Code (24-30) ID
(2)
( ) (0043)
400556Covered Days (7) ST
(3)
500557Non-Covered Days (8) ST
(4)
600558Value Amount, Code (39-41) CM
(11)
( )
700559Occurrence Code, Date (32-35) CM
(11)
( )
800560Occur Span Code/Dates (36) CM
(28)
( )
900561UB92 Locator 2 (State) ST
(29)
( )
1000562UB92 Locator 11 (State) ST
(12)
( )
1100563UB92 Locator 31 (State) ST
(5)
1200564Document Control Number (37) ST
(23)
( )
1300565UB92 Locator 49 (National) ST
(4)
( )
1400566UB92 Locator 56 (State) ST
(14)
( )
1500567UB92 Locator 57 (National) ST
(27)
1600568UB92 Locator 78 (State) ST
(2)
( )


URD - Results/Update Definitions

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100600R/U Date/Time SI
(19)
P
200601Report Priority CK
(1)
(0109)
300602R/U Who Subject Definition R CK
(20)
( )
400603R/U What Subject Definition ST
(3)
( ) (0048)
500605R/U What Department Code PN
(20)
( )
600607R/U Display/Print Locs ST
(20)
( )
700702R/U Results Level DT
(1)
(0108)


URS - Unsolicited Selection

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
100608R/U Where Subject Def. RST
(20)
( ) P
200609R/U When Start Date/Time TS
(19)
300610R/U When End Date/Time TS
(19)
400611R/U What User Qualifier ST
(20)
( )
500612R/U Other Results Def. ST
(20)
( )


Z - Z segment (hospital specific)

Seq#Item# NameR/O DTLen (Max) RepsExternal Element Sender VariableOLE
Variable
Warehouse VariableNotes
1Data Element Name ( ) P


For more Information please e-mail Eric Washburn.
Copyright 1996, Athena Technologies. All rights reserved.