ez7gen 1.0.1

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
Files changed (90) hide show
  1. checksums.yaml +7 -0
  2. data/bin/ez7gen +6 -0
  3. data/lib/ez7gen.rb +23 -0
  4. data/lib/ez7gen/config/schema/2.4/2.4.HL7.xml +13904 -0
  5. data/lib/ez7gen/config/schema/2.4/VAZ2.4.HL7.xml +3085 -0
  6. data/lib/ez7gen/config/schema/2.4/added/coded-tables.xml +730 -0
  7. data/lib/ez7gen/config/schema/2.4/rules/2.4.HL7.yml +4 -0
  8. data/lib/ez7gen/config/schema/2.4/rules/VAZ2.4.HL7.yml +6 -0
  9. data/lib/ez7gen/config/schema/2.5/2.5.HL7.xml +10008 -0
  10. data/lib/ez7gen/config/schema/2.5/VAZ2.5.HL7.xml +7 -0
  11. data/lib/ez7gen/config/schema/2.5/added/coded-tables.xml +549 -0
  12. data/lib/ez7gen/config/schema/readme.txt +0 -0
  13. data/lib/ez7gen/config/templates/2.4/eiv table update-mfn_m01 20151201.xml +416 -0
  14. data/lib/ez7gen/config/templates/2.4/eiv table update-mfn_y01.xml +416 -0
  15. data/lib/ez7gen/config/templates/2.4/eiv-ec-MFN_X01_reg request 20160126.xml +659 -0
  16. data/lib/ez7gen/config/templates/2.4/examples/ADT_A60.txt +69 -0
  17. data/lib/ez7gen/config/templates/2.4/examples/eiv table update-mfn_m01 20151201.txt +21 -0
  18. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_dss_units-query_qbp_q13-qbp_q13.txt +26 -0
  19. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_ecs_procedures_query_qbp_q13-qbp_q13.txt +26 -0
  20. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_patient eligibility_response-rsp_k11-080714.txt +44 -0
  21. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_standardhl7lib_diagnosis_query_qbp_q11-qbp_q11.txt +21 -0
  22. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_standardhl7lib_diagnosis_response_rsp_k11-rsp_k11.txt +42 -0
  23. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_standardhl7lib_dss_units_response_rtb_k13-rtb_k13.txt +49 -0
  24. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_standardhl7lib_ecs_filer_request_dft_p03-dft_p03-080714.txt +31 -0
  25. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_standardhl7lib_ecs_filer_response_ack_p03-ack_p03.txt +21 -0
  26. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_standardhl7lib_esc_procedures_response_rtb_k13-rtb_k13.txt +40 -0
  27. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_standardhl7lib_patient_eclass_query_qbp_q11-qbp_q11.txt +21 -0
  28. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_standardhl7lib_patient_problems_query_qbp_q11-qbp_q11.txt +21 -0
  29. data/lib/ez7gen/config/templates/2.4/examples/mhvsm_standardhl7lib_patinet_problems_response_rsp_k11-rsp_k11.txt +33 -0
  30. data/lib/ez7gen/config/templates/2.4/examples/orur01rvbecv2.txt +31 -0
  31. data/lib/ez7gen/config/templates/2.4/examples/sqwm vitals-oru_ro1.txt +52 -0
  32. data/lib/ez7gen/config/templates/2.4/examples/vista sqwm-adt_a60.txt +40 -0
  33. data/lib/ez7gen/config/templates/2.4/mhvsm_dss_units_query_qbp_q13-qbp_q13.xml +312 -0
  34. data/lib/ez7gen/config/templates/2.4/mhvsm_ecs_procedures_query_qbp_q13-qbp_q13.xml +314 -0
  35. data/lib/ez7gen/config/templates/2.4/mhvsm_patient eligibility_response-rsp_k11-080714.xml +640 -0
  36. data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_diagnosis_query_qbp_q11-qbp_q11.xml +284 -0
  37. data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_diagnosis_response_rsp_k11-rsp_k11-rsp_k11.xml +563 -0
  38. data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_dss_units_response_rtb_k13-rtb_k13-rtb_k13.xml +365 -0
  39. data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_ecs_filer_request_dft_p03-dft_p03-080714.xml +2172 -0
  40. data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_ecs_filer_response_ack_p03-ack_p03.xml +269 -0
  41. data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_ecs_procedures_response_rtb_k13-rtb_k13-rtb_k13.xml +354 -0
  42. data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_patient_eclass_query_qbp_q11-qbp_q11.xml +284 -0
  43. data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_patient_problems_query_qbp_q11-qbp_q11.xml +282 -0
  44. data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_patient_problems_response_rsp_k11-rsp_k11-rsp_k11.xml +565 -0
  45. data/lib/ez7gen/config/templates/2.4/orur01rvbecv2.xml +1529 -0
  46. data/lib/ez7gen/config/templates/2.4/sqwm vitals-oru_r01.xml +2975 -0
  47. data/lib/ez7gen/config/templates/2.4/vista sqwm-adt_a60.xml +1360 -0
