Discharge Care Provider 1514 XCN HL70010 Discharge Care Provider Transfer Medical Service Code 1515 CE HL70069 Transfer Medical Service Code Severity of Illness Code 1516 CE HL70421 Severity of Illness Code Date/Time of Attestation 1517 TS Date/Time of Attestation Attested By 1518 XCN Attested By Triage Code 1519 CE HL70422 Triage Code Abstract Completion Date/Time 1520 TS Abstract Completion Date/Time Abstracted By 1521 XCN Abstracted By Case Category Code 1522 CE HL70423 Case Category Code Caesarian Section Indicator 1523 ID HL70136 Caesarian Section Indicator Gestation Category Code 1524 CE HL70424 Gestation Category Code Gestation Period - Weeks 1525 NM Gestation Period - Weeks Newborn Code 1526 CE HL70425 Newborn Code Stillborn Indicator 1527 ID HL70136 Stillborn Indicator Accident Date/Time 527 TS Accident Date/Time Accident Code 528 CE HL70050 Accident Code Accident Location 529 ST Accident Location Auto Accident State 812 CE HL70347 Auto Accident State Accident Job Related Indicator 813 ID HL70136 Accident Job Related Indicator Accident Death Indicator 814 ID HL70136 Accident Death Indicator Entered By 224 XCN Entered By Accident Description 1503 ST Accident Description Brought In By 1504 ST Brought In By Police Notified Indicator 1505 ID HL70136 Police Notified Indicator Accident Address 1853 XAD Accident Address Addendum Continuation Pointer 66 ST Addendum Continuation Pointer Set ID _ AFF 1427 SI Set ID _ AFF Professional Organization 1444 XON Professional Organization Professional Organization Address 1445 XAD Professional Organization Address Professional Organization Affiliation Date Range 1446 DR Professional Organization Affiliation Date Range Professional Affiliation Additional Information 1447 ST Professional Affiliation Additional Information Set ID - AIG 896 SI Set ID - AIG Segment Action Code 763 ID HL70206 Segment Action Code Resource ID 897 CE Resource ID Resource Type 898 CE Resource Type Resource Group 899 CE Resource Group Resource Quantity 900 NM Resource Quantity Resource Quantity Units 901 CE Resource Quantity Units Start Date/Time 1202 TS Start Date/Time Start Date/Time Offset 891 NM Start Date/Time Offset Start Date/Time Offset Units 892 CE Start Date/Time Offset Units Duration 893 NM Duration Duration Units 894 CE Duration Units Allow Substitution Code 895 IS HL70279 Allow Substitution Code Filler Status Code 889 CE HL70278 Filler Status Code Set ID - AIL 902 SI Set ID - AIL Segment Action Code 763 ID HL70206 Segment Action Code Location Resource ID 903 PL Location Resource ID Location Type-AIL 904 CE HL70305 Location Type-AIL Location Group 905 CE Location Group Start Date/Time 1202 TS Start Date/Time Start Date/Time Offset 891 NM Start Date/Time Offset Start Date/Time Offset Units 892 CE Start Date/Time Offset Units Duration 893 NM Duration Duration Units 894 CE Duration Units Allow Substitution Code 895 IS HL70279 Allow Substitution Code Filler Status Code 889 CE HL70278 Filler Status Code Set ID - AIP 906 SI Set ID - AIP Segment Action Code 763 ID HL70206 Segment Action Code Personnel Resource ID 913 XCN Personnel Resource ID Resource Type 907 CE HL70182 Resource Type Resource Group 899 CE Resource Group Start Date/Time 1202 TS Start Date/Time Start Date/Time Offset 891 NM Start Date/Time Offset Start Date/Time Offset Units 892 CE Start Date/Time Offset Units Duration 893 NM Duration Duration Units 894 CE Duration Units Allow Substitution Code 895 IS HL70279 Allow Substitution Code Filler Status Code 889 CE HL70278 Filler Status Code Set ID - AIS 890 SI Set ID - AIS Segment Action Code 763 ID HL70206 Segment Action Code Universal Service Identifier 238 CE Universal Service Identifier Start Date/Time 1202 TS Start Date/Time Start Date/Time Offset 891 NM Start Date/Time Offset Start Date/Time Offset Units 892 CE Start Date/Time Offset Units Duration 893 NM Duration Duration Units 894 CE Duration Units Allow Substitution Code 895 IS HL70279 Allow Substitution Code Filler Status Code 889 CE HL70278 Filler Status Code Placer Supplemental Service Information 1474 CE HL70411 Placer Supplemental Service Information Filler Supplemental Service Information 1475 CE HL70411 Filler Supplemental Service Information Set ID - AL1 203 SI Set ID - AL1 Allergen Type Code 204 CE HL70127 Allergen Type Code Allergen Code/Mnemonic/Description 205 CE Allergen Code/Mnemonic/Description Allergy Severity Code 206 CE HL70128 Allergy Severity Code Allergy Reaction Code 207 ST Allergy Reaction Code Identification Date 208 DT Identification Date Time Selection Criteria 908 SCV HL70294 Time Selection Criteria Resource Selection Criteria 909 SCV HL70294 Resource Selection Criteria Location Selection Criteria 910 SCV HL70294 Location Selection Criteria Slot Spacing Criteria 911 NM Slot Spacing Criteria Filler Override Criteria 912 SCV Filler Override Criteria Placer Appointment ID 860 EI Placer Appointment ID Filler Appointment ID 861 EI Filler Appointment ID Occurrence Number 862 NM Occurrence Number Placer Group Number 218 EI Placer Group Number Schedule ID 864 CE Schedule ID Request Event Reason 865 CE Request Event Reason Appointment Reason 866 CE HL70276 Appointment Reason Appointment Type 867 CE HL70277 Appointment Type Appointment Duration 868 NM Appointment Duration Appointment Duration Units 869 CE Appointment Duration Units Requested Start Date/Time Range 870 DR Requested Start Date/Time Range Priority-ARQ 871 ST Priority-ARQ Repeating Interval 872 RI Repeating Interval Repeating Interval Duration 873 ST Repeating Interval Duration Placer Contact Person 874 XCN Placer Contact Person Placer Contact Phone Number 875 XTN Placer Contact Phone Number Placer Contact Address 876 XAD Placer Contact Address Placer Contact Location 877 PL Placer Contact Location Entered By Person 878 XCN Entered By Person Entered By Phone Number 879 XTN Entered By Phone Number Entered By Location 880 PL Entered By Location Parent Placer Appointment ID 881 EI Parent Placer Appointment ID Parent Filler Appointment ID 882 EI Parent Filler Appointment ID Placer Order Number 216 EI Placer Order Number Filler Order Number 217 EI Filler Order Number Authorizing Payor, Plan ID 1146 CE HL70072 Authorizing Payor, Plan ID Authorizing Payor, Company ID 1147 CE HL70285 Authorizing Payor, Company ID Authorizing Payor, Company Name 1148 ST Authorizing Payor, Company Name Authorization Effective Date 1149 TS Authorization Effective Date Authorization Expiration Date 1150 TS Authorization Expiration Date Authorization Identifier 1151 EI Authorization Identifier Reimbursement Limit 1152 CP Reimbursement Limit Requested Number of Treatments 1153 NM Requested Number of Treatments Authorized Number of Treatments 1154 NM Authorized Number of Treatments Process Date 1145 TS Process Date Batch Field Separator 81 ST Batch Field Separator Batch Encoding Characters 82 ST Batch Encoding Characters Batch Sending Application 83 HD Batch Sending Application Batch Sending Facility 84 HD Batch Sending Facility Batch Receiving Application 85 HD Batch Receiving Application Batch Receiving Facility 86 HD Batch Receiving Facility Batch Creation Date/Time 87 TS Batch Creation Date/Time Batch Security 88 ST Batch Security Batch Name/ID/Type 89 ST Batch Name/ID/Type Batch Comment 90 ST Batch Comment Batch Control ID 91 ST Batch Control ID Reference Batch Control ID 92 ST Reference Batch Control ID Blood Product Code 1528 CE HL70426 Blood Product Code Blood Amount 1529 CQ Blood Amount When to Charge 234 CCD HL70100 When to Charge Charge Type 235 ID HL70122 Charge Type Account ID 236 CX Account ID Charge Type Reason 1645 CWE HL70475 Charge Type Reason Set ID _ BPO 1700 SI Set ID _ BPO BP Universal Service ID 1701 CWE BP Universal Service ID BP Processing Requirements 1702 CWE HL70508 BP Processing Requirements BP Quantity 1703 NM BP Quantity BP Amount 1704 NM BP Amount BP Units 1705 CE BP Units BP Intended Use Date/Time 1706 TS BP Intended Use Date/Time BP Intended Dispense From Location 1707 PL BP Intended Dispense From Location BP Intended Dispense From Address 1708 XAD BP Intended Dispense From Address BP Requested Dispense Date/Time 1709 TS BP Requested Dispense Date/Time BP Requested Dispense To Location 1710 PL BP Requested Dispense To Location BP Requested Dispense To Address 1711 XAD BP Requested Dispense To Address BP Indication for Use 1712 CWE HL70509 BP Indication for Use BP Informed Consent Indicator 1713 ID HL70136 BP Informed Consent Indicator Set ID _ BPX 1714 SI Set ID _ BPX BP Dispense Status 1715 CWE HL70510 BP Dispense Status BP Status 1716 ID HL70511 BP Status BP Date/Time of Status 1717 TS BP Date/Time of Status BC Donation ID 1718 EI BC Donation ID BC Component 1719 CNE BC Component BC Donation Type / Intended Use 1720 CNE BC Donation Type / Intended Use CP Commercial Product 1721 CWE HL70512 CP Commercial Product CP Manufacturer 1722 XON CP Manufacturer CP Lot Number 1723 EI CP Lot Number BP Blood Group 1724 CNE BP Blood Group BC Special Testing 1725 CNE BC Special Testing BP Expiration Date/Time 1726 TS BP Expiration Date/Time BP Quantity 1727 NM BP Quantity BP Amount 1728 NM BP Amount BP Units 1729 CE BP Units BP Unique ID 1730 EI BP Unique ID BP Actual Dispensed To Location 1731 PL BP Actual Dispensed To Location BP Actual Dispensed To Address 1732 XAD BP Actual Dispensed To Address BP Dispensed to Receiver 1733 XCN BP Dispensed to Receiver BP Dispensing Individual 1734 XCN BP Dispensing Individual Batch Message Count 93 ST Batch Message Count Batch Comment 90 ST Batch Comment Batch Totals 95 NM Batch Totals Set ID _ BTX 1735 SI Set ID _ BTX BC Donation ID 1736 EI BC Donation ID BC Component 1737 CNE BC Component BC Blood Group 1738 CNE BC Blood Group CP Commercial Product 1739 CWE HL70512 CP Commercial Product CP Manufacturer 1740 XON CP Manufacturer CP Lot Number 1741 EI CP Lot Number BP Quantity 1742 NM BP Quantity BP Amount 1743 NM BP Amount BP Units 1744 CE BP Units BP Transfusion/Disposition Status 1745 CWE HL70513 BP Transfusion/Disposition Status BP Message Status 1746 ID HL70511 BP Message Status BP Date/Time of Status 1747 TS BP Date/Time of Status BP Administrator 1748 XCN BP Administrator BP Verifier 1749 XCN BP Verifier BP Transfusion Start Date/Time of Status 1750 TS BP Transfusion Start Date/Time of Status BP Transfusion End Date/Time of Status 1751 TS BP Transfusion End Date/Time of Status BP Adverse Reaction Type 1752 CWE HL70514 BP Adverse Reaction Type BP Transfusion Interrupted Reason 1753 CWE HL70515 BP Transfusion Interrupted Reason Primary Key Value - CDM 1306 CE HL70132 Primary Key Value - CDM Charge Code Alias 983 CE Charge Code Alias Charge Description Short 984 ST Charge Description Short Charge Description Long 985 ST Charge Description Long Description Override Indicator 986 IS HL70268 Description Override Indicator Exploding Charges 987 CE Exploding Charges Procedure Code 393 CE HL70088 Procedure Code Active/Inactive Flag 675 ID HL70183 Active/Inactive Flag Inventory Number 990 CE HL70463 Inventory Number Resource Load 991 NM Resource Load Contract Number 992 CX Contract Number Contract Organization 993 XON Contract Organization Room Fee Indicator 994 ID HL70136 Room Fee Indicator Set ID _ CER 1856 SI Set ID _ CER Serial Number 1857 ST Serial Number Version 1858 ST Version Granting Authority 1859 XON Granting Authority Issuing Authority 1860 XCN Issuing Authority Signature of Issuing Authority 1861 ED Signature of Issuing Authority Granting Country 1862 ID HL70399 Granting Country Granting State/Province 1863 CWE HL70347 Granting State/Province Granting County/Parish 1864 CWE HL70289 Granting County/Parish Certificate Type 1865 CWE Certificate Type Certificate Domain 1866 CWE Certificate Domain Subject ID 1867 ID Subject ID Subject Name 1907 ST Subject Name Subject Directory Attribute Extension (Health Professional Data) 1868 CWE Subject Directory Attribute Extension (Health Professional Data) Subject Public Key Info 1869 CWE Subject Public Key Info Authority Key Identifier 1870 CWE Authority Key Identifier Basic Constraint 1871 ID HL70136 Basic Constraint CRL Distribution Point 1872 CWE CRL Distribution Point Jurisdiction Country 1875 ID HL70399 Jurisdiction Country Jurisdiction State/Province 1873 CWE HL70347 Jurisdiction State/Province Jurisdiction County/Parish 1874 CWE HL70289 Jurisdiction County/Parish Jurisdiction Breadth 1895 CWE HL70547 Jurisdiction Breadth Granting Date 1876 TS Granting Date Issuing Date 1877 TS Issuing Date Activation Date 1878 TS Activation Date Inactivation Date 1879 TS Inactivation Date Expiration Date 1880 TS Expiration Date Renewal Date 1881 TS Renewal Date Revocation Date 1882 TS Revocation Date Revocation Reason Code 1883 CE Revocation Reason Code Certificate Status 1884 CWE HL70536 Certificate Status Set ID - CM0 1010 SI Set ID - CM0 Sponsor Study ID 1011 EI Sponsor Study ID Alternate Study ID 1036 EI Alternate Study ID Title of Study 1013 ST Title of Study Chairman of Study 1014 XCN Chairman of Study Last IRB Approval Date 1015 DT Last IRB Approval Date Total Accrual to Date 1016 NM Total Accrual to Date Last Accrual Date 1017 DT Last Accrual Date Contact for Study 1018 XCN Contact for Study Contact's Telephone Number 1019 XTN Contact's Telephone Number Contact's Address 1020 XAD Contact's Address Set ID - CM1 1021 SI Set ID - CM1 Study Phase Identifier 1022 CE Study Phase Identifier Description of Study Phase 1023 ST Description of Study Phase Set ID- CM2 1024 SI Set ID- CM2 Scheduled Time Point 1025 CE Scheduled Time Point Description of Time Point 1026 ST Description of Time Point Events Scheduled This Time Point 1027 CE Events Scheduled This Time Point Starting Notification Reference Number 1402 NM Starting Notification Reference Number Ending Notification Reference Number 1403 NM Ending Notification Reference Number Starting Notification Date/Time 1404 TS Starting Notification Date/Time Ending Notification Date/Time 1405 TS Ending Notification Date/Time Starting Notification Code 1406 CE Starting Notification Code Ending Notification Code 1407 CE Ending Notification Code Set ID - CON 1776 SI Set ID - CON Consent Type 1777 CWE HL70496 Consent Type Consent Form ID 1778 ST Consent Form ID Consent Form Number 1779 EI Consent Form Number Consent Text 1780 FT Consent Text