  48. data/lib/ez7gen/message_factory.rb +142 -0
  49. data/lib/ez7gen/msg_error_handler.rb +33 -0
  50. data/lib/ez7gen/profile_parser.rb +321 -0
  51. data/lib/ez7gen/resources/properties-with-comments.yml +51 -0
  52. data/lib/ez7gen/resources/properties.yml +325 -0
  53. data/lib/ez7gen/service/2.4/dynamic_field_generator.rb +45 -0
  54. data/lib/ez7gen/service/2.4/field_generator.rb +1586 -0
  55. data/lib/ez7gen/service/2.5/field_generator.rb +75 -0
  56. data/lib/ez7gen/service/base_field_generator.rb +451 -0
  57. data/lib/ez7gen/service/segment_generator.rb +218 -0
  58. data/lib/ez7gen/service/segment_picker.rb +147 -0
  59. data/lib/ez7gen/service/template_generator.rb +213 -0
  60. data/lib/ez7gen/service/type_aware_field_generator.rb +1583 -0
  61. data/lib/ez7gen/service/utils.rb +75 -0
  62. data/lib/ez7gen/structure_parser.rb +331 -0
  63. data/lib/ez7gen/version.rb +38 -0
  64. data/test/Additional Tables with values_v1.1.txt +1653 -0
  65. data/test/added_shema_test.rb +143 -0
  66. data/test/app-tmp.rb +225 -0
  67. data/test/at.txt +1 -0
  68. data/test/backburner.zip +0 -0
  69. data/test/codes.txt +262 -0
  70. data/test/codes1.txt +1240 -0
  71. data/test/data_types_exploration_test.rb +213 -0
  72. data/test/dynamic_field_generated_test.rb +292 -0
  73. data/test/message_factory_24_custom_test.rb +648 -0
  74. data/test/message_factory_25_test.rb +50 -0
  75. data/test/message_factory_adm_test.rb +558 -0
  76. data/test/message_factory_gen_test.rb +63 -0
  77. data/test/message_factory_lab_test.rb +107 -0
  78. data/test/message_factory_pharm_test.rb +121 -0
  79. data/test/message_factory_template_24_test.rb +730 -0
  80. data/test/message_factory_test.rb +220 -0
  81. data/test/msg_error_handler_test.rb +59 -0
  82. data/test/profile_parser_test.rb +542 -0
  83. data/test/quick_run.rb +880 -0
  84. data/test/segment_generator_test.rb +656 -0
  85. data/test/segment_picker_test.rb +279 -0
  86. data/test/structrure_parser_test.rb +355 -0
  87. data/test/template_generator_test.rb +164 -0
  88. data/test/type_aware_field_generator_test.rb +582 -0
  89. data/test/utils_test.rb +97 -0
  90. metadata +215 -0
data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_dss_units_response_rtb_k13-rtb_k13-rtb_k13.xml ADDED
@@ -0,0 +1,365 @@
1
+ <?xml version="1.0" encoding="UTF-8"?>
2
+ <HL7v2xConformanceProfile HL7Version="2.4" ProfileType="Implementation">
3
+ <MetaData Name="mhvsm_standardHL7lib_dss_units_response_rtb_k13-rtb_k13" OrgName="MHV" Version="" Status="" Topics="confsig-MHV-2.4-profile-accNE_accAL-Deferred" />
4
+ <Encodings>
5
+ <Encoding>ER7</Encoding>
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+ </Encodings>
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+ <DynamicDef AccAck="NE" AppAck="AL" MsgAckMode="Deferred" />
8
+ <HL7v2xStaticDef MsgType="RTB" EventType="K13" MsgStructID="RTB_K13" EventDesc="" Role="Receiver">
9
+ <MetaData Name="mhvsm_standardHL7lib_dss_units_response_rtb_k13-rtb_k13" OrgName="MHV" Version="" Status="" Topics="confsig-MHV-2.4-static-RTB-K13-null-RTB_K13---Receiver" />
10
+ <Segment Name="MSH" LongName="Message Header" Usage="R" Min="1" Max="1">
11
+ <Field Name="Field Separator" Usage="R" Min="1" Max="1" Datatype="ST" Length="1" ItemNo="00001">
12
+ <Reference>2.16.9.1</Reference>
13
+ <DataValues ExValue="|" />
14
+ </Field>
15
+ <Field Name="Encoding Characters" Usage="R" Min="1" Max="1" Datatype="ST" Length="4" ItemNo="00002">
16
+ <Reference>2.16.9.2</Reference>
17
+ <DataValues ExValue="^~\&amp;" />
18
+ </Field>
19
+ <Field Name="Sending Application" Usage="R" Min="1" Max="1" Datatype="HD" Length="180" Table="0361" ItemNo="00003">
20
+ <Reference>2.16.9.3</Reference>
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+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="10" Table="0363">
22
+ <DataValues ExValue="MHV VISTA" />
23
+ </Component>
24
+ <Component Name="universal ID" Usage="X" Datatype="ST">
25
+ </Component>
26
+ <Component Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
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+ </Component>
28
+ </Field>
29
+ <Field Name="Sending Facility" Usage="R" Min="1" Max="1" Datatype="HD" Length="180" Table="0362" ItemNo="00004">
30
+ <Reference>2.16.9.4</Reference>
31
+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="3" Table="0363">