Subject-specific Consent Text 1781 FT Subject-specific Consent Text Consent Background 1782 FT Consent Background Subject-specific Consent Background 1783 FT Subject-specific Consent Background Consenter-imposed limitations 1784 FT Consenter-imposed limitations Consent Mode 1785 CNE HL70497 Consent Mode Consent Status 1786 CNE HL70498 Consent Status Consent Discussion Date/Time 1787 TS Consent Discussion Date/Time Consent Decision Date/Time 1788 TS Consent Decision Date/Time Consent Effective Date/Time 1789 TS Consent Effective Date/Time Consent End Date/Time 1790 TS Consent End Date/Time Subject Competence Indicator 1791 ID HL70136 Subject Competence Indicator Translator Assistance Indicator 1792 ID HL70136 Translator Assistance Indicator Language Translated To 1793 ID HL70296 Language Translated To Informational Material Supplied Indicator 1794 ID HL70136 Informational Material Supplied Indicator Consent Bypass Reason 1795 CWE HL70499 Consent Bypass Reason Consent Disclosure Level 1796 ID HL70500 Consent Disclosure Level Consent Non-disclosure Reason 1797 CWE HL70501 Consent Non-disclosure Reason Non-subject Consenter Reason 1798 CWE HL70502 Non-subject Consenter Reason Consenter ID 1909 XPN Consenter ID Relationship to Subject Table 1898 IS HL70548 Relationship to Subject Table Study Phase Identifier 1022 CE Study Phase Identifier Date/time Study Phase Began 1052 TS Date/time Study Phase Began Date/time Study Phase Ended 1053 TS Date/time Study Phase Ended Study Phase Evaluability 1054 CE Study Phase Evaluability Sponsor Study ID 1011 EI Sponsor Study ID Alternate Study ID 1036 EI Alternate Study ID Institution Registering the Patient 1037 CE Institution Registering the Patient Sponsor Patient ID 1038 CX Sponsor Patient ID Alternate Patient ID - CSR 1039 CX Alternate Patient ID - CSR Date/Time Of Patient Study Registration 1040 TS Date/Time Of Patient Study Registration Person Performing Study Registration 1041 XCN Person Performing Study Registration Study Authorizing Provider 1042 XCN Study Authorizing Provider Date/time Patient Study Consent Signed 1043 TS Date/time Patient Study Consent Signed Patient Study Eligibility Status 1044 CE Patient Study Eligibility Status Study Randomization Date/time 1045 TS Study Randomization Date/time Randomized Study Arm 1046 CE Randomized Study Arm Stratum for Study Randomization 1047 CE Stratum for Study Randomization Patient Evaluability Status 1048 CE Patient Evaluability Status Date/time Ended Study 1049 TS Date/time Ended Study Reason Ended Study 1050 CE Reason Ended Study Study Scheduled Time Point 1055 CE Study Scheduled Time Point Study Scheduled Patient Time Point 1056 TS Study Scheduled Patient Time Point Study Quality Control Codes 1057 CE Study Quality Control Codes Contact Role 196 CE HL70131 Contact Role Contact Name 1165 XPN Contact Name Contact Address 1166 XAD Contact Address Contact Location 1167 PL Contact Location Contact Communication Information 1168 XTN Contact Communication Information Preferred Method of Contact 684 CE HL70185 Preferred Method of Contact Contact Identifiers 1171 PLN Contact Identifiers Sponsor Study ID 1011 EI Sponsor Study ID Study Phase Identifier 1022 CE Study Phase Identifier Study Scheduled Time Point 1055 CE Study Scheduled Time Point Set ID - DB1 1283 SI Set ID - DB1 Disabled Person Code 1284 IS HL70334 Disabled Person Code Disabled Person Identifier 1285 CX Disabled Person Identifier Disabled Indicator 1286 ID HL70136 Disabled Indicator Disability Start Date 1287 DT Disability Start Date Disability End Date 1288 DT Disability End Date Disability Return to Work Date 1289 DT Disability Return to Work Date Disability Unable to Work Date 1290 DT Disability Unable to Work Date Set ID - DG1 375 SI Set ID - DG1 Diagnosis Coding Method 376 ID HL70053 Diagnosis Coding Method Diagnosis Code - DG1 377 CE HL70051 Diagnosis Code - DG1 Diagnosis Description 378 ST Diagnosis Description Diagnosis Date/Time 379 TS Diagnosis Date/Time Diagnosis Type 380 IS HL70052 Diagnosis Type Major Diagnostic Category 381 CE HL70118 Major Diagnostic Category Diagnostic Related Group 382 CE HL70055 Diagnostic Related Group DRG Approval Indicator 383 ID HL70136 DRG Approval Indicator DRG Grouper Review Code 384 IS HL70056 DRG Grouper Review Code Outlier Type 385 CE HL70083 Outlier Type Outlier Days 386 NM Outlier Days Outlier Cost 387 CP Outlier Cost Grouper Version And Type 388 ST Grouper Version And Type Diagnosis Priority 389 ID HL70359 Diagnosis Priority Diagnosing Clinician 390 XCN Diagnosing Clinician Diagnosis Classification 766 IS HL70228 Diagnosis Classification Confidential Indicator 767 ID HL70136 Confidential Indicator Attestation Date/Time 768 TS Attestation Date/Time Diagnosis Identifier 1850 EI Diagnosis Identifier Diagnosis Action Code 1894 ID HL70206 Diagnosis Action Code Diagnostic Related Group 382 CE HL70055 Diagnostic Related Group DRG Assigned Date/Time 769 TS DRG Assigned Date/Time DRG Approval Indicator 383 ID HL70136 DRG Approval Indicator DRG Grouper Review Code 384 IS HL70056 DRG Grouper Review Code Outlier Type 385 CE HL70083 Outlier Type Outlier Days 386 NM Outlier Days Outlier Cost 387 CP Outlier Cost DRG Payor 770 IS HL70229 DRG Payor Outlier Reimbursement 771 CP Outlier Reimbursement Confidential Indicator 767 ID HL70136 Confidential Indicator DRG Transfer Type 1500 IS HL70415 DRG Transfer Type Continuation Pointer 14 ST Continuation Pointer Continuation Style 1354 ID HL70398 Continuation Style Set ID - DSP 61 SI Set ID - DSP Display Level 62 SI Display Level Data Line 63 TX Data Line Logical Break Point 64 ST Logical Break Point Result ID 65 TX Result ID Reference Command Number 1390 NM Reference Command Number Remote Control Command 1391 CE HL70368 Remote Control Command Response Required 1392 ID HL70136 Response Required Requested Completion Time 1393 TQ Requested Completion Time Parameters 1394 TX Parameters Command Response 1395 CE HL70387 Command Response Date/Time Completed 1396 TS Date/Time Completed Command Response Parameters 1397 TX Command Response Parameters Set ID _ EDU 1448 SI Set ID _ EDU Academic Degree 1449 IS HL70360 Academic Degree Academic Degree Program Date Range 1597 DR Academic Degree Program Date Range Academic Degree Program Participation Date Range 1450 DR Academic Degree Program Participation Date Range Academic Degree Granted Date 1451 DT Academic Degree Granted Date School 1452 XON School School Type Code 1453 CE HL70402 School Type Code School Address 1454 XAD School Address Major Field of Study 1885 CWE Major Field of Study Query Tag 696 ST Query Tag Query/Response Format Code 697 ID HL70106 Query/Response Format Code EQL Query Name 709 CE EQL Query Name EQL Query Statement 710 ST EQL Query Statement Event type 1430 CE HL70450 Event type File Name 1431 ST File Name Start Date/Time 1202 TS Start Date/Time End Date/Time 1432 TS End Date/Time Transaction Data 1433 FT Transaction Data Equipment Instance Identifier 1479 EI Equipment Instance Identifier Event Date/Time 1322 TS Event Date/Time Equipment State 1323 CE HL70365 Equipment State Local/Remote Control State 1324 CE HL70366 Local/Remote Control State Alert Level 1325 CE HL70367 Alert Level Query Tag 696 ST Query Tag Event Identifier 706 CE Event Identifier Input Parameter List 705 QIP Input Parameter List Error Code and Location 24 ELD Error Code and Location Error Location 1812 ERL Error Location HL7 Error Code 1813 CWE HL70357 HL7 Error Code Severity 1814 ID HL70516 Severity Application Error Code 1815 CWE HL70533 Application Error Code Application Error Parameter 1816 ST Application Error Parameter Diagnostic Information 1817 TX Diagnostic Information User Message 1818 TX User Message Inform Person Indicator 1819 IS HL70517 Inform Person Indicator Override Type 1820 CWE HL70518 Override Type Override Reason Code 1821 CWE HL70519 Override Reason Code Help Desk Contact Point 1822 XTN Help Desk Contact Point Event Type Code 99 ID HL70003 Event Type Code Recorded Date/Time 100 TS Recorded Date/Time Date/Time Planned Event 101 TS Date/Time Planned Event Event Reason Code 102 IS HL70062 Event Reason Code Operator ID 103 XCN HL70188 Operator ID Event Occurred 1278 TS Event Occurred Event Facility 1534 HD Event Facility Facility ID-FAC 1262 EI Facility ID-FAC Facility Type 1263 ID HL70331 Facility Type Facility Address 1264 XAD Facility Address Facility Telecommunication 1265 XTN Facility Telecommunication Contact Person 1266 XCN Contact Person Contact Title 1267 ST Contact Title Contact Address 1166 XAD Contact Address Contact Telecommunication 1269 XTN Contact Telecommunication Signature Authority 1270 XCN Signature Authority Signature Authority Title 1271 ST Signature Authority Title Signature Authority Address 1272 XAD Signature Authority Address Signature Authority Telecommunication 1273 XTN Signature Authority Telecommunication File Field Separator 67 ST File Field Separator File Encoding Characters 68 ST File Encoding Characters File Sending Application 69 HD File Sending Application File Sending Facility 70 HD File Sending Facility File Receiving Application 71 HD File Receiving Application File Receiving Facility 72 HD File Receiving Facility File Creation Date/Time 73 TS File Creation Date/Time File Security 74 ST File Security File Name/ID 75 ST File Name/ID File Header Comment 76 ST File Header Comment File Control ID 77 ST File Control ID Reference File Control ID 78 ST Reference File Control ID Set ID - FT1 355 SI Set ID - FT1 Transaction ID 356 ST Transaction ID Transaction Batch ID 357 ST Transaction Batch ID Transaction Date 358 DR Transaction Date Transaction Posting Date 359 TS Transaction Posting Date Transaction Type 360 IS HL70017 Transaction Type Transaction Code 361 CE HL70132 Transaction Code Transaction Description 362 ST Transaction Description Transaction Description - Alt 363 ST Transaction Description - Alt Transaction Quantity 364 NM Transaction Quantity Transaction Amount - Extended 365 CP Transaction Amount - Extended Transaction Amount - Unit 366 CP Transaction Amount - Unit Department Code 367 CE HL70049 Department Code Insurance Plan ID 368 CE HL70072 Insurance Plan ID Insurance Amount 369 CP Insurance Amount Assigned Patient Location 133 PL Assigned Patient Location Fee Schedule 370 IS HL70024 Fee Schedule Patient Type 148 IS HL70018 Patient Type Diagnosis Code - FT1 371 CE HL70051 Diagnosis Code - FT1 Performed By Code 372 XCN HL70084 Performed By Code Ordered By Code 373 XCN Ordered By Code Unit Cost 374 CP Unit Cost Filler Order Number 217 EI Filler Order Number Entered By Code 765 XCN Entered By Code Procedure Code 393 CE HL70088 Procedure Code Procedure Code Modifier 1316 CE HL70340 Procedure Code Modifier Advanced Beneficiary Notice Code 1310 CE HL70339 Advanced Beneficiary Notice Code Medically Necessary Duplicate Procedure Reason. 1646 CWE HL70476 Medically Necessary Duplicate Procedure Reason. NDC Code 1845 CNE HL70549 NDC Code Payment Reference ID 1846 CX Payment Reference ID Transaction Reference Key 1847 SI Transaction Reference Key File Batch Count 79 NM File Batch Count File Trailer Comment 80 ST File Trailer Comment Action Code 816 ID HL70287 Action Code Action Date/Time 817 TS Action Date/Time Goal ID 818 CE Goal ID Goal Instance ID 819 EI Goal Instance ID Episode of Care ID 820 EI Episode of Care ID Goal List Priority 821 NM Goal List Priority Goal Established Date/Time 822 TS Goal Established Date/Time Expected Goal Achieve Date/Time 824 TS Expected Goal Achieve Date/Time Goal Classification 825 CE Goal Classification Goal Management Discipline 826 CE Goal Management Discipline Current Goal Review Status 827 CE Current Goal Review Status Current Goal Review Date/Time 828 TS Current Goal Review Date/Time Next Goal Review Date/Time 829 TS Next Goal Review Date/Time Previous Goal Review Date/Time 830 TS Previous Goal Review Date/Time Goal Review Interval 831 TQ Goal Review Interval Goal Evaluation 832 CE Goal Evaluation Goal Evaluation Comment 833 ST Goal Evaluation Comment Goal Life Cycle Status 834 CE Goal Life Cycle Status Goal Life Cycle Status Date/Time 835 TS Goal Life Cycle Status Date/Time Goal Target Type 836 CE Goal Target Type Goal Target Name 837 XPN Goal Target Name Type of Bill Code 1599 IS HL70455 Type of Bill Code Revenue Code 1600 IS HL70456 Revenue Code Overall Claim Disposition Code 1601 IS HL70457 Overall Claim Disposition Code OCE Edits per Visit Code 1602 IS HL70458 OCE Edits per Visit Code Outlier Cost 387 CP Outlier Cost Revenue Code 1600 IS HL70456 Revenue Code Number of Service Units 1604 NM Number of Service Units Charge 1605 CP Charge Reimbursement Action Code 1606 IS HL70459 Reimbursement Action Code Denial or Rejection Code 1607 IS HL70460 Denial or Rejection Code OCE Edit Code 1608 IS HL70458 OCE Edit Code Ambulatory Payment Classification Code 1609 CE HL70466 Ambulatory Payment Classification Code Modifier Edit Code 1610 IS HL70467 Modifier Edit Code Payment Adjustment Code 1611 IS HL70468 Payment Adjustment Code Packaging Status Code 1617 IS HL70469 Packaging Status Code Expected CMS Payment Amount 1618 CP Expected CMS Payment Amount Reimbursement Type Code 1619 IS HL70470 Reimbursement Type Code Co-Pay Amount 1620 CP Co-Pay Amount Pay Rate per Service Unit 1621 NM Pay Rate per Service Unit Set ID - GT1 405 SI Set ID - GT1 Guarantor Number 406 CX Guarantor Number Guarantor Name 407 XPN Guarantor Name Guarantor Spouse Name 408 XPN Guarantor Spouse Name Guarantor Address 409 XAD Guarantor Address Guarantor Ph Num - Home 410 XTN Guarantor Ph Num - Home Guarantor Ph Num - Business 411 XTN Guarantor Ph Num - Business Guarantor Date/Time Of Birth 412 TS Guarantor Date/Time Of Birth Guarantor Administrative Sex 413 IS HL70001 Guarantor Administrative Sex Guarantor Type 414 IS HL70068 Guarantor Type Guarantor Relationship 415 CE HL70063 Guarantor Relationship Guarantor SSN 416 ST Guarantor SSN Guarantor Date - Begin 417 DT Guarantor Date - Begin Guarantor Date - End 418 DT Guarantor Date - End Guarantor Priority 419 NM Guarantor Priority Guarantor Employer Name 420 XPN Guarantor Employer Name Guarantor Employer Address 421 XAD Guarantor Employer Address Guarantor Employer Phone Number 422 XTN Guarantor Employer Phone Number Guarantor Employee ID Number 423 CX