32
+ <DataValues ExValue="991" />
33
+ </Component>
34
+ <Component Name="universal ID" Usage="R" Datatype="ST" Length="30">
35
+ <DataValues ExValue="SLC4.FO-BAYPINES.MED.VA.GOV" />
36
+ </Component>
37
+ <Component Name="universal ID type" Usage="R" Datatype="ID" Length="3" Table="0301">
38
+ <DataValues ExValue="DNS" />
39
+ </Component>
40
+ </Field>
41
+ <Field Name="Receiving Application" Usage="R" Min="1" Max="1" Datatype="HD" Length="180" Table="0361" ItemNo="00005">
42
+ <Reference>2.16.9.5</Reference>
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+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="10" Table="0363">
44
+ <DataValues ExValue="MHV SM" />
45
+ </Component>
46
+ <Component Name="universal ID" Usage="X" Datatype="ST">
47
+ </Component>
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+ <Component Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
49
+ </Component>
50
+ </Field>
51
+ <Field Name="Receiving Facility" Usage="R" Min="1" Max="1" Datatype="HD" Length="180" Table="0362" ItemNo="00006">
52
+ <Reference>2.16.9.6</Reference>
53
+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="10" Table="0363">
54
+ <DataValues ExValue="200MHS" />
55
+ </Component>
56
+ <Component Name="universal ID" Usage="R" Datatype="ST" Length="20">
57
+ <DataValues ExValue="SYS.MHV.MED.VA.GOV" />
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+ </Component>
59
+ <Component Name="universal ID type" Usage="R" Datatype="ID" Length="3" Table="0301">
60
+ <DataValues ExValue="DNS" />
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+ </Component>
62
+ </Field>
63
+ <Field Name="Date/Time Of Message" Usage="R" Min="1" Max="1" Datatype="TS" Length="26" ItemNo="00007">
64
+ <Reference>2.16.9.7</Reference>
65
+ <Component Name="Date/Time" Usage="R" Datatype="NM" Length="26">
66
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-
67
+ ZZZZ]
68
+ </ImpNote>
69
+ <DataValues ExValue="20140320155617-0500" />
70
+ </Component>
71
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
72
+ <ImpNote>Retained for backward compatibility only
73
+ </ImpNote>
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+ <DataValues ExValue="D" />
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+ </Component>
76
+ </Field>
77
+ <Field Name="Security" Usage="X" Min="0" Max="*" Datatype="ST" Length="40" ItemNo="00008">
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+ <Reference>2.16.9.8</Reference>
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+ </Field>
80
+ <Field Name="Message Type" Usage="R" Min="1" Max="1" Datatype="CM_MSG" Length="25" Table="0076" ItemNo="00009">
81
+ <Reference>2.16.9.9</Reference>
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+ <Component Name="message type" Usage="R" Datatype="ID" Length="3" Table="0076">
83
+ <DataValues ExValue="RTB" />
84
+ </Component>
85
+ <Component Name="trigger event" Usage="R" Datatype="ID" Length="3" Table="0003">
86
+ <DataValues ExValue="K13" />
87
+ </Component>
88
+ <Component Name="message structure" Usage="R" Datatype="ID" Length="7" Table="0354">
89
+ <DataValues ExValue="RTB_K13" />
90
+ </Component>
91
+ </Field>
92
+ <Field Name="Message Control ID" Usage="R" Min="1" Max="1" Datatype="ST" Length="20" ItemNo="00010">
93
+ <Reference>2.16.9.10</Reference>
94
+ <DataValues ExValue="99146086191" />
95
+ </Field>
96
+ <Field Name="Processing ID" Usage="R" Min="1" Max="1" Datatype="PT" Length="3" ItemNo="00011">
97
+ <Reference>2.16.9.11</Reference>
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+ <Component Name="processing ID" Usage="R" Datatype="ID" Length="3" Table="0103">
99
+ <DataValues ExValue="T" />
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+ </Component>
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+ <Component Name="processing mode" Usage="X" Datatype="ID" Table="0207">
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+ </Component>
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+ </Field>
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+ <Field Name="Version ID" Usage="R" Min="1" Max="1" Datatype="VID" Length="60" Table="0104" ItemNo="00012">
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+ <Reference>2.16.9.12</Reference>
106
+ <Component Name="version ID" Usage="R" Datatype="ID" Length="3" Table="0104">
107
+ <DataValues ExValue="2.4" />