Guarantor Employee ID Number Guarantor Employment Status 424 IS HL70066 Guarantor Employment Status Guarantor Organization Name 425 XON Guarantor Organization Name Guarantor Billing Hold Flag 773 ID HL70136 Guarantor Billing Hold Flag Guarantor Credit Rating Code 774 CE HL70341 Guarantor Credit Rating Code Guarantor Death Date And Time 775 TS Guarantor Death Date And Time Guarantor Death Flag 776 ID HL70136 Guarantor Death Flag Guarantor Charge Adjustment Code 777 CE HL70218 Guarantor Charge Adjustment Code Guarantor Household Annual Income 778 CP Guarantor Household Annual Income Guarantor Household Size 779 NM Guarantor Household Size Guarantor Employer ID Number 780 CX Guarantor Employer ID Number Guarantor Marital Status Code 781 CE HL70002 Guarantor Marital Status Code Guarantor Hire Effective Date 782 DT Guarantor Hire Effective Date Employment Stop Date 783 DT Employment Stop Date Living Dependency 755 IS HL70223 Living Dependency Ambulatory Status 145 IS HL70009 Ambulatory Status Citizenship 129 CE HL70171 Citizenship Primary Language 118 CE HL70296 Primary Language Living Arrangement 742 IS HL70220 Living Arrangement Publicity Code 743 CE HL70215 Publicity Code Protection Indicator 744 ID HL70136 Protection Indicator Student Indicator 745 IS HL70231 Student Indicator Religion 120 CE HL70006 Religion Mother's Maiden Name 109 XPN Mother's Maiden Name Nationality 739 CE HL70212 Nationality Ethnic Group 125 CE HL70189 Ethnic Group Contact Person's Name 748 XPN Contact Person's Name Contact Person's Telephone Number 749 XTN Contact Person's Telephone Number Contact Reason 747 CE HL70222 Contact Reason Contact Relationship 784 IS HL70063 Contact Relationship Job Title 785 ST Job Title Job Code/Class 786 JCC Job Code/Class Guarantor Employer's Organization Name 1299 XON Guarantor Employer's Organization Name Handicap 753 IS HL70295 Handicap Job Status 752 IS HL70311 Job Status Guarantor Financial Class 1231 FC Guarantor Financial Class Guarantor Race 1291 CE HL70005 Guarantor Race Guarantor Birth Place 1851 ST Guarantor Birth Place VIP Indicator 146 IS HL70099 VIP Indicator Set ID - IAM 1612 SI Set ID - IAM Allergen Type Code 204 CE HL70127 Allergen Type Code Allergen Code/Mnemonic/Description 205 CE Allergen Code/Mnemonic/Description Allergy Severity Code 206 CE HL70128 Allergy Severity Code Allergy Reaction Code 207 ST Allergy Reaction Code Allergy Action Code 1551 CNE HL70323 Allergy Action Code Allergy Unique Identifier 1552 EI Allergy Unique Identifier Action Reason 1553 ST Action Reason Sensitivity to Causative Agent Code 1554 CE HL70436 Sensitivity to Causative Agent Code Allergen Group Code/Mnemonic/Description 1555 CE Allergen Group Code/Mnemonic/Description Onset Date 1556 DT Onset Date Onset Date Text 1557 ST Onset Date Text Reported Date/Time 1558 TS Reported Date/Time Reported By 1559 XPN Reported By Relationship to Patient Code 1560 CE HL70063 Relationship to Patient Code Alert Device Code 1561 CE HL70437 Alert Device Code Allergy Clinical Status Code 1562 CE HL70438 Allergy Clinical Status Code Statused by Person 1563 XCN Statused by Person Statused by Organization 1564 XON Statused by Organization Statused at Date/Time 1565 TS Statused at Date/Time Primary Key Value - IIM 1897 CWE Primary Key Value - IIM Service Item Code 1799 CWE Service Item Code Inventory Lot Number 1800 ST Inventory Lot Number Inventory Expiration Date 1801 TS Inventory Expiration Date Inventory Manufacturer Name 1802 CWE Inventory Manufacturer Name Inventory Location 1803 CWE Inventory Location Inventory Received Date 1804 TS Inventory Received Date Inventory Received Quantity 1805 NM Inventory Received Quantity Inventory Received Quantity Unit 1806 CWE Inventory Received Quantity Unit Inventory Received Item Cost 1807 MO Inventory Received Item Cost Inventory On Hand Date 1808 TS Inventory On Hand Date Inventory On Hand Quantity 1809 NM Inventory On Hand Quantity Inventory On Hand Quantity Unit 1810 CWE Inventory On Hand Quantity Unit Procedure Code 393 CE HL70088 Procedure Code Procedure Code Modifier 1316 CE HL70340 Procedure Code Modifier Set ID - IN1 426 SI Set ID - IN1 Insurance Plan ID 368 CE HL70072 Insurance Plan ID Insurance Company ID 428 CX Insurance Company ID Insurance Company Name 429 XON Insurance Company Name Insurance Company Address 430 XAD Insurance Company Address Insurance Co Contact Person 431 XPN Insurance Co Contact Person Insurance Co Phone Number 432 XTN Insurance Co Phone Number Group Number 433 ST Group Number Group Name 434 XON Group Name Insured's Group Emp ID 435 CX Insured's Group Emp ID Insured's Group Emp Name 436 XON Insured's Group Emp Name Plan Effective Date 437 DT Plan Effective Date Plan Expiration Date 438 DT Plan Expiration Date Authorization Information 439 AUI Authorization Information Plan Type 440 IS HL70086 Plan Type Name Of Insured 441 XPN Name Of Insured Insured's Relationship To Patient 442 CE HL70063 Insured's Relationship To Patient Insured's Date Of Birth 443 TS Insured's Date Of Birth Insured's Address 444 XAD Insured's Address Assignment Of Benefits 445 IS HL70135 Assignment Of Benefits Coordination Of Benefits 446 IS HL70173 Coordination Of Benefits Coord Of Ben. Priority 447 ST Coord Of Ben. Priority Notice Of Admission Flag 448 ID HL70136 Notice Of Admission Flag Notice Of Admission Date 449 DT Notice Of Admission Date Report Of Eligibility Flag 450 ID HL70136 Report Of Eligibility Flag Report Of Eligibility Date 451 DT Report Of Eligibility Date Release Information Code 452 IS HL70093 Release Information Code Pre-Admit Cert (PAC) 453 ST Pre-Admit Cert (PAC) Verification Date/Time 454 TS Verification Date/Time Verification By 455 XCN Verification By Type Of Agreement Code 456 IS HL70098 Type Of Agreement Code Billing Status 457 IS HL70022 Billing Status Lifetime Reserve Days 458 NM Lifetime Reserve Days Delay Before L.R. Day 459 NM Delay Before L.R. Day Company Plan Code 460 IS HL70042 Company Plan Code Policy Number 461 ST Policy Number Policy Deductible 462 CP Policy Deductible Policy Limit - Amount 463 CP Policy Limit - Amount Policy Limit - Days 464 NM Policy Limit - Days Room Rate - Semi-Private 465 CP Room Rate - Semi-Private Room Rate - Private 466 CP Room Rate - Private Insured's Employment Status 467 CE HL70066 Insured's Employment Status Insured's Administrative Sex 468 IS HL70001 Insured's Administrative Sex Insured's Employer's Address 469 XAD Insured's Employer's Address Verification Status 470 ST Verification Status Prior Insurance Plan ID 471 IS HL70072 Prior Insurance Plan ID Coverage Type 1227 IS HL70309 Coverage Type Handicap 753 IS HL70295 Handicap Insured's ID Number 1230 CX Insured's ID Number Signature Code 1854 IS HL70535 Signature Code Signature Code Date 1855 DT Signature Code Date Insured_s Birth Place 1899 ST Insured_s Birth Place VIP Indicator 1852 IS HL70099 VIP Indicator Insured's Employee ID 472 CX Insured's Employee ID Insured's Social Security Number 473 ST Insured's Social Security Number Insured's Employer's Name and ID 474 XCN Insured's Employer's Name and ID Employer Information Data 475 IS HL70139 Employer Information Data Mail Claim Party 476 IS HL70137 Mail Claim Party Medicare Health Ins Card Number 477 ST Medicare Health Ins Card Number Medicaid Case Name 478 XPN Medicaid Case Name Medicaid Case Number 479 ST Medicaid Case Number Military Sponsor Name 480 XPN Military Sponsor Name Military ID Number 481 ST Military ID Number Dependent Of Military Recipient 482 CE HL70342 Dependent Of Military Recipient Military Organization 483 ST Military Organization Military Station 484 ST Military Station Military Service 485 IS HL70140 Military Service Military Rank/Grade 486 IS HL70141 Military Rank/Grade Military Status 487 IS HL70142 Military Status Military Retire Date 488 DT Military Retire Date Military Non-Avail Cert On File 489 ID HL70136 Military Non-Avail Cert On File Baby Coverage 490 ID HL70136 Baby Coverage Combine Baby Bill 491 ID HL70136 Combine Baby Bill Blood Deductible 492 ST Blood Deductible Special Coverage Approval Name 493 XPN Special Coverage Approval Name Special Coverage Approval Title 494 ST Special Coverage Approval Title Non-Covered Insurance Code 495 IS HL70143 Non-Covered Insurance Code Payor ID 496 CX Payor ID Payor Subscriber ID 497 CX Payor Subscriber ID Eligibility Source 498 IS HL70144 Eligibility Source Room Coverage Type/Amount 499 RMC Room Coverage Type/Amount Policy Type/Amount 500 PTA Policy Type/Amount Daily Deductible 501 DDI Daily Deductible Living Dependency 755 IS HL70223 Living Dependency Ambulatory Status 145 IS HL70009 Ambulatory Status Citizenship 129 CE HL70171 Citizenship Primary Language 118 CE HL70296 Primary Language Living Arrangement 742 IS HL70220 Living Arrangement Publicity Code 743 CE HL70215 Publicity Code Protection Indicator 744 ID HL70136 Protection Indicator Student Indicator 745 IS HL70231 Student Indicator Religion 120 CE HL70006 Religion Mother's Maiden Name 109 XPN Mother's Maiden Name Nationality 739 CE HL70212 Nationality Ethnic Group 125 CE HL70189 Ethnic Group Marital Status 119 CE HL70002 Marital Status Insured's Employment Start Date 787 DT Insured's Employment Start Date Employment Stop Date 783 DT Employment Stop Date Job Title 785 ST Job Title Job Code/Class 786 JCC Job Code/Class Job Status 752 IS HL70311 Job Status Employer Contact Person Name 789 XPN Employer Contact Person Name Employer Contact Person Phone Number 790 XTN Employer Contact Person Phone Number Employer Contact Reason 791 IS HL70222 Employer Contact Reason Insured's Contact Person's Name 792 XPN Insured's Contact Person's Name Insured's Contact Person Phone Number 793 XTN Insured's Contact Person Phone Number Insured's Contact Person Reason 794 IS HL70222 Insured's Contact Person Reason Relationship to the Patient Start Date 795 DT Relationship to the Patient Start Date Relationship to the Patient Stop Date 796 DT Relationship to the Patient Stop Date Insurance Co. Contact Reason 797 IS HL70232 Insurance Co. Contact Reason Insurance Co Contact Phone Number 798 XTN Insurance Co Contact Phone Number Policy Scope 799 IS HL70312 Policy Scope Policy Source 800 IS HL70313 Policy Source Patient Member Number 801 CX Patient Member Number Guarantor's Relationship To Insured 802 CE HL70063 Guarantor's Relationship To Insured Insured's Phone Number - Home 803 XTN Insured's Phone Number - Home Insured's Employer Phone Number 804 XTN Insured's Employer Phone Number Military Handicapped Program 805 CE HL70343 Military Handicapped Program Suspend Flag 806 ID HL70136 Suspend Flag Copay Limit Flag 807 ID HL70136 Copay Limit Flag Stoploss Limit Flag 808 ID HL70136 Stoploss Limit Flag Insured Organization Name and ID 809 XON Insured Organization Name and ID Insured Employer Organization Name and ID 810 XON Insured Employer Organization Name and ID Race 113 CE HL70005 Race CMS Patient_s Relationship to Insured 811 CE HL70344 CMS Patient_s Relationship to Insured Set ID - IN3 502 SI Set ID - IN3 Certification Number 503 CX Certification Number Certified By 504 XCN Certified By Certification Required 505 ID HL70136 Certification Required Penalty 506 MOP Penalty Certification Date/Time 507 TS Certification Date/Time Certification Modify Date/Time 508 TS Certification Modify Date/Time Operator 509 XCN Operator Certification Begin Date 510 DT Certification Begin Date Certification End Date 511 DT Certification End Date Days 512 DTN Days Non-Concur Code/Description 513 CE HL70233 Non-Concur Code/Description Non-Concur Effective Date/Time 514 TS Non-Concur Effective Date/Time Physician Reviewer 515 XCN HL70010 Physician Reviewer Certification Contact 516 ST Certification Contact Certification Contact Phone Number 517 XTN Certification Contact Phone Number Appeal Reason 518 CE HL70345 Appeal Reason Certification Agency 519 CE HL70346 Certification Agency Certification Agency Phone Number 520 XTN Certification Agency Phone Number Pre-Certification Requirement 521 ICD Pre-Certification Requirement Case Manager 522 ST Case Manager Second Opinion Date 523 DT Second Opinion Date Second Opinion Status 524 IS HL70151 Second Opinion Status Second Opinion Documentation Received 525 IS HL70152 Second Opinion Documentation Received Second Opinion Physician 526 XCN HL70010 Second Opinion Physician Substance Identifier 1372 CE HL70451 Substance Identifier Substance Status 1373 CE HL70383 Substance Status Substance Type 1374 CE HL70384 Substance Type Inventory Container Identifier 1532 CE Inventory Container Identifier Container Carrier Identifier 1376 CE Container Carrier Identifier Position on Carrier 1377 CE Position on Carrier Initial Quantity 1378 NM Initial Quantity Current Quantity 1379 NM Current Quantity Available Quantity 1380 NM Available Quantity Consumption Quantity 1381 NM Consumption Quantity Quantity Units 1382 CE Quantity Units Expiration Date/Time 1383 TS Expiration Date/Time First Used Date/Time 1384 TS First Used Date/Time On Board Stability Duration 1385 TQ On Board Stability Duration Test/Fluid Identifier(s) 1386 CE Test/Fluid Identifier(s) Manufacturer Lot Number 1387 ST Manufacturer Lot Number Manufacturer Identifier 286 CE HL70385 Manufacturer Identifier Supplier Identifier 1389 CE HL70386 Supplier Identifier On Board Stability Time 1626 CQ On Board Stability Time Target Value 1896 CQ Target Value Accession Identifier 1330 EI Accession Identifier Requested Procedure ID 1658 EI Requested Procedure ID Study Instance UID 1659 EI Study Instance UID Scheduled Procedure Step ID 1660 EI Scheduled Procedure Step ID Modality 1661 CE Modality Protocol Code 1662 CE Protocol Code Scheduled Station Name 1663 EI Scheduled Station Name Scheduled Procedure Step Location 1664 CE Scheduled Procedure Step Location Scheduled AE Title 1665 ST Scheduled AE Title Reference Interaction Number (unique identifier) 1326 NM Reference Interaction Number (unique identifier) Interaction Type Identifier 1327 CE HL70368 Interaction Type Identifier Interaction Active State 1328 CE HL70387 Interaction Active State Set ID _ LAN 1455 SI Set ID _ LAN Language Code 1456 CE HL70296 Language Code Language Ability Code 1457 CE HL70403 Language Ability Code Language Proficiency Code 1458 CE HL70404 Language Proficiency Code Primary Key Value - LCC 979 PL Primary Key Value - LCC Location Department 964 CE HL70264 Location Department Accommodation Type 980 CE HL70129 Accommodation Type Charge Code 981 CE HL70132 Charge Code Primary Key Value - LCH 1305 PL Primary Key Value - LCH Segment Action Code 763 ID HL70206 Segment Action Code Segment Unique Key 764 EI Segment Unique Key Location Characteristic ID 1295 CE HL70324 Location Characteristic ID Location Characteristic Value-LCH 1294 CE Location Characteristic Value-LCH Primary Key Value - LDP 963 PL Primary Key Value - LDP Location Department 964 CE HL70264 Location Department Location Service 965 IS HL70069 Location Service Specialty Type 966 CE HL70265 Specialty Type Valid Patient Classes 967 IS HL70004 Valid Patient Classes Active/Inactive Flag 675 ID HL70183 Active/Inactive Flag Activation Date LDP 969 TS Activation Date LDP Inactivation Date - LDP 970 TS Inactivation Date - LDP Inactivated Reason 971 ST Inactivated Reason Visiting Hours 976 VH HL70267 Visiting Hours Contact Phone 978 XTN Contact Phone Location Cost Center 1584 CE HL70462 Location Cost Center Primary Key Value - LOC 1307 PL Primary Key Value - LOC Location Description 944 ST Location Description Location Type - LOC 945 IS HL70260 Location Type - LOC Organization Name - LOC 947 XON Organization Name - LOC Location Address 948 XAD Location Address Location Phone 949 XTN Location Phone License Number 951 CE HL70461 License Number Location Equipment 953 IS HL70261 Location Equipment Location Service Code 1583 IS HL70442 Location Service Code Primary Key Value - LRL 943 PL Primary Key Value - LRL Segment Action Code 763 ID HL70206 Segment Action Code Segment Unique Key 764 EI Segment Unique Key Location Relationship ID 1277 CE HL70325 Location Relationship ID Organizational Location Relationship Value 1301 XON Organizational Location Relationship Value Patient Location Relationship Value 1292 PL Patient Location Relationship Value Record-Level Event Code 664 ID HL70180 Record-Level Event Code MFN Control ID 665 ST MFN Control ID Event Completion Date/Time 668 TS Event Completion Date/Time MFN Record Level Error Return 669 CE HL70181 MFN Record Level Error Return Primary Key Value - MFA 1308 Varies HL79999 Primary Key Value - MFA Primary Key Value Type - MFA 1320 ID HL70355 Primary Key Value Type - MFA Record-Level Event Code 664 ID HL70180 Record-Level Event Code MFN Control ID 665 ST MFN Control ID Effective Date/Time 662 TS Effective Date/Time Primary Key Value - MFE 667 Varies HL79999 Primary Key Value - MFE Primary Key Value Type 1319 ID HL70355 Primary Key Value Type Master File Identifier 658 CE HL70175 Master File Identifier Master File Application Identifier 659 HD HL70361 Master File Application Identifier File-Level Event Code 660 ID HL70178 File-Level Event Code Entered Date/Time 661 TS Entered Date/Time Effective Date/Time 662 TS Effective Date/Time Response Level Code 663 ID HL70179 Response Level Code Prior Patient Identifier List 211 CX Prior Patient Identifier List Prior Alternate Patient ID 212 CX Prior Alternate Patient ID Prior Patient Account Number 213 CX Prior Patient Account Number Prior Patient ID 214 CX Prior Patient ID Prior Visit Number 1279 CX Prior Visit Number Prior Alternate Visit ID 1280 CX Prior Alternate Visit ID Prior Patient Name 1281 XPN Prior Patient Name Acknowledgment Code 18 ID HL70008 Acknowledgment Code Message Control ID 10 ST Message Control ID Text Message 20 ST Text Message Expected Sequence Number 21 NM Expected Sequence Number Delayed Acknowledgment Type 22 ID Delayed Acknowledgment Type Error Condition 23 CE HL70357 Error Condition Field Separator 1 ST Field Separator Encoding Characters 2 ST Encoding Characters Sending Application 3 HD HL70361 Sending Application Sending Facility 4 HD HL70362 Sending Facility Receiving Application 5 HD HL70361 Receiving Application Receiving Facility 6 HD HL70362 Receiving Facility Date/Time Of Message 7 TS Date/Time Of Message Security 8 ST Security Message Type 9 MSG Message Type Message Control ID 10 ST Message Control ID Processing ID 11 PT Processing ID Version ID 12 VID Version ID Sequence Number 13 NM Sequence Number Continuation Pointer 14 ST Continuation Pointer Accept Acknowledgment Type 15 ID HL70155 Accept Acknowledgment Type Application Acknowledgment Type 16 ID HL70155 Application Acknowledgment Type Country Code 17 ID HL70399 Country Code Character Set 692 ID HL70211 Character Set Principal Language Of Message 693 CE Principal Language Of Message Alternate Character Set Handling Scheme 1317 ID HL70356 Alternate Character Set Handling Scheme Message Profile Identifier 1598 EI Message Profile Identifier System Date/Time 1172 TS System Date/Time Notification Reference Number 1398 NM Notification Reference Number Notification Date/Time 1399 TS Notification Date/Time Notification Alert Severity 1400 CE HL70367 Notification Alert Severity Notification Code 1401 CE Notification Code Set ID - NK1 190 SI Set ID - NK1 Name 191 XPN Name Relationship 192 CE HL70063 Relationship Address 193 XAD Address Phone Number 194 XTN Phone Number Business Phone Number 195 XTN Business Phone Number Contact Role 196 CE HL70131 Contact Role Start Date 197 DT Start Date End Date 198 DT End Date Next of Kin / Associated Parties Job Title 199 ST Next of Kin / Associated Parties Job Title Next of Kin / Associated Parties Job Code/Class 200 JCC Next of Kin / Associated Parties Job Code/Class Next of Kin / Associated Parties Employee Number 201 CX Next of Kin / Associated Parties Employee Number Organization Name - NK1 202 XON Organization Name - NK1 Marital Status 119 CE HL70002 Marital Status Administrative Sex 111 IS HL70001 Administrative Sex Date/Time of Birth 110 TS Date/Time of Birth Living Dependency 755 IS HL70223 Living Dependency Ambulatory Status 145 IS HL70009 Ambulatory Status Citizenship 129 CE HL70171 Citizenship Primary Language 118 CE HL70296 Primary Language Living Arrangement 742 IS HL70220 Living Arrangement Publicity Code 743 CE HL70215 Publicity Code Protection Indicator 744 ID HL70136 Protection Indicator Student Indicator 745 IS HL70231 Student Indicator Religion 120 CE HL70006 Religion Mother's Maiden Name 109 XPN Mother's Maiden Name Nationality 739 CE HL70212 Nationality Ethnic Group 125 CE HL70189 Ethnic Group Contact Reason 747 CE HL70222 Contact Reason Contact Person's Name 748 XPN Contact Person's Name Contact Person's Telephone Number 749 XTN Contact Person's Telephone Number Contact Person's Address 750 XAD Contact Person's Address Next of Kin/Associated Party's Identifiers 751 CX Next of Kin/Associated Party's Identifiers Job Status 752 IS HL70311 Job Status Race 113 CE HL70005 Race Handicap 753 IS HL70295 Handicap Contact Person Social Security Number 754 ST Contact Person Social Security Number Next of Kin Birth Place 1905 ST Next of Kin Birth Place VIP Indicator 146 IS HL70099 VIP Indicator Bed Location 209 PL Bed Location Bed Status 170 IS HL70116 Bed Status Application Change Type 1188 IS HL70409 Application Change Type Current CPU 1189 ST Current CPU Current Fileserver 1190 ST Current Fileserver Current Application 1191 HD Current Application Current Facility 1192 HD Current Facility New CPU 1193 ST New CPU New Fileserver 1194 ST New Fileserver New Application 1195 HD New Application New Facility 1196 HD New Facility Statistics Available 1173 ID HL70136 Statistics Available Source Identifier 1174 ST Source Identifier Source Type 1175 ID HL70332 Source Type Statistics Start 1176 TS Statistics Start Statistics End 1177 TS Statistics End Receive Character Count 1178 NM Receive Character Count Send Character Count 1179 NM Send Character Count Messages Received 1180 NM Messages Received Messages Sent 1181 NM Messages Sent Checksum Errors Received 1182 NM Checksum Errors Received Length Errors Received 1183 NM Length Errors Received Other Errors Received 1184 NM Other Errors Received Connect Timeouts 1185 NM Connect Timeouts Receive Timeouts 1186 NM Receive Timeouts Application control-level Errors 1187 NM Application control-level Errors Set ID - NTE 96 SI Set ID - NTE Source of Comment 97 ID HL70105 Source of Comment Comment 98 FT Comment Comment Type 1318 CE HL70364 Comment Type Set ID - OBR 237 SI Set ID - OBR Placer Order Number 216 EI Placer Order Number Filler Order Number 217 EI Filler Order Number Universal Service Identifier 238 CE Universal Service Identifier Priority _ OBR 239 ID Priority _ OBR Requested Date/Time 240 TS Requested Date/Time Observation Date/Time 241 TS Observation Date/Time Observation End Date/Time 242 TS Observation End Date/Time Collection Volume 243 CQ Collection Volume Collector Identifier 244 XCN Collector Identifier Specimen Action Code 245 ID HL70065 Specimen Action Code Danger Code 246 CE Danger Code Relevant Clinical Information 247 ST Relevant Clinical Information Specimen Received Date/Time 248 TS Specimen Received Date/Time Specimen Source 249 SPS Specimen Source Ordering Provider 226 XCN Ordering Provider Order Callback Phone Number 250 XTN Order Callback Phone Number Placer Field 1 251 ST Placer Field 1 Placer Field 2 252 ST Placer Field 2 Filler Field 1 253 ST Filler Field 1 Filler Field 2 254 ST Filler Field 2 Results Rpt/Status Chng - Date/Time 255 TS Results Rpt/Status Chng - Date/Time Charge to Practice 256 MOC Charge to Practice Diagnostic Serv Sect ID 257 ID HL70074 Diagnostic Serv Sect ID Result Status 258 ID HL70123 Result Status Parent Result 259 PRL Parent Result Quantity/Timing 221 TQ Quantity/Timing Result Copies To 260 XCN Result Copies To Parent 261 EIP Parent Transportation Mode 262 ID HL70124 Transportation Mode Reason for Study 263 CE Reason for Study Principal Result Interpreter 264 NDL Principal Result Interpreter Assistant Result Interpreter 265 NDL Assistant Result Interpreter Technician 266 NDL Technician Transcriptionist 267 NDL Transcriptionist Scheduled Date/Time 268 TS Scheduled Date/Time Number of Sample Containers * 1028 NM Number of Sample Containers * Transport Logistics of Collected Sample 1029 CE Transport Logistics of Collected Sample Collector's Comment * 1030 CE Collector's Comment * Transport Arrangement Responsibility 1031 CE Transport Arrangement Responsibility Transport Arranged 1032 ID HL70224 Transport Arranged Escort Required 1033 ID HL70225 Escort Required Planned Patient Transport Comment 1034 CE Planned Patient Transport Comment Procedure Code 393 CE HL70088 Procedure Code Procedure Code Modifier 1316 CE HL70340 Procedure Code Modifier Placer Supplemental Service Information 1474 CE HL70411 Placer Supplemental Service Information Filler Supplemental Service Information 1475 CE HL70411 Filler Supplemental Service Information Medically Necessary Duplicate Procedure Reason. 1646 CWE HL70476 Medically Necessary Duplicate Procedure Reason. Result Handling 1647 IS HL70507 Result Handling Set ID - OBX 569 SI Set ID - OBX Value Type 570 ID HL70125 Value Type Observation Identifier 571 CE Observation Identifier Observation Sub-ID 572 ST Observation Sub-ID Observation Value 573 varies Observation Value Units 574 CE Units References Range 575 ST References Range Abnormal Flags 576 IS HL70078 Abnormal Flags Probability 577 NM Probability Nature of Abnormal Test 578 ID HL70080 Nature of Abnormal Test Observation Result Status 579 ID HL70085 Observation Result Status Effective Date of Reference Range 580 TS Effective Date of Reference Range User Defined Access Checks 581 ST User Defined Access Checks Date/Time of the Observation 582 TS Date/Time of the Observation Producer's ID 583 CE Producer's ID Responsible Observer 584 XCN Responsible Observer Observation Method 936 CE Observation Method Equipment Instance Identifier 1479 EI Equipment Instance Identifier Date/Time of the Analysis 1480 TS Date/Time of the Analysis Type 269 ID HL70159 Type Service Period 270 CE Service Period Diet, Supplement, or Preference Code 271 CE Diet, Supplement, or Preference Code Text Instruction 272 ST Text Instruction Tray Type 273 CE HL70160 Tray Type Service Period 270 CE Service Period Text Instruction 272 ST Text Instruction Sequence Number - Test/Observation Master File 586 NM Sequence Number - Test/Observation Master File Producer's Service/Test/Observation ID 587 CE HL79999 Producer's Service/Test/Observation ID Permitted Data Types 588 ID HL70125 Permitted Data Types Specimen Required 589 ID HL70136 Specimen Required Producer ID 590 CE HL79999 Producer ID Observation Description 591 TX Observation Description Other Service/Test/Observation IDs for the Observation 592 CE HL79999 Other Service/Test/Observation IDs for the Observation Other Names 593 ST Other Names Preferred Report Name for the Observation 594 ST Preferred Report Name for the Observation Preferred Short Name or Mnemonic for Observation 595 ST Preferred Short Name or Mnemonic for Observation Preferred Long Name for the Observation 596 ST Preferred Long Name for the Observation Orderability 597 ID HL70136 Orderability Identity of Instrument Used to Perform this Study 598 CE HL79999 Identity of Instrument Used to Perform this Study Coded Representation of Method 599 CE HL79999 Coded Representation of Method Portable Device Indicator 600 ID HL70136 Portable Device Indicator Observation Producing Department/Section 601 CE HL79999 Observation Producing Department/Section Telephone Number of Section 602 XTN Telephone Number of Section Nature of Service/Test/Observation 603 IS HL70174 Nature of Service/Test/Observation Report Subheader 604 CE HL79999 Report Subheader Report Display Order 605 ST Report Display Order Date/Time Stamp for any change in Definition for the Observation 606 TS Date/Time Stamp for any change in Definition for the Observation Effective Date/Time of Change 607 TS Effective Date/Time of Change Typical Turn-Around Time 608 NM Typical Turn-Around Time Processing Time 609 NM Processing Time Processing Priority 610 ID HL70168 Processing Priority Reporting Priority 611 ID HL70169 Reporting Priority Outside Site(s) Where Observation may be Performed 612 CE HL79999 Outside Site(s) Where Observation may be Performed Address of Outside Site(s) 613 XAD Address of Outside Site(s) Phone Number of Outside Site 614 XTN Phone Number of Outside Site Confidentiality Code 615 CWE HL70177 Confidentiality Code Observations Required to Interpret the Observation 616 CE HL79999 Observations Required to Interpret the Observation Interpretation of Observations 617 TX Interpretation of Observations Contraindications to Observations 618 CE HL79999 Contraindications to Observations Reflex Tests/Observations 619 CE HL79999 Reflex Tests/Observations Rules that Trigger Reflex Testing 620 TX Rules that Trigger Reflex Testing Fixed Canned Message 621 CE HL79999 Fixed Canned Message Patient Preparation 622 TX Patient Preparation Procedure Medication 623 CE HL79999 Procedure Medication Factors that may Affect the Observation 624 TX Factors that may Affect the Observation Service/Test/Observation Performance Schedule 625 ST Service/Test/Observation Performance Schedule Description of Test Methods 626 TX Description of Test Methods Kind of Quantity Observed 937 CE HL70254 Kind of Quantity Observed Point Versus Interval 938 CE HL70255 Point Versus Interval Challenge Information 939 TX Challenge Information Relationship Modifier 940 CE HL70258 Relationship Modifier Target Anatomic Site Of Test 941 CE HL79999 Target Anatomic Site Of Test Modality Of Imaging Measurement 942 CE HL70259 Modality Of Imaging Measurement Sequence Number - Test/Observation Master File 586 NM Sequence Number - Test/Observation Master File Units of Measure 627 CE HL79999 Units of Measure Range of Decimal Precision 628 NM Range of Decimal Precision Corresponding SI Units of Measure 629 CE HL79999 Corresponding SI Units of Measure SI Conversion Factor 630 TX SI Conversion Factor Reference (Normal) Range - Ordinal and Continuous Observations 631 RFR Reference (Normal) Range - Ordinal and Continuous Observations Critical Range for Ordinal and Continuous Observations 632 RFR Critical Range for Ordinal and Continuous Observations Absolute Range for Ordinal and Continuous Observations 633 RFR Absolute Range for Ordinal and Continuous Observations Delta Check Criteria 634 DLT Delta Check Criteria Minimum Meaningful Increments 635 NM Minimum Meaningful Increments Sequence Number - Test/Observation Master File 586 NM Sequence Number - Test/Observation Master File Preferred Coding System 636 CE HL79999 Preferred Coding System Valid Coded Answers 637 CE HL79999 Valid Coded Answers Normal Text/Codes for Categorical Observations 638 CE HL79999 Normal Text/Codes for Categorical Observations Abnormal Text/Codes for Categorical Observations 639 CE HL79999 Abnormal Text/Codes for Categorical Observations Critical Text/Codes for Categorical Observations 640 CE HL79999 Critical Text/Codes for Categorical Observations Value Type 570 ID HL70125 Value Type Sequence Number - Test/Observation Master File 586 NM Sequence Number - Test/Observation Master File Derived Specimen 642 ID HL70170 Derived Specimen Container Description 643 TX Container Description Container Volume 644 NM Container Volume Container Units 645 CE HL79999 Container Units Specimen 646 CE HL79999 Specimen Additive 647 CWE HL70371 Additive Preparation 648 TX Preparation Special Handling Requirements 649 TX Special Handling Requirements Normal Collection Volume 650 CQ Normal Collection Volume Minimum Collection Volume 651 CQ Minimum Collection Volume Specimen Requirements 652 TX Specimen Requirements Specimen Priorities 653 ID HL70027 Specimen Priorities Specimen Retention Time 654 CQ Specimen Retention Time Sequence Number - Test/Observation Master File 586 NM Sequence Number - Test/Observation Master File Test/Observations Included within an Ordered Test Battery 655 CE HL79999 Test/Observations Included within an Ordered Test Battery Observation ID Suffixes 656 ST Observation ID Suffixes Sequence Number - Test/Observation Master File 586 NM Sequence Number - Test/Observation Master File Derivation Rule 657 TX Derivation Rule Sequence Number - Test/Observation Master File 586 NM Sequence Number - Test/Observation Master File Universal Service Identifier 238 CE Universal Service Identifier Category Identifier 1481 CE HL70412 Category Identifier Category Description 1482 TX Category Description Category Synonym 1483 ST Category Synonym Effective Test/Service Start Date/Time 1484 TS Effective Test/Service Start Date/Time Effective Test/Service End Date/Time 1485 TS Effective Test/Service End Date/Time Test/Service Default Duration Quantity 1486 NM Test/Service Default Duration Quantity Test/Service Default Duration Units 1487 CE HL79999 Test/Service Default Duration Units Test/Service Default Frequency 1488 IS HL70335 Test/Service Default Frequency Consent Indicator 1489 ID HL70136 Consent Indicator Consent Identifier 1490 CE HL70413 Consent Identifier Consent Effective Start Date/Time 1491 TS Consent Effective Start Date/Time Consent Effective End Date/Time 1492 TS Consent Effective End Date/Time Consent Interval Quantity 1493 NM Consent Interval Quantity Consent Interval Units 1494 CE HL70414 Consent Interval Units Consent Waiting Period Quantity 1495 NM Consent Waiting Period Quantity Consent Waiting Period Units 1496 CE HL70414 Consent Waiting Period Units Effective Date/Time of Change 607 TS Effective Date/Time of Change Entered By 224 XCN Entered By Orderable-at Location 1497 PL Orderable-at Location Formulary Status 1498 IS HL70473 Formulary Status Special Order Indicator 1499 ID HL70136 Special Order Indicator Primary Key Value - CDM 1306 CE HL70132 Primary Key Value - CDM Order Control 215 ID HL70119 Order Control Placer Order Number 216 EI Placer Order Number Filler Order Number 217 EI Filler Order Number Placer Group Number 218 EI Placer Group Number Order Status 219 ID HL70038 Order Status Response Flag 220 ID HL70121 Response Flag Quantity/Timing 221 TQ Quantity/Timing Parent 222 EIP Parent Date/Time of Transaction 223 TS Date/Time of Transaction Entered By 224 XCN Entered By Verified By 225 XCN Verified By Ordering Provider 226 XCN Ordering Provider Enterer's Location 227 PL Enterer's Location Call Back Phone Number 228 XTN Call Back Phone Number Order Effective Date/Time 229 TS Order Effective Date/Time Order Control Code Reason 230 CE Order Control Code Reason Entering Organization 231 CE Entering Organization Entering Device 232 CE Entering Device Action By 233 XCN Action By Advanced Beneficiary Notice Code 1310 CE HL70339 Advanced Beneficiary Notice Code Ordering Facility Name 1311 XON Ordering Facility Name Ordering Facility Address 1312 XAD Ordering Facility Address Ordering Facility Phone Number 1313 XTN Ordering Facility Phone Number Ordering Provider Address 1314 XAD Ordering Provider Address Order Status Modifier 1473 CWE Order Status Modifier Advanced Beneficiary Notice Override Reason 1641 CWE HL70552 Advanced Beneficiary Notice Override Reason Filler's Expected Availability Date/Time 1642 TS Filler's Expected Availability Date/Time Confidentiality Code 615 CWE HL70177 Confidentiality Code Order Type 1643 CWE HL70482 Order Type Enterer Authorization Mode 1644 CNE HL70483 Enterer Authorization Mode Set ID _ ORG 1459 SI Set ID _ ORG Organization Unit Code 1460 CE HL70405 Organization Unit Code Organization Unit Type Code 1625 CE HL70474 Organization Unit Type Code Primary Org Unit Indicator 1462 ID HL70136 Primary Org Unit Indicator Practitioner Org Unit Identifier 1463 CX Practitioner Org Unit Identifier Health Care Provider Type Code 1464 CE HL70452 Health Care Provider Type Code Health Care Provider Classification Code 1614 CE HL70453 Health Care Provider Classification Code Health Care Provider Area of Specialization Code 1615 CE HL70454 Health Care Provider Area of Specialization Code Effective Date Range 1465 DR Effective Date Range Employment Status Code 1276 CE HL70066 Employment Status Code Board Approval Indicator 1467 ID HL70136 Board Approval Indicator Primary Care Physician Indicator 1468 ID HL70136 Primary Care Physician Indicator Business Rule Override Type 1829 CWE HL70518 Business Rule Override Type Business Rule Override Code 1830 CWE HL70521 Business Rule Override Code Override Comments 1831 TX Override Comments Override Entered By 1832 XCN Override Entered By Override Authorized By 1833 XCN Override Authorized By Implicated Product 1098 CE Implicated Product Generic Product 1099 IS HL70249 Generic Product Product Class 1100 CE Product Class Total Duration Of Therapy 1101 CQ Total Duration Of Therapy Product Manufacture Date 1102 TS Product Manufacture Date Product Expiration Date 1103 TS Product Expiration Date Product Implantation Date 1104 TS Product Implantation Date Product Explantation Date 1105 TS Product Explantation Date Single Use Device 1106 IS HL70244 Single Use Device Indication For Product Use 1107 CE Indication For Product Use Product Problem 1108 IS HL70245 Product Problem Product Serial/Lot Number 1109 ST Product Serial/Lot Number Product Available For Inspection 1110 IS HL70246 Product Available For Inspection Product Evaluation Performed 1111 CE Product Evaluation Performed Product Evaluation Status 1112 CE HL70247 Product Evaluation Status Product Evaluation Results 1113 CE Product Evaluation Results Evaluated Product Source 1114 ID HL70248 Evaluated Product Source Date Product Returned To Manufacturer 1115 TS Date Product Returned To Manufacturer Device Operator Qualifications 1116 ID HL70242 Device Operator Qualifications Relatedness Assessment 1117 ID HL70250 Relatedness Assessment Action Taken In Response To The Event 1118 ID HL70251 Action Taken In Response To The Event Event Causality Observations 1119 ID HL70252 Event Causality Observations Indirect Exposure Mechanism 1120 ID HL70253 Indirect Exposure Mechanism Living Dependency 755 IS HL70223 Living Dependency Living Arrangement 742 IS HL70220 Living Arrangement Patient Primary Facility 756 XON Patient Primary Facility Patient Primary Care Provider Name & ID No. 757 XCN Patient Primary Care Provider Name & ID No. Student Indicator 745 IS HL70231 Student Indicator Handicap 753 IS HL70295 Handicap Living Will Code 759 IS HL70315 Living Will Code Organ Donor Code 760 IS HL70316 Organ Donor Code Separate Bill 761 ID HL70136 Separate Bill Duplicate Patient 762 CX Duplicate Patient Publicity Code 743 CE HL70215 Publicity Code Protection Indicator 744 ID HL70136 Protection Indicator Protection Indicator Effective Date 1566 DT Protection Indicator Effective Date Place of Worship 1567 XON Place of Worship Advance Directive Code 1568 CE HL70435 Advance Directive Code Immunization Registry Status 1569 IS HL70441 Immunization Registry Status Immunization Registry Status Effective Date 1570 DT Immunization Registry Status Effective Date Publicity Code Effective Date 1571 DT Publicity Code Effective Date Military Branch 1572 IS HL70140 Military Branch Military Rank/Grade 486 IS HL70141 Military Rank/Grade Military Status 1573 IS HL70142 Military Status Death Cause Code 1574 CE Death Cause Code Death Location 1575 PL Death Location Death Certified Indicator 1576 ID HL70136 Death Certified Indicator Death Certificate Signed Date/Time 1577 TS Death Certificate Signed Date/Time Death Certified By 1578 XCN Death Certified By Autopsy Indicator 1579 ID HL70136 Autopsy Indicator Autopsy Start and End Date/Time 1580 DR Autopsy Start and End Date/Time Autopsy Performed By 1581 XCN Autopsy Performed By Coroner Indicator 1582 ID HL70136 Coroner Indicator Manufacturer/Distributor 1247 XON Manufacturer/Distributor Country 1248 CE Country Brand Name 1249 ST Brand Name Device Family Name 1250 ST Device Family Name Generic Name 1251 CE Generic Name Model Identifier 1252 ST Model Identifier Catalogue Identifier 1253 ST Catalogue Identifier Other Identifier 1254 ST Other Identifier Product Code 1255 CE Product Code Marketing Basis 1256 ID HL70330 Marketing Basis Marketing Approval ID 1257 ST Marketing Approval ID Labeled Shelf Life 1258 CQ Labeled Shelf Life Expected Shelf Life 1259 CQ Expected Shelf Life Date First Marketed 1260 TS Date First Marketed Date Last Marketed 1261 TS Date Last Marketed Event Identifiers Used 1073 CE Event Identifiers Used Event Symptom/Diagnosis Code 1074 CE Event Symptom/Diagnosis Code Event Onset Date/Time 1075 TS Event Onset Date/Time Event Exacerbation Date/Time 1076 TS Event Exacerbation Date/Time Event Improved Date/Time 1077 TS Event Improved Date/Time Event Ended Data/Time 1078 TS Event Ended Data/Time Event Location Occurred Address 1079 XAD Event Location Occurred Address Event Qualification 1080 ID HL70237 Event Qualification Event Serious 1081 ID HL70238 Event Serious Event Expected 1082 ID HL70239 Event Expected Event Outcome 1083 ID HL70240 Event Outcome Patient Outcome 1084 ID HL70241 Patient Outcome Event Description From Others 1085 FT Event Description From Others Event From Original Reporter 1086 FT Event From Original Reporter Event Description From Patient 1087 FT Event Description From Patient Event Description From Practitioner 1088 FT Event Description From Practitioner Event Description From Autopsy 1089 FT Event Description From Autopsy Cause Of Death 1090 CE Cause Of Death Primary Observer Name 1091 XPN Primary Observer Name Primary Observer Address 1092 XAD Primary Observer Address Primary Observer Telephone 1093 XTN Primary Observer Telephone Primary Observer's Qualification 1094 ID HL70242 Primary Observer's Qualification Confirmation Provided By 1095 ID HL70242 Confirmation Provided By Primary Observer Aware Date/Time 1096 TS Primary Observer Aware Date/Time Primary Observer's identity May Be Divulged 1097 ID HL70243 Primary Observer's identity May Be Divulged Sender Organization Name 1059 XON Sender Organization Name Sender Individual Name 1060 XCN Sender Individual Name Sender Address 1062 XAD Sender Address Sender Telephone 1063 XTN Sender Telephone Sender Event Identifier 1064 EI Sender Event Identifier Sender Sequence Number 1065 NM Sender Sequence Number Sender Event Description 1066 FT Sender Event Description Sender Comment 1067 FT Sender Comment Sender Aware Date/Time 1068 TS Sender Aware Date/Time Event Report Date 1069 TS Event Report Date Event Report Timing/Type 1070 ID HL70234 Event Report Timing/Type Event Report Source 1071 ID HL70235 Event Report Source Event Reported To 1072 ID HL70236 Event Reported To Set ID - PID 104 SI Set ID - PID Patient ID 105 CX Patient ID Patient Identifier List 106 CX Patient Identifier List Alternate Patient ID - PID 107 CX Alternate Patient ID - PID Patient Name 108 XPN Patient Name Mother's Maiden Name 109 XPN Mother's Maiden Name Date/Time of Birth 110 TS Date/Time of Birth Administrative Sex 111 IS HL70001 Administrative Sex Patient Alias 112 XPN Patient Alias Race 113 CE HL70005 Race Patient Address 114 XAD Patient Address County Code 115 IS HL70289 County Code Phone Number - Home 116 XTN Phone Number - Home Phone Number - Business 117 XTN Phone Number - Business Primary Language 118 CE HL70296 Primary Language Marital Status 119 CE HL70002 Marital Status Religion 120 CE HL70006 Religion Patient Account Number 121 CX Patient Account Number SSN Number - Patient 122 ST SSN Number - Patient Driver's License Number - Patient 123 DLN Driver's License Number - Patient Mother's Identifier 124 CX Mother's Identifier Ethnic Group 125 CE HL70189 Ethnic Group Birth Place 126 ST Birth Place Multiple Birth Indicator 127 ID HL70136 Multiple Birth Indicator Birth Order 128 NM Birth Order Citizenship 129 CE HL70171 Citizenship Veterans Military Status 130 CE HL70172 Veterans Military Status Nationality 739 CE HL70212 Nationality Patient Death Date and Time 740 TS Patient Death Date and Time Patient Death Indicator 741 ID HL70136 Patient Death Indicator Identity Unknown Indicator 1535 ID HL70136 Identity Unknown Indicator Identity Reliability Code 1536 IS HL70445 Identity Reliability Code Last Update Date/Time 1537 TS Last Update Date/Time Last Update Facility 1538 HD Last Update Facility Species Code 1539 CE HL70446 Species Code Breed Code 1540 CE HL70447 Breed Code Strain 1541 ST Strain Production Class Code 1542 CE HL70429 Production Class Code Tribal Citizenship 1840 CWE HL70171 Tribal Citizenship Set ID - PR1 391 SI Set ID - PR1 Procedure Coding Method 392 IS HL70089 Procedure Coding Method Procedure Code 393 CE HL70088 Procedure Code Procedure Description 394 ST Procedure Description Procedure Date/Time 395 TS Procedure Date/Time Procedure Functional Type 396 IS HL70230 Procedure Functional Type Procedure Minutes 397 NM Procedure Minutes Anesthesiologist 398 XCN HL70010 Anesthesiologist Anesthesia Code 399 IS HL70019 Anesthesia Code Anesthesia Minutes 400 NM Anesthesia Minutes Surgeon 401 XCN HL70010 Surgeon Procedure Practitioner 402 XCN HL70010 Procedure Practitioner Consent Code 403 CE HL70059 Consent Code Procedure Priority 404 ID HL70418 Procedure Priority Associated Diagnosis Code 772 CE HL70051 Associated Diagnosis Code Procedure Code Modifier 1316 CE HL70340 Procedure Code Modifier Procedure DRG Type 1501 IS HL70416 Procedure DRG Type Tissue Type Code 1502 CE HL70417 Tissue Type Code Procedure Identifier 1848 EI Procedure Identifier Procedure Action Code 1849 ID HL70206 Procedure Action Code Primary Key Value - PRA 685 CE HL79999 Primary Key Value - PRA Practitioner Group 686 CE HL70358 Practitioner Group Practitioner Category 687 IS HL70186 Practitioner Category Provider Billing 688 ID HL70187 Provider Billing Specialty 689 SPD HL70337 Specialty Practitioner ID Numbers 690 PLN HL70338 Practitioner ID Numbers Privileges 691 PIP Privileges Date Entered Practice 1296 DT Date Entered Practice Institution 1613 CE HL70537 Institution Date Left Practice 1348 DT Date Left Practice Government Reimbursement Billing Eligibility 1388 CE HL70401 Government Reimbursement Billing Eligibility Set ID - PRA 1616 SI Set ID - PRA Action Code 816 ID HL70287 Action Code Action Date/Time 817 TS Action Date/Time Problem ID 838 CE Problem ID Problem Instance ID 839 EI Problem Instance ID Episode of Care ID 820 EI Episode of Care ID Problem List Priority 841 NM Problem List Priority Problem Established Date/Time 842 TS Problem Established Date/Time Anticipated Problem Resolution Date/Time 843 TS Anticipated Problem Resolution Date/Time Actual Problem Resolution Date/Time 844 TS Actual Problem Resolution Date/Time Problem Classification 845 CE Problem Classification Problem Management Discipline 846 CE Problem Management Discipline Problem Persistence 847 CE Problem Persistence Problem Confirmation Status 848 CE Problem Confirmation Status Problem Life Cycle Status 849 CE Problem Life Cycle Status Problem Life Cycle Status Date/Time 850 TS Problem Life Cycle Status Date/Time Problem Date of Onset 851 TS Problem Date of Onset Problem Onset Text 852 ST Problem Onset Text Problem Ranking 853 CE Problem Ranking Certainty of Problem 854 CE Certainty of Problem Probability of Problem (0-1) 855 NM Probability of Problem (0-1) Individual Awareness of Problem 856 CE Individual Awareness of Problem Problem Prognosis 857 CE Problem Prognosis Individual Awareness of Prognosis 858 CE Individual Awareness of Prognosis Family/Significant Other Awareness of Problem/Prognosis 859 ST Family/Significant Other Awareness of Problem/Prognosis Security/Sensitivity 823 CE Security/Sensitivity Primary Key Value - PRC 982 CE HL70132 Primary Key Value - PRC Facility ID - PRC 995 CE HL70464 Facility ID - PRC Department 676 CE HL70184 Department Valid Patient Classes 967 IS HL70004 Valid Patient Classes Price 998 CP Price Formula 999 ST Formula Minimum Quantity 1000 NM Minimum Quantity Maximum Quantity 1001 NM Maximum Quantity Minimum Price 1002 MO Minimum Price Maximum Price 1003 MO Maximum Price Effective Start Date 1004 TS Effective Start Date Effective End Date 1005 TS Effective End Date Price Override Flag 1006 IS HL70268 Price Override Flag Billing Category 1007 CE HL70293 Billing Category Chargeable Flag 1008 ID HL70136 Chargeable Flag Active/Inactive Flag 675 ID HL70183 Active/Inactive Flag Cost 989 MO Cost Charge On Indicator 1009 IS HL70269 Charge On Indicator Provider Role 1155 CE HL70286 Provider Role Provider Name 1156 XPN Provider Name Provider Address 1157 XAD Provider Address Provider Location 1158 PL Provider Location Provider Communication Information 1159 XTN Provider Communication Information Preferred Method of Contact 684 CE HL70185 Preferred Method of Contact Provider Identifiers 1162 PLN Provider Identifiers Effective Start Date of Provider Role 1163 TS Effective Start Date of Provider Role Effective End Date of Provider Role 1164 TS Effective End Date of Provider Role Report Type 1233 ST Report Type Report Form Identifier 1297 ST Report Form Identifier Report Date 1235 TS Report Date Report Interval Start Date 1236 TS Report Interval Start Date Report Interval End Date 1237 TS Report Interval End Date Quantity Manufactured 1238 CQ Quantity Manufactured Quantity Distributed 1239 CQ Quantity Distributed Quantity Distributed Method 1240 ID HL70329 Quantity Distributed Method Quantity Distributed Comment 1241 FT Quantity Distributed Comment Quantity in Use 1242 CQ Quantity in Use Quantity in Use Method 1243 ID HL70329 Quantity in Use Method Quantity in Use Comment 1244 FT Quantity in Use Comment Number of Product Experience Reports Filed by Facility 1245 NM Number of Product Experience Reports Filed by Facility Number of Product Experience Reports Filed by Distributor 1246 NM Number of Product Experience Reports Filed by Distributor Action Code 816 ID HL70287 Action Code Pathway ID 1207 CE Pathway ID Pathway Instance ID 1208 EI Pathway Instance ID Pathway Established Date/Time 1209 TS Pathway Established Date/Time Pathway Life Cycle Status 1210 CE Pathway Life Cycle Status Change Pathway Life Cycle Status Date/Time 1211 TS Change Pathway Life Cycle Status Date/Time Set ID - PV1 131 SI Set ID - PV1 Patient Class 132 IS HL70004 Patient Class Assigned Patient Location 133 PL Assigned Patient Location Admission Type 134 IS HL70007 Admission Type Preadmit Number 135 CX Preadmit Number Prior Patient Location 136 PL Prior Patient Location Attending Doctor 137 XCN HL70010 Attending Doctor Referring Doctor 138 XCN HL70010 Referring Doctor Consulting Doctor 139 XCN HL70010 Consulting Doctor Hospital Service 140 IS HL70069 Hospital Service Temporary Location 141 PL Temporary Location Preadmit Test Indicator 142 IS HL70087 Preadmit Test Indicator Re-admission Indicator 143 IS HL70092 Re-admission Indicator Admit Source 144 IS HL70023 Admit Source Ambulatory Status 145 IS HL70009 Ambulatory Status VIP Indicator 146 IS HL70099 VIP Indicator Admitting Doctor 147 XCN HL70010 Admitting Doctor Patient Type 148 IS HL70018 Patient Type Visit Number 149 CX Visit Number Financial Class 150 FC HL70064 Financial Class Charge Price Indicator 151 IS HL70032 Charge Price Indicator Courtesy Code 152 IS HL70045 Courtesy Code Credit Rating 153 IS HL70046 Credit Rating Contract Code 154 IS HL70044 Contract Code Contract Effective Date 155 DT Contract Effective Date Contract Amount 156 NM Contract Amount Contract Period 157 NM Contract Period Interest Code 158 IS HL70073 Interest Code Transfer to Bad Debt Code 159 IS HL70110 Transfer to Bad Debt Code Transfer to Bad Debt Date 160 DT Transfer to Bad Debt Date Bad Debt Agency Code 161 IS HL70021 Bad Debt Agency Code Bad Debt Transfer Amount 162 NM Bad Debt Transfer Amount Bad Debt Recovery Amount 163 NM Bad Debt Recovery Amount Delete Account Indicator 164 IS HL70111 Delete Account Indicator Delete Account Date 165 DT Delete Account Date Discharge Disposition 166 IS HL70112 Discharge Disposition Discharged to Location 167 DLD HL70113 Discharged to Location Diet Type 168 CE HL70114 Diet Type Servicing Facility 169 IS HL70115 Servicing Facility Bed Status 170 IS HL70116 Bed Status Account Status 171 IS HL70117 Account Status Pending Location 172 PL Pending Location Prior Temporary Location 173 PL Prior Temporary Location Admit Date/Time 174 TS Admit Date/Time Discharge Date/Time 175 TS Discharge Date/Time Current Patient Balance 176 NM Current Patient Balance Total Charges 177 NM Total Charges Total Adjustments 178 NM Total Adjustments Total Payments 179 NM Total Payments Alternate Visit ID 180 CX HL70203 Alternate Visit ID Visit Indicator 1226 IS HL70326 Visit Indicator Other Healthcare Provider 1274 XCN HL70010 Other Healthcare Provider Prior Pending Location 181 PL Prior Pending Location Accommodation Code 182 CE HL70129 Accommodation Code Admit Reason 183 CE Admit Reason Transfer Reason 184 CE Transfer Reason Patient Valuables 185 ST Patient Valuables Patient Valuables Location 186 ST Patient Valuables Location Visit User Code 187 IS HL70130 Visit User Code Expected Admit Date/Time 188 TS Expected Admit Date/Time Expected Discharge Date/Time 189 TS Expected Discharge Date/Time Estimated Length of Inpatient Stay 711 NM Estimated Length of Inpatient Stay Actual Length of Inpatient Stay 712 NM Actual Length of Inpatient Stay Visit Description 713 ST Visit Description Referral Source Code 714 XCN Referral Source Code Previous Service Date 715 DT Previous Service Date Employment Illness Related Indicator 716 ID HL70136 Employment Illness Related Indicator Purge Status Code 717 IS HL70213 Purge Status Code Purge Status Date 718 DT Purge Status Date Special Program Code 719 IS HL70214 Special Program Code Retention Indicator 720 ID HL70136 Retention Indicator Expected Number of Insurance Plans 721 NM Expected Number of Insurance Plans Visit Publicity Code 722 IS HL70215 Visit Publicity Code Visit Protection Indicator 723 ID HL70136 Visit Protection Indicator Clinic Organization Name 724 XON Clinic Organization Name Patient Status Code 725 IS HL70216 Patient Status Code Visit Priority Code 726 IS HL70217 Visit Priority Code Previous Treatment Date 727 DT Previous Treatment Date Expected Discharge Disposition 728 IS HL70112 Expected Discharge Disposition Signature on File Date 729 DT Signature on File Date First Similar Illness Date 730 DT First Similar Illness Date Patient Charge Adjustment Code 731 CE HL70218 Patient Charge Adjustment Code Recurring Service Code 732 IS HL70219 Recurring Service Code Billing Media Code 733 ID HL70136 Billing Media Code Expected Surgery Date and Time 734 TS Expected Surgery Date and Time Military Partnership Code 735 ID HL70136 Military Partnership Code Military Non-Availability Code 736 ID HL70136 Military Non-Availability Code Newborn Baby Indicator 737 ID HL70136 Newborn Baby Indicator Baby Detained Indicator 738 ID HL70136 Baby Detained Indicator Mode of Arrival Code 1543 CE HL70430 Mode of Arrival Code Recreational Drug Use Code 1544 CE HL70431 Recreational Drug Use Code Admission Level of Care Code 1545 CE HL70432 Admission Level of Care Code Precaution Code 1546 CE HL70433 Precaution Code Patient Condition Code 1547 CE HL70434 Patient Condition Code Living Will Code 759 IS HL70315 Living Will Code Organ Donor Code 760 IS HL70316 Organ Donor Code Advance Directive Code 1548 CE HL70435 Advance Directive Code Patient Status Effective Date 1549 DT Patient Status Effective Date Expected LOA Return Date/Time 1550 TS Expected LOA Return Date/Time Expected Pre-admission Testing Date/Time 1841 TS Expected Pre-admission Testing Date/Time Notify Clergy Code 1842 IS HL70534 Notify Clergy Code Query Tag 696 ST Query Tag Query Response Status 708 ID HL70208 Query Response Status Message Query Name 1375 CE HL70471 Message Query Name Hit Count 1434 NM Hit Count This payload 1622 NM This payload Hits remaining 1623 NM Hits remaining Query Tag 696 ST Query Tag Message Query Name 1375 CE HL70471 Message Query Name Message Query Name 1375 CE HL70471 Message Query Name Query Tag 696 ST Query Tag User Parameters (in successive fields) 1435 varies User Parameters (in successive fields) Query Date/Time 25 TS Query Date/Time Query Format Code 26 ID HL70106 Query Format Code Query Priority 27 ID HL70091 Query Priority Query ID 28 ST Query ID Deferred Response Type 29 ID HL70107 Deferred Response Type Deferred Response Date/Time 30 TS Deferred Response Date/Time Quantity Limited Request 31 CQ HL70126 Quantity Limited Request Who Subject Filter 32 XCN Who Subject Filter What Subject Filter 33 CE HL70048 What Subject Filter What Department Data Code 34 CE What Department Data Code What Data Code Value Qual. 35 VR What Data Code Value Qual. Query Results Level 36 ID HL70108 Query Results Level Where Subject Filter 37 ST Where Subject Filter When Data Start Date/Time 38 TS When Data Start Date/Time When Data End Date/Time 39 TS When Data End Date/Time What User Qualifier 40 ST What User Qualifier Other QRY Subject Filter 41 ST Other QRY Subject Filter Which Date/Time Qualifier 42 ID HL70156 Which Date/Time Qualifier Which Date/Time Status Qualifier 43 ID HL70157 Which Date/Time Status Qualifier Date/Time Selection Qualifier 44 ID HL70158 Date/Time Selection Qualifier When Quantity/Timing Qualifier 694 TQ When Quantity/Timing Qualifier Search Confidence Threshold 1442 NM Search Confidence Threshold Candidate Confidence 1436 NM Candidate Confidence Match Reason Code 1437 IS HL70392 Match Reason Code Algorithm Descriptor 1438 CE HL70393 Algorithm Descriptor Query Priority 27 ID HL70091 Query Priority Quantity Limited Request 31 CQ HL70126 Quantity Limited Request Response Modality 1440 CE HL70394 Response Modality Execution and Delivery Time 1441 TS Execution and Delivery Time Modify Indicator 1443 ID HL70395 Modify Indicator Sort-by Field 1624 SRT Sort-by Field Segment group inclusion 1594 ID Segment group inclusion Number of Columns per Row 701 NM Number of Columns per Row Column Description 702 RCD HL70440 Column Description Column Value 703 varies Column Value Referral Status 1137 CE HL70283 Referral Status Referral Priority 1138 CE HL70280 Referral Priority Referral Type 1139 CE HL70281 Referral Type Referral Disposition 1140 CE HL70282 Referral Disposition Referral Category 1141 CE HL70284 Referral Category Originating Referral Identifier 1142 EI Originating Referral Identifier Effective Date 1143 TS Effective Date Expiration Date 1144 TS Expiration Date Process Date 1145 TS Process Date Referral Reason 1228 CE HL70336 Referral Reason External Referral Identifier 1300 EI External Referral Identifier Set ID - RGS 1203 SI Set ID - RGS Segment Action Code 763 ID HL70206 Segment Action Code Resource Group ID 1204 CE Resource Group ID Risk Management Incident Code 1530 CE HL70427 Risk Management Incident Code Date/Time Incident 1531 TS Date/Time Incident Incident Type Code 1533 CE HL70428 Incident Type Code Role Instance ID 1206 EI Role Instance ID Action Code 816 ID HL70287 Action Code Role-ROL 1197 CE HL70443 Role-ROL Role Person 1198 XCN Role Person Role Begin Date/Time 1199 TS Role Begin Date/Time Role End Date/Time 1200 TS Role End Date/Time Role Duration 1201 CE Role Duration Role Action Reason 1205 CE Role Action Reason Provider Type 1510 CE Provider Type Organization Unit Type 1461 CE HL70406 Organization Unit Type Office/Home Address/Birthplace 679 XAD Office/Home Address/Birthplace Phone 678 XTN Phone Anticipated Price 285 ST Anticipated Price Manufacturer Identifier 286 CE HL70385 Manufacturer Identifier Manufacturer's Catalog 287 ST Manufacturer's Catalog Vendor ID 288 CE Vendor ID Vendor Catalog 289 ST Vendor Catalog Taxable 290 ID HL70136 Taxable Substitute Allowed 291 ID HL70136 Substitute Allowed Requisition Line Number 275 SI Requisition Line Number Item Code - Internal 276 CE Item Code - Internal Item Code - External 277 CE Item Code - External Hospital Item Code 278 CE Hospital Item Code Requisition Quantity 279 NM Requisition Quantity Requisition Unit of Measure 280 CE Requisition Unit of Measure Dept. Cost Center 281 IS HL70319 Dept. Cost Center Item Natural Account Code 282 IS HL70320 Item Natural Account Code Deliver To ID 283 CE Deliver To ID Date Needed 284 DT Date Needed Give Sub-ID Counter 342 NM Give Sub-ID Counter Administration Sub-ID Counter 344 NM Administration Sub-ID Counter Date/Time Start of Administration 345 TS Date/Time Start of Administration Date/Time End of Administration 346 TS Date/Time End of Administration Administered Code 347 CE HL70292 Administered Code Administered Amount 348 NM Administered Amount Administered Units 349 CE Administered Units Administered Dosage Form 350 CE Administered Dosage Form Administration Notes 351 CE Administration Notes Administering Provider 352 XCN Administering Provider Administered-at Location 353 LA2 Administered-at Location Administered Per (Time Unit) 354 ST Administered Per (Time Unit) Administered Strength 1134 NM Administered Strength Administered Strength Units 1135 CE Administered Strength Units Substance Lot Number 1129 ST Substance Lot Number Substance Expiration Date 1130 TS Substance Expiration Date Substance Manufacturer Name 1131 CE HL70227 Substance Manufacturer Name Substance/Treatment Refusal Reason 1136 CE Substance/Treatment Refusal Reason Indication 1123 CE Indication Completion Status 1223 ID HL70322 Completion Status Action Code - RXA 1224 ID HL70323 Action Code - RXA System Entry Date/Time 1225 TS System Entry Date/Time Administered Drug Strength Volume 1696 NM Administered Drug Strength Volume Administered Drug Strength Volume Units 1697 CWE Administered Drug Strength Volume Units Administered Barcode Identifier 1698 CWE Administered Barcode Identifier Pharmacy Order Type 1699 ID HL70480 Pharmacy Order Type RX Component Type 313 ID HL70166 RX Component Type Component Code 314 CE Component Code Component Amount 315 NM Component Amount Component Units 316 CE Component Units Component Strength 1124 NM Component Strength Component Strength Units 1125 CE Component Strength Units Supplementary Code 1476 CE Supplementary Code Component Drug Strength Volume 1671 NM Component Drug Strength Volume Component Drug Strength Volume Units 1672 CWE Component Drug Strength Volume Units Dispense Sub-ID Counter 334 NM Dispense Sub-ID Counter Dispense/Give Code 335 CE HL70292 Dispense/Give Code Date/Time Dispensed 336 TS Date/Time Dispensed Actual Dispense Amount 337 NM Actual Dispense Amount Actual Dispense Units 338 CE Actual Dispense Units Actual Dosage Form 339 CE Actual Dosage Form Prescription Number 325 ST Prescription Number Number of Refills Remaining 326 NM Number of Refills Remaining Dispense Notes 340 ST Dispense Notes Dispensing Provider 341 XCN Dispensing Provider Substitution Status 322 ID HL70167 Substitution Status Total Daily Dose 329 CQ Total Daily Dose Dispense-to Location 1303 LA2 Dispense-to Location Needs Human Review 307 ID HL70136 Needs Human Review Pharmacy/Treatment Supplier's Special Dispensing Instructions 330 CE Pharmacy/Treatment Supplier's Special Dispensing Instructions Actual Strength 1132 NM Actual Strength Actual Strength Unit 1133 CE Actual Strength Unit Substance Lot Number 1129 ST Substance Lot Number Substance Expiration Date 1130 TS Substance Expiration Date Substance Manufacturer Name 1131 CE HL70227 Substance Manufacturer Name Indication 1123 CE Indication Dispense Package Size 1220 NM Dispense Package Size Dispense Package Size Unit 1221 CE Dispense Package Size Unit Dispense Package Method 1222 ID HL70321 Dispense Package Method Supplementary Code 1476 CE Supplementary Code Initiating Location 1477 CE Initiating Location Packaging/Assembly Location 1478 CE Packaging/Assembly Location Actual Drug Strength Volume 1686 NM Actual Drug Strength Volume Actual Drug Strength Volume Units 1687 CWE Actual Drug Strength Volume Units Dispense to Pharmacy 1688 CWE Dispense to Pharmacy Dispense to Pharmacy Address 1689 XAD Dispense to Pharmacy Address Pharmacy Order Type 1690 ID HL70480 Pharmacy Order Type Dispense Type 1691 CWE HL70484 Dispense Type Quantity/Timing 221 TQ Quantity/Timing Give Code 317 CE HL70292 Give Code Give Amount - Minimum 318 NM Give Amount - Minimum Give Amount - Maximum 319 NM Give Amount - Maximum Give Units 320 CE Give Units Give Dosage Form 321 CE Give Dosage Form Provider's Administration Instructions 298 CE Provider's Administration Instructions Deliver-To Location 299 LA1 Deliver-To Location Substitution Status 322 ID HL70167 Substitution Status Dispense Amount 323 NM Dispense Amount Dispense Units 324 CE Dispense Units Number Of Refills 304 NM Number Of Refills Ordering Provider's DEA Number 305 XCN Ordering Provider's DEA Number Pharmacist/Treatment Supplier's Verifier ID 306 XCN Pharmacist/Treatment Supplier's Verifier ID Prescription Number 325 ST Prescription Number Number of Refills Remaining 326 NM Number of Refills Remaining Number of Refills/Doses Dispensed 327 NM Number of Refills/Doses Dispensed D/T of Most Recent Refill or Dose Dispensed 328 TS D/T of Most Recent Refill or Dose Dispensed Total Daily Dose 329 CQ Total Daily Dose Needs Human Review 307 ID HL70136 Needs Human Review Pharmacy/Treatment Supplier's Special Dispensing Instructions 330 CE Pharmacy/Treatment Supplier's Special Dispensing Instructions Give Per (Time Unit) 331 ST Give Per (Time Unit) Give Rate Amount 332 ST Give Rate Amount Give Rate Units 333 CE Give Rate Units Give Strength 1126 NM Give Strength Give Strength Units 1127 CE Give Strength Units Give Indication 1128 CE Give Indication Dispense Package Size 1220 NM Dispense Package Size Dispense Package Size Unit 1221 CE Dispense Package Size Unit Dispense Package Method 1222 ID HL70321 Dispense Package Method Supplementary Code 1476 CE Supplementary Code Original Order Date/Time 1673 TS Original Order Date/Time Give Drug Strength Volume 1674 NM Give Drug Strength Volume Give Drug Strength Volume Units 1675 CWE Give Drug Strength Volume Units Controlled Substance Schedule 1676 CWE HL70477 Controlled Substance Schedule Formulary Status 1677 ID HL70478 Formulary Status Pharmaceutical Substance Alternative 1678 CWE Pharmaceutical Substance Alternative Pharmacy of Most Recent Fill 1679 CWE Pharmacy of Most Recent Fill Initial Dispense Amount 1680 NM Initial Dispense Amount Dispensing Pharmacy 1681 CWE Dispensing Pharmacy Dispensing Pharmacy Address 1682 XAD Dispensing Pharmacy Address Deliver-to Patient Location 1683 PL Deliver-to Patient Location Deliver-to Address 1684 XAD Deliver-to Address Pharmacy Order Type 1685 ID HL70480 Pharmacy Order Type Give Sub-ID Counter 342 NM Give Sub-ID Counter Dispense Sub-ID Counter 334 NM Dispense Sub-ID Counter Quantity/Timing 221 TQ Quantity/Timing Give Code 317 CE HL70292 Give Code Give Amount - Minimum 318 NM Give Amount - Minimum Give Amount - Maximum 319 NM Give Amount - Maximum Give Units 320 CE Give Units Give Dosage Form 321 CE Give Dosage Form Administration Notes 351 CE Administration Notes Substitution Status 322 ID HL70167 Substitution Status Dispense-to Location 1303 LA2 Dispense-to Location Needs Human Review 307 ID HL70136 Needs Human Review Pharmacy/Treatment Supplier's Special Administration Instructions 343 CE Pharmacy/Treatment Supplier's Special Administration Instructions Give Per (Time Unit) 331 ST Give Per (Time Unit) Give Rate Amount 332 ST Give Rate Amount Give Rate Units 333 CE Give Rate Units Give Strength 1126 NM Give Strength Give Strength Units 1127 CE Give Strength Units Substance Lot Number 1129 ST Substance Lot Number Substance Expiration Date 1130 TS Substance Expiration Date Substance Manufacturer Name 1131 CE HL70227 Substance Manufacturer Name Indication 1123 CE Indication Give Drug Strength Volume 1692 NM Give Drug Strength Volume Give Drug Strength Volume Units 1693 CWE Give Drug Strength Volume Units Give Barcode Identifier 1694 CWE Give Barcode Identifier Pharmacy Order Type 1695 ID HL70480 Pharmacy Order Type Requested Give Code 292 CE Requested Give Code Requested Give Amount - Minimum 293 NM Requested Give Amount - Minimum Requested Give Amount - Maximum 294 NM Requested Give Amount - Maximum Requested Give Units 295 CE Requested Give Units Requested Dosage Form 296 CE Requested Dosage Form Provider's Pharmacy/Treatment Instructions 297 CE Provider's Pharmacy/Treatment Instructions Provider's Administration Instructions 298 CE Provider's Administration Instructions Deliver-To Location 299 LA1 Deliver-To Location Allow Substitutions 300 ID HL70161 Allow Substitutions Requested Dispense Code 301 CE Requested Dispense Code Requested Dispense Amount 302 NM Requested Dispense Amount Requested Dispense Units 303 CE Requested Dispense Units Number Of Refills 304 NM Number Of Refills Ordering Provider's DEA Number 305 XCN Ordering Provider's DEA Number Pharmacist/Treatment Supplier's Verifier ID 306 XCN Pharmacist/Treatment Supplier's Verifier ID Needs Human Review 307 ID HL70136 Needs Human Review Requested Give Per (Time Unit) 308 ST Requested Give Per (Time Unit) Requested Give Strength 1121 NM Requested Give Strength Requested Give Strength Units 1122 CE Requested Give Strength Units Indication 1123 CE Indication Requested Give Rate Amount 1218 ST Requested Give Rate Amount Requested Give Rate Units 1219 CE Requested Give Rate Units Total Daily Dose 329 CQ Total Daily Dose Supplementary Code 1476 CE Supplementary Code Requested Drug Strength Volume 1666 NM Requested Drug Strength Volume Requested Drug Strength Volume Units 1667 CWE Requested Drug Strength Volume Units Pharmacy Order Type 1668 ID HL70480 Pharmacy Order Type Dispensing Interval 1669 NM Dispensing Interval Route 309 CE HL70162 Route Administration Site 310 CWE HL70163 Administration Site Administration Device 311 CE HL70164 Administration Device Administration Method 312 CWE HL70165 Administration Method Routing Instruction 1315 CE Routing Instruction Administration Site Modifier 1670 CWE HL70495 Administration Site Modifier External Accession Identifier 1329 EI External Accession Identifier Accession Identifier 1330 EI Accession Identifier Container Identifier 1331 EI Container Identifier Primary (parent) Container Identifier 1332 EI Primary (parent) Container Identifier Equipment Container Identifier 1333 EI Equipment Container Identifier Specimen Source 249 SPS Specimen Source Registration Date/Time 1334 TS Registration Date/Time Container Status 1335 CE HL70370 Container Status Carrier Type 1336 CE HL70378 Carrier Type Carrier Identifier 1337 EI Carrier Identifier Position in Carrier 1338 NA Position in Carrier Tray Type - SAC 1339 CE HL70379 Tray Type - SAC Tray Identifier 1340 EI Tray Identifier Position in Tray 1341 NA Position in Tray Location 1342 CE Location Container Height 1343 NM Container Height Container Diameter 1344 NM Container Diameter Barrier Delta 1345 NM Barrier Delta Bottom Delta 1346 NM Bottom Delta Container Height/Diameter/Delta Units 1347 CE Container Height/Diameter/Delta Units Container Volume 644 NM Container Volume Available Specimen Volume 1349 NM Available Specimen Volume Initial Specimen Volume 1350 NM Initial Specimen Volume Volume Units 1351 CE Volume Units Separator Type 1352 CE HL70380 Separator Type Cap Type 1353 CE HL70381 Cap Type Additive 647 CWE HL70371 Additive Specimen Component 1355 CE Specimen Component Dilution Factor 1356 SN Dilution Factor Treatment 1357 CE HL70373 Treatment Temperature 1358 SN Temperature Hemolysis Index 1359 NM Hemolysis Index Hemolysis Index Units 1360 CE Hemolysis Index Units Lipemia Index 1361 NM Lipemia Index Lipemia Index Units 1362 CE Lipemia Index Units Icterus Index 1363 NM Icterus Index Icterus Index Units 1364 CE Icterus Index Units Fibrin Index 1365 NM Fibrin Index Fibrin Index Units 1366 CE Fibrin Index Units System Induced Contaminants 1367 CE HL70374 System Induced Contaminants Drug Interference 1368 CE HL70382 Drug Interference Artificial Blood 1369 CE HL70375 Artificial Blood Special Handling Code 1370 CWE HL70376 Special Handling Code Other Environmental Factors 1371 CE HL70377 Other Environmental Factors Placer Appointment ID 860 EI Placer Appointment ID Filler Appointment ID 861 EI Filler Appointment ID Occurrence Number 862 NM Occurrence Number Placer Group Number 218 EI Placer Group Number Schedule ID 864 CE Schedule ID Event Reason 883 CE Event Reason Appointment Reason 866 CE HL70276 Appointment Reason Appointment Type 867 CE HL70277 Appointment Type Appointment Duration 868 NM Appointment Duration Appointment Duration Units 869 CE Appointment Duration Units Appointment Timing Quantity 884 TQ Appointment Timing Quantity Placer Contact Person 874 XCN Placer Contact Person Placer Contact Phone Number 875 XTN Placer Contact Phone Number Placer Contact Address 876 XAD Placer Contact Address Placer Contact Location 877 PL Placer Contact Location Filler Contact Person 885 XCN Filler Contact Person Filler Contact Phone Number 886 XTN Filler Contact Phone Number Filler Contact Address 887 XAD Filler Contact Address Filler Contact Location 888 PL Filler Contact Location Entered By Person 878 XCN Entered By Person Entered By Phone Number 879 XTN Entered By Phone Number Entered By Location 880 PL Entered By Location Parent Placer Appointment ID 881 EI Parent Placer Appointment ID Parent Filler Appointment ID 882 EI Parent Filler Appointment ID Filler Status Code 889 CE HL70278 Filler Status Code Placer Order Number 216 EI Placer Order Number Filler Order Number 217 EI Filler Order Number Software Vendor Organization 1834 XON Software Vendor Organization Software Certified Version or Release Number 1835 ST Software Certified Version or Release Number Software Product Name 1836 ST Software Product Name Software Binary ID 1837 ST Software Binary ID Software Product Information 1838 TX Software Product Information Software Install Date 1839 TS Software Install Date Application / Method Identifier 1426 CE Application / Method Identifier Substance Lot Number 1129 ST Substance Lot Number Substance Container Identifier 1428 ST Substance Container Identifier Substance Manufacturer Identifier 1429 CE HL70385 Substance Manufacturer Identifier Set ID _ SPM 1754 SI Set ID _ SPM Specimen ID 1755 EIP Specimen ID Specimen Parent IDs 1756 EIP Specimen Parent IDs Specimen Type 1900 CWE HL70487 Specimen Type Specimen Type Modifier 1757 CWE HL70541 Specimen Type Modifier Specimen Additives 1758 CWE HL70371 Specimen Additives Specimen Collection Method 1759 CWE HL70488 Specimen Collection Method Specimen Source Site 1901 CWE Specimen Source Site Specimen Source Site Modifier 1760 CWE HL70542 Specimen Source Site Modifier Specimen Collection Site 1761 CWE HL70543 Specimen Collection Site Specimen Role 1762 CWE HL70369 Specimen Role Specimen Collection Amount 1902 CQ Specimen Collection Amount Grouped Specimen Count 1763 NM Grouped Specimen Count Specimen Description 1764 ST Specimen Description Specimen Handling Code 1908 CWE HL70376 Specimen Handling Code Specimen Risk Code 1903 CWE HL70489 Specimen Risk Code Specimen Collection Date/Time 1765 DR Specimen Collection Date/Time Specimen Received Date/Time 248 TS Specimen Received Date/Time Specimen Expiration Date/Time 1904 TS Specimen Expiration Date/Time Specimen Availability 1766 ID HL70136 Specimen Availability Specimen Reject Reason 1767 CWE HL70490 Specimen Reject Reason Specimen Quality 1768 CWE HL70491 Specimen Quality Specimen Appropriateness 1769 CWE HL70492 Specimen Appropriateness Specimen Condition 1770 CWE HL70493 Specimen Condition Specimen Current Quantity 1771 CQ Specimen Current Quantity Number of Specimen Containers 1772 NM Number of Specimen Containers Container Type 1773 CWE Container Type Container Condition 1774 CWE HL70544 Container Condition Specimen Child Role 1775 CWE HL70494 Specimen Child Role Query Tag 696 ST Query Tag Query/Response Format Code 697 ID HL70106 Query/Response Format Code Stored Procedure Name 704 CE Stored Procedure Name Input Parameter List 705 QIP Input Parameter List Primary Key Value - STF 671 CE HL79999 Primary Key Value - STF Staff Identifier List 672 CX Staff Identifier List Staff Name 673 XPN Staff Name Staff Type 674 IS HL70182 Staff Type Administrative Sex 111 IS HL70001 Administrative Sex Date/Time of Birth 110 TS Date/Time of Birth Active/Inactive Flag 675 ID HL70183 Active/Inactive Flag Department 676 CE HL70184 Department Hospital Service - STF 677 CE HL70069 Hospital Service - STF Phone 678 XTN Phone Office/Home Address/Birthplace 679 XAD Office/Home Address/Birthplace Institution Activation Date 680 DIN HL70537 Institution Activation Date Institution Inactivation Date 681 DIN HL70537 Institution Inactivation Date Backup Person ID 682 CE Backup Person ID E-Mail Address 683 ST E-Mail Address Preferred Method of Contact 684 CE HL70185 Preferred Method of Contact Marital Status 119 CE HL70002 Marital Status Job Title 785 ST Job Title Job Code/Class 786 JCC Job Code/Class Employment Status Code 1276 CE HL70066 Employment Status Code Additional Insured on Auto 1275 ID HL70136 Additional Insured on Auto Driver's License Number - Staff 1302 DLN Driver's License Number - Staff Copy Auto Ins 1229 ID HL70136 Copy Auto Ins Auto Ins. Expires 1232 DT Auto Ins. Expires Date Last DMV Review 1298 DT Date Last DMV Review Date Next DMV Review 1234 DT Date Next DMV Review Race 113 CE HL70005 Race Ethnic Group 125 CE HL70189 Ethnic Group Re-activation Approval Indicator 1596 ID HL70136 Re-activation Approval Indicator Citizenship 129 CE HL70171 Citizenship Death Date and Time 1886 TS Death Date and Time Death Indicator 1887 ID HL70136 Death Indicator Institution Relationship Type Code 1888 CWE HL70538 Institution Relationship Type Code Institution Relationship Period 1889 DR Institution Relationship Period Expected Return Date 1890 DT Expected Return Date Cost Center Code 1891 CWE HL70539 Cost Center Code Generic Classification Indicator 1892 ID HL70136 Generic Classification Indicator Inactive Reason Code 1893 CWE HL70540 Inactive Reason Code Universal Service Identifier 238 CE Universal Service Identifier Test Application Identifier 1408 EI Test Application Identifier Specimen Source 249 SPS Specimen Source Auto-Dilution Factor Default 1410 SN Auto-Dilution Factor Default Rerun Dilution Factor Default 1411 SN Rerun Dilution Factor Default Pre-Dilution Factor Default 1412 SN Pre-Dilution Factor Default Endogenous Content of Pre-Dilution Diluent 1413 SN Endogenous Content of Pre-Dilution Diluent Inventory Limits Warning Level 1414 NM Inventory Limits Warning Level Automatic Rerun Allowed 1415 ID HL70136 Automatic Rerun Allowed Automatic Repeat Allowed 1416 ID HL70136 Automatic Repeat Allowed Automatic Reflex Allowed 1417 ID HL70136 Automatic Reflex Allowed Equipment Dynamic Range 1418 SN Equipment Dynamic Range Units 574 CE Units Processing Type 1419 CE HL70388 Processing Type Universal Service Identifier 238 CE Universal Service Identifier Auto-Dilution Factor 1420 SN Auto-Dilution Factor Rerun Dilution Factor 1421 SN Rerun Dilution Factor Pre-Dilution Factor 1422 SN Pre-Dilution Factor Endogenous Content of Pre-Dilution Diluent 1413 SN Endogenous Content of Pre-Dilution Diluent Automatic Repeat Allowed 1416 ID HL70136 Automatic Repeat Allowed Reflex Allowed 1424 ID HL70136 Reflex Allowed Analyte Repeat Status 1425 CE HL70389 Analyte Repeat Status Set ID - TQ1 1627 SI Set ID - TQ1 Quantity 1628 CQ Quantity Repeat Pattern 1629 RPT HL70335 Repeat Pattern Explicit Time 1630 TM Explicit Time Relative Time and Units 1631 CQ Relative Time and Units Service Duration 1632 CQ Service Duration Start date/time 1633 TS Start date/time End date/time 1634 TS End date/time Priority 1635 CWE HL70485 Priority Condition text 1636 TX Condition text Text instruction 1637 TX Text instruction Conjunction 1638 ID HL70427 Conjunction Occurrence duration 1639 CQ Occurrence duration Total occurrence's 1640 NM Total occurrence's Set ID - TQ2 1648 SI Set ID - TQ2 Sequence/Results Flag 1649 ID HL70503 Sequence/Results Flag Related Placer Number 1650 EI Related Placer Number Related Filler Number 1651 EI Related Filler Number Related Placer Group Number 1652 EI Related Placer Group Number Sequence Condition Code 1653 ID HL70504 Sequence Condition Code Cyclic Entry/Exit Indicator 1654 ID HL70505 Cyclic Entry/Exit Indicator Sequence Condition Time Interval 1655 CQ Sequence Condition Time Interval Cyclic Group Maximum Number of Repeats 1656 NM Cyclic Group Maximum Number of Repeats Special Service Request Relationship 1657 ID HL70506 Special Service Request Relationship Set ID- TXA 914 SI Set ID- TXA Document Type 915 IS HL70270 Document Type Document Content Presentation 916 ID HL70191 Document Content Presentation Activity Date/Time 917 TS Activity Date/Time Primary Activity Provider Code/Name 918 XCN Primary Activity Provider Code/Name Origination Date/Time 919 TS Origination Date/Time Transcription Date/Time 920 TS Transcription Date/Time Edit Date/Time 921 TS Edit Date/Time Originator Code/Name 922 XCN Originator Code/Name Assigned Document Authenticator 923 XCN Assigned Document Authenticator Transcriptionist Code/Name 924 XCN Transcriptionist Code/Name Unique Document Number 925 EI Unique Document Number Parent Document Number 926 EI Parent Document Number Placer Order Number 216 EI Placer Order Number Filler Order Number 217 EI Filler Order Number Unique Document File Name 927 ST Unique Document File Name Document Completion Status 928 ID HL70271 Document Completion Status Document Confidentiality Status 929 ID HL70272 Document Confidentiality Status Document Availability Status 930 ID HL70273 Document Availability Status Document Storage Status 932 ID HL70275 Document Storage Status Document Change Reason 933 ST Document Change Reason Authentication Person, Time Stamp 934 PPN Authentication Person, Time Stamp Distributed Copies (Code and Name of Recipients) 935 XCN Distributed Copies (Code and Name of Recipients) Set ID - UB1 530 SI Set ID - UB1 Blood Deductible (43) 531 NM Blood Deductible (43) Blood Furnished-Pints Of (40) 532 NM Blood Furnished-Pints Of (40) Blood Replaced-Pints (41) 533 NM Blood Replaced-Pints (41) Blood Not Replaced-Pints(42) 534 NM Blood Not Replaced-Pints(42) Co-Insurance Days (25) 535 NM Co-Insurance Days (25) Condition Code (35-39) 536 IS HL70043 Condition Code (35-39) Covered Days - (23) 537 NM Covered Days - (23) Non Covered Days - (24) 538 NM Non Covered Days - (24) Value Amount & Code (46-49) 539 UVC Value Amount & Code (46-49) Number Of Grace Days (90) 540 NM Number Of Grace Days (90) Special Program Indicator (44) 541 CE HL70348 Special Program Indicator (44) PSRO/UR Approval Indicator (87) 542 CE HL70349 PSRO/UR Approval Indicator (87) PSRO/UR Approved Stay-Fm (88) 543 DT PSRO/UR Approved Stay-Fm (88) PSRO/UR Approved Stay-To (89) 544 DT PSRO/UR Approved Stay-To (89) Occurrence (28-32) 545 OCD Occurrence (28-32) Occurrence Span (33) 546 CE HL70351 Occurrence Span (33) Occur Span Start Date(33) 547 DT Occur Span Start Date(33) Occur Span End Date (33) 548 DT Occur Span End Date (33) UB-82 Locator 2 549 ST UB-82 Locator 2 UB-82 Locator 9 550 ST UB-82 Locator 9 UB-82 Locator 27 551 ST UB-82 Locator 27 UB-82 Locator 45 552 ST UB-82 Locator 45 Set ID - UB2 553 SI Set ID - UB2 Co-Insurance Days (9) 554 ST Co-Insurance Days (9) Condition Code (24-30) 555 IS HL70043 Condition Code (24-30) Covered Days (7) 556 ST Covered Days (7) Non-Covered Days (8) 557 ST Non-Covered Days (8) Value Amount & Code 558 UVC Value Amount & Code Occurrence Code & Date (32-35) 559 OCD Occurrence Code & Date (32-35) Occurrence Span Code/Dates (36) 560 OSP Occurrence Span Code/Dates (36) UB92 Locator 2 (State) 561 ST UB92 Locator 2 (State) UB92 Locator 11 (State) 562 ST UB92 Locator 11 (State) UB92 Locator 31 (National) 563 ST UB92 Locator 31 (National) Document Control Number 564 ST Document Control Number UB92 Locator 49 (National) 565 ST UB92 Locator 49 (National) UB92 Locator 56 (State) 566 ST UB92 Locator 56 (State) UB92 Locator 57 (National) 567 ST UB92 Locator 57 (National) UB92 Locator 78 (State) 568 ST UB92 Locator 78 (State) Special Visit Count 815 NM Special Visit Count R/U Date/Time 45 TS R/U Date/Time Report Priority 46 ID HL70109 Report Priority R/U Who Subject Definition 47 XCN R/U Who Subject Definition R/U What Subject Definition 48 CE HL70048 R/U What Subject Definition R/U What Department Code 49 CE R/U What Department Code R/U Display/Print Locations 50 ST R/U Display/Print Locations R/U Results Level 51 ID HL70108 R/U Results Level R/U Where Subject Definition 52 ST R/U Where Subject Definition R/U When Data Start Date/Time 53 TS R/U When Data Start Date/Time R/U When Data End Date/Time 54 TS R/U When Data End Date/Time R/U What User Qualifier 55 ST R/U What User Qualifier R/U Other Results Subject Definition 56 ST R/U Other Results Subject Definition R/U Which Date/Time Qualifier 57 ID HL70156 R/U Which Date/Time Qualifier R/U Which Date/Time Status Qualifier 58 ID HL70157 R/U Which Date/Time Status Qualifier R/U Date/Time Selection Qualifier 59 ID HL70158 R/U Date/Time Selection Qualifier R/U Quantity/Timing Qualifier 695 TQ R/U Quantity/Timing Qualifier Variance Instance ID 1212 EI Variance Instance ID Documented Date/Time 1213 TS Documented Date/Time Stated Variance Date/Time 1214 TS Stated Variance Date/Time Variance Originator 1215 XCN Variance Originator Variance Classification 1216 CE Variance Classification Variance Description 1217 ST Variance Description Query Tag 696 ST Query Tag Query/Response Format Code 697 ID HL70106 Query/Response Format Code VT Query Name 698 CE VT Query Name Virtual Table Name 699 CE Virtual Table Name Selection Criteria 700 QSC Selection Criteria