108
+ </Component>
109
+ <Component Name="internationalization code" Usage="X" Datatype="CE" Table="0399">
110
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0399">
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+ </SubComponent>
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+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
113
+ </SubComponent>
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+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
115
+ </SubComponent>
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+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
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+ </SubComponent>
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+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
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+ </SubComponent>
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+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
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+ </SubComponent>
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+ </Component>
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+ <Component Name="international version ID" Usage="X" Datatype="CE">
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+ <SubComponent Name="identifier" Usage="O" Datatype="ST">
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+ </SubComponent>
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+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
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+ </SubComponent>
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+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
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+ </SubComponent>
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+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
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+ </SubComponent>
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+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
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+ </SubComponent>
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+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
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+ </SubComponent>
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+ </Component>
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+ </Field>
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+ <Field Name="Sequence Number" Usage="X" Min="0" Max="*" Datatype="NM" Length="15" ItemNo="00013">
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+ <Reference>2.16.9.13</Reference>
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+ </Field>
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+ <Field Name="Continuation Pointer" Usage="X" Min="0" Max="*" Datatype="ST" Length="180" ItemNo="00014">
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+ <Reference>2.16.9.14</Reference>
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+ </Field>
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+ <Field Name="Accept Acknowledgment Type" Usage="X" Min="0" Max="*" Datatype="ID" Length="2" Table="0155" ItemNo="00015">
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+ <Reference>2.16.9.15</Reference>
146
+ </Field>
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+ <Field Name="Application Acknowledgment Type" Usage="X" Min="0" Max="*" Datatype="ID" Length="2" Table="0155" ItemNo="00016">
148
+ <Reference>2.16.9.16</Reference>
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+ </Field>
150
+ <Field Name="Country Code" Usage="X" Min="0" Max="*" Datatype="ID" Length="3" Table="0399" ItemNo="00017">
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+ <Reference>2.16.9.17</Reference>
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+ </Field>
153
+ <Field Name="Character Set" Usage="X" Min="0" Max="*" Datatype="ID" Length="16" Table="0211" ItemNo="00692">
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+ <Reference>2.16.9.18</Reference>
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+ </Field>
156
+ <Field Name="Principal Language Of Message" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" ItemNo="00693">
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+ <Reference>2.16.9.19</Reference>
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+ <Component Name="identifier" Usage="X" Datatype="ST">
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+ </Component>
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+ <Component Name="text" Usage="X" Datatype="ST">
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+ </Component>
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+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
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+ </Component>
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+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
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+ </Component>
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+ <Component Name="alternate text" Usage="X" Datatype="ST">
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+ </Component>
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+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
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+ </Component>
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+ </Field>
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+ <Field Name="Alternate Character Set Handling Scheme" Usage="X" Min="0" Max="*" Datatype="ID" Length="20" Table="0356" ItemNo="01317">
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+ <Reference>2.16.9.20</Reference>
173
+ </Field>
174
+ <Field Name="Conformance Statement ID" Usage="X" Min="0" Max="*" Datatype="ID" Length="10" Table="0449" ItemNo="01598">
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+ <Reference>2.16.9.21</Reference>
176
+ </Field>
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+ </Segment>
178
+ <Segment Name="MSA" LongName="Message Acknowledgment" Usage="R" Min="1" Max="1">
179
+ <Field Name="Acknowledgment Code" Usage="R" Min="1" Max="1" Datatype="ID" Length="2" Table="0008" ItemNo="00018">
180
+ <Reference>2.16.8.1</Reference>
181
+ <DataValues ExValue="AA" />
182
+ </Field>
183
+ <Field Name="Message Control ID" Usage="R" Min="1" Max="1" Datatype="ST" Length="20" ItemNo="00010">
184
+ <Reference>2.16.9.10</Reference>
185
+ <DataValues ExValue="500000000000011828" />
186
+ </Field>
187
+ <Field Name="Text Message" Usage="RE" Min="0" Max="1" Datatype="ST" Length="80" ItemNo="00020">
188
+ <ImpNote>- only if error (the Ack Code = AE)
189
+ </ImpNote>
190
+ <Reference>2.16.8.3</Reference>
191
+ <DataValues ExValue="INVALID DATA LINK" />
192
+ </Field>
193
+ <Field Name="Expected Sequence Number" Usage="X" Min="0" Max="*" Datatype="NM" Length="15" ItemNo="00021">
194
+ <Reference>2.16.8.4</Reference>
195
+ </Field>
196
+ <Field Name="Delayed Acknowledgment Type" Usage="X" Min="0" Max="*" Datatype="ID" Length="1" Table="0102" ItemNo="00022">
197
+ <Reference>2.16.8.5</Reference>
198
+ </Field>
199
+ <Field Name="Error Condition" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0357" ItemNo="00023">
200
+ <Reference>2.16.8.6</Reference>
201
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0357">
202
+ </Component>
203
+ <Component Name="text" Usage="X" Datatype="ST">
204
+ </Component>
205
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
206
+ </Component>
207
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
208
+ </Component>
209
+ <Component Name="alternate text" Usage="X" Datatype="ST">
210
+ </Component>
211
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
212
+ </Component>
213
+ </Field>
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+ </Segment>
215
+ <Segment Name="QAK" LongName="Query Acknowledgment" Usage="R" Min="1" Max="1">
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+ <Field Name="Query Tag" Usage="R" Min="1" Max="1" Datatype="ST" Length="40" ItemNo="00696">
217
+ <ImpNote>Ensemble will accept the length of 40
218
+ chars.
219
+ </ImpNote>
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+ <Reference>5.10.5.8.1</Reference>
221
+ <DataValues ExValue="B350C65E-B069-11E3-9CA9-50569E013100" />
222
+ </Field>
223
+ <Field Name="Query Response Status" Usage="R" Min="1" Max="1" Datatype="ID" Length="2" Table="0208" ItemNo="00708">
224
+ <Reference>5.5.2.2</Reference>
225
+ <DataValues ExValue="OK" />
226
+ </Field>
227
+ <Field Name="Message Query Name" Usage="R" Min="1" Max="1" Datatype="CE" Length="250" Table="0471" ItemNo="01375">
228
+ <Reference>5.5.3.1</Reference>
229
+ <Component Name="identifier" Usage="R" Datatype="ST" Length="10" Table="0471">
230
+ <DataValues ExValue="Q13" />
231
+ </Component>
232
+ <Component Name="text" Usage="R" Datatype="ST" Length="20">
233
+ <DataValues ExValue="SMDSSUNITS" />
234
+ </Component>
235
+ <Component Name="name of coding system" Usage="R" Datatype="IS" Length="10" Table="0396">
236
+ <DataValues ExValue="HL70471" />
237
+ </Component>
238
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
239
+ </Component>
240
+ <Component Name="alternate text" Usage="X" Datatype="ST">
241
+ </Component>
242
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
243
+ </Component>
244
+ </Field>
245
+ <Field Name="Hit Count" Usage="R" Min="1" Max="1" Datatype="NM" Length="10" ItemNo="01434">
246
+ <Reference>5.5.2.4</Reference>
247
+ <DataValues ExValue="4" />
248
+ </Field>
249
+ <Field Name="This payload" Usage="R" Min="1" Max="1" Datatype="NM" Length="10" ItemNo="01622">
250
+ <Reference>5.5.2.5</Reference>
251
+ <DataValues ExValue="4" />
252
+ </Field>
253
+ <Field Name="Hits remaining" Usage="R" Min="1" Max="1" Datatype="NM" Length="10" ItemNo="01623">
254
+ <Reference>5.5.2.6</Reference>
255
+ <DataValues ExValue="0" />
256
+ </Field>
257
+ </Segment>
258
+ <Segment Name="QPD" LongName="Query Parameter Definition" Usage="R" Min="1" Max="1">
259
+ <Field Name="Message Query Name" Usage="R" Min="1" Max="1" Datatype="CE" Length="250" Table="0471" ItemNo="01375">
260
+ <Reference>5.5.3.1</Reference>
261
+ <Component Name="identifier" Usage="R" Datatype="ST" Length="10" Table="0471">
262
+ <DataValues ExValue="Q13" />
263
+ </Component>
264
+ <Component Name="text" Usage="R" Datatype="ST" Length="20">
265
+ <DataValues ExValue="SMDSSUNITS" />
266
+ </Component>
267
+ <Component Name="name of coding system" Usage="R" Datatype="IS" Length="20" Table="0396">
268
+ <DataValues ExValue="HL70471" />
269
+ </Component>
270
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
271
+ </Component>
272
+ <Component Name="alternate text" Usage="X" Datatype="ST">
273
+ </Component>
274
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
275
+ </Component>
276
+ </Field>
277
+ <Field Name="Query Tag" Usage="R" Min="1" Max="1" Datatype="ST" Length="40" ItemNo="00696">
278
+ <ImpNote>Ensemble accepts the string max 40 for
279
+ this
280
+ field.
281
+ </ImpNote>
282
+ <Reference>5.10.5.8.1</Reference>
283
+ <DataValues ExValue="B350C65E-B069-11E3-9CA9-50569E013100" />
284
+ </Field>
285
+ <Field Name="User Parameters (in successive fields)" Usage="R" Min="1" Max="1" Datatype="ST" Length="256">
286
+ <ImpNote>The User Parameters are a string
287
+ separated by "^":
288
+ 1.-Query Name in MHV Request File:
289
+ SMDSSUnitsByProviderAndClinic
290
+ 2.- Provider DUZ: 3878
291
+ 3.- Clinic IEN: 59788
292
+ </ImpNote>
293
+ <Reference>5.5.3.3</Reference>
294
+ <DataValues ExValue="SMDSSUnitsByProviderAndClinic^3878^59788" />
295
+ </Field>
296
+ </Segment>
297
+ <Segment Name="RDF" LongName="Table Row Definition" Usage="R" Min="1" Max="1">
298
+ <Field Name="Number of Columns per Row" Usage="R" Min="1" Max="1" Datatype="NM" Length="3" ItemNo="00701">
299
+ <Reference>5.5.6.1</Reference>
300
+ <DataValues ExValue="6" />
301
+ </Field>
302
+ <Field Name="Column Description" Usage="R" Min="1" Max="1" Datatype="RCD" Length="40" Table="0440" ItemNo="00702">
303
+ <ImpNote>These are all the 6 columns that will be in
304
+ the repetitions of this element:
305
+
306
+ Location IEN&amp;NM&amp;15
307
+ Location Name&amp;ST&amp;30
308
+ DSS Unit IEN&amp;NM&amp;30
309
+ DSS Unit Name&amp;ST&amp;30
310
+ Inactive Flag&amp;ST&amp;1
311
+ Send to PCE Flag&amp;ST&amp;1
312
+ </ImpNote>
313
+ <Reference>5.5.6.2</Reference>
314
+ <Component Name="segment field name" Usage="R" Datatype="ST" Length="20" Table="0440">
315
+ <DataValues ExValue="Location IEN" />
316
+ </Component>
317
+ <Component Name="HL7 data type (ID)" Usage="R" Datatype="ID" Length="3" Table="0440">
318
+ <DataValues ExValue="NM" />
319
+ </Component>
320
+ <Component Name="maximum column width" Usage="R" Datatype="NM" Length="10">
321
+ <DataValues ExValue="10936" />
322
+ </Component>
323
+ </Field>
324
+ </Segment>
325
+ <Segment Name="RDT" LongName="Table Row Data" Usage="R" Min="1" Max="*">
326
+ <ImpNote>This is a list of all DSS Units
327
+ retrieved for Associated Clinic/Provider at a VistA station.
328
+
329
+ Each RDT segment will have values for
330
+ one DSS Unit in the list.
331
+ </ImpNote>
332
+ <Field Name="Column Value" Usage="R" Min="1" Max="*" Datatype="ST" Length="10">
333
+ <ImpNote>Location IEN
334
+ </ImpNote>
335
+ <DataValues ExValue="10936" />
336
+ </Field>
337
+ <Field Name="field2" Usage="R" Min="1" Max="1" Datatype="ST" Length="20">
338
+ <ImpNote>Location Name
339
+ </ImpNote>
340
+ <DataValues ExValue="SLC4 TEST LAB" />
341
+ </Field>
342
+ <Field Name="field3" Usage="R" Min="1" Max="1" Datatype="ST" Length="30">
343
+ <ImpNote>DSS Unit IEN
344
+ </ImpNote>
345
+ <DataValues ExValue="67" />
346
+ </Field>
347
+ <Field Name="field4" Usage="R" Min="1" Max="1" Datatype="ST" Length="50">
348
+ <ImpNote>DSS Unit Name
349
+ </ImpNote>
350
+ <DataValues ExValue="SM DENTAL HISTORICAL SLC4" />
351
+ </Field>
352
+ <Field Name="field5" Usage="R" Min="1" Max="1" Datatype="ST" Length="1">
353
+ <ImpNote>Inactive Flag
354
+ </ImpNote>
355
+ <DataValues ExValue="0" />
356
+ </Field>
357
+ <Field Name="field6" Usage="R" Min="1" Max="1" Datatype="ST" Length="1">
358
+ <ImpNote>Send to PCE Flag
359
+ </ImpNote>
360
+ <DataValues ExValue="N" />
361
+ </Field>
362
+ </Segment>
363
+ </HL7v2xStaticDef>
364
+ </HL7v2xConformanceProfile>
365
+
data/lib/ez7gen/config/templates/2.4/mhvsm_standardhl7lib_ecs_filer_request_dft_p03-dft_p03-080714.xml ADDED
@@ -0,0 +1,2172 @@
1
+ <?xml version="1.0" encoding="UTF-8"?>
2
+ <HL7v2xConformanceProfile HL7Version="2.4" ProfileType="Implementation">
3
+ <MetaData Name="mhvsm_standardhl7lib_ecs_filer_request_dft_p03" OrgName="MHVSM" Version="2" Status="D" Topics="confsig-MHVSM-2.4-profile-accNE_accAL-Deferred" />
4
+ <Encodings>
5
+ <Encoding>ER7</Encoding>
6
+ </Encodings>
7
+ <DynamicDef AccAck="NE" AppAck="AL" MsgAckMode="Deferred" />
8
+ <HL7v2xStaticDef MsgType="DFT" EventType="P03" MsgStructID="DFT_P03" EventDesc="DFT/ACK - Post SM detail transaction in ECS" Role="Sender">
9
+ <MetaData Name="mhvsm_standardhl7lib_ecs_filer_request_dft_p03" OrgName="MHVSM" Version="2" Status="D" Topics="confsig-MHVSM-2.4-static-DFT-P03-null-DFT_P03-2-D-Sender" />
10
+ <Segment Name="MSH" LongName="Message Header" Usage="R" Min="1" Max="1">
11
+ <Field Name="Field Separator" Usage="R" Min="1" Max="1" Datatype="ST" Length="1" ItemNo="00001">
12
+ <Reference>2.16.9.1</Reference>
13
+ <DataValues ExValue="|" />
14
+ </Field>
15
+ <Field Name="Encoding Characters" Usage="R" Min="1" Max="1" Datatype="ST" Length="4" ItemNo="00002">
16
+ <Reference>2.16.9.2</Reference>
17
+ <DataValues ExValue="^~\&amp;" />
18
+ </Field>
19
+ <Field Name="Sending Application" Usage="R" Min="1" Max="1" Datatype="HD" Length="10" Table="0361" ItemNo="00003">
20
+ <Reference>2.16.9.3</Reference>
21
+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="10" Table="0363">
22
+ <DataValues ExValue="MHV SM" />
23
+ </Component>
24
+ <Component Name="universal ID" Usage="X" Datatype="ST">
25
+ </Component>
26
+ <Component Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
27
+ </Component>
28
+ </Field>
29
+ <Field Name="Sending Facility" Usage="R" Min="1" Max="1" Datatype="HD" Length="35" Table="0362" ItemNo="00004">
30
+ <Reference>2.16.9.4</Reference>
31
+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="10" Table="0363">
32
+ <DataValues ExValue="200MHS" />
33
+ </Component>
34
+ <Component Name="universal ID" Usage="R" Datatype="ST" Length="20">
35
+ <DataValues ExValue="SYS.MHV.MED.VA.GOV" />
36
+ </Component>
37
+ <Component Name="universal ID type" Usage="R" Datatype="ID" Length="3" Table="0301">
38
+ <DataValues ExValue="DNS" />
39
+ </Component>
40
+ </Field>
41
+ <Field Name="Receiving Application" Usage="R" Min="1" Max="1" Datatype="HD" Length="10" Table="0361" ItemNo="00005">
42
+ <Reference>2.16.9.5</Reference>
43
+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="10" Table="0363">
44
+ <DataValues ExValue="MHV VISTA" />
45
+ </Component>
46
+ <Component Name="universal ID" Usage="X" Datatype="ST">
47
+ </Component>
48
+ <Component Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
49
+ </Component>
50
+ </Field>
51
+ <Field Name="Receiving Facility" Usage="R" Min="1" Max="1" Datatype="HD" Length="38" Table="0362" ItemNo="00006">
52
+ <Reference>2.16.9.6</Reference>
53
+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="3" Table="0363">
54
+ <DataValues ExValue="991" />
55
+ </Component>
56
+ <Component Name="universal ID" Usage="R" Datatype="ST" Length="30">
57
+ <DataValues ExValue="SLC4.FO-BAYPINES.MED.VA.GOV" />
58
+ </Component>
59
+ <Component Name="universal ID type" Usage="R" Datatype="ID" Length="3" Table="0301">
60
+ <DataValues ExValue="DNS" />
61
+ </Component>
62
+ </Field>
63
+ <Field Name="Date/Time Of Message" Usage="R" Min="1" Max="1" Datatype="TS" Length="26" ItemNo="00007">
64
+ <Reference>2.16.9.7</Reference>
65
+ <Component Name="Date/Time" Usage="R" Datatype="NM" Length="26">
66
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-
67
+ ZZZZ]
68
+ </ImpNote>
69
+ <DataValues ExValue="20040328134602.1234+0600" />
70
+ </Component>
71
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
72
+ <ImpNote>Retained for backward compatibility only
73
+ </ImpNote>
74
+ <DataValues ExValue="D" />
75
+ </Component>
76
+ </Field>
77
+ <Field Name="Security" Usage="X" Min="0" Max="*" Datatype="ST" Length="40" ItemNo="00008">
78
+ <Reference>2.16.9.8</Reference>
79
+ </Field>
80
+ <Field Name="Message Type" Usage="R" Min="1" Max="1" Datatype="CM_MSG" Length="15" Table="0076" ItemNo="00009">
81
+ <Reference>2.16.9.9</Reference>
82
+ <Component Name="message type" Usage="R" Datatype="ID" Length="3" Table="0076">
83
+ <DataValues ExValue="DFT" />
84
+ </Component>
85
+ <Component Name="trigger event" Usage="R" Datatype="ID" Length="3" Table="0003">
86
+ <DataValues ExValue="P03" />
87
+ </Component>
88
+ <Component Name="message structure" Usage="R" Datatype="ID" Length="7" Table="0354">
89
+ <DataValues ExValue="DFT_P03" />
90
+ </Component>
91
+ </Field>
92
+ <Field Name="Message Control ID" Usage="R" Min="1" Max="1" Datatype="ST" Length="20" ItemNo="00010">
93
+ <Reference>2.16.9.10</Reference>
94
+ <DataValues ExValue="500000000000011828" />
95
+ </Field>
96
+ <Field Name="Processing ID" Usage="R" Min="1" Max="1" Datatype="PT" Length="7" ItemNo="00011">
97
+ <Reference>2.16.9.11</Reference>
98
+ <Component Name="processing ID" Usage="R" Datatype="ID" Length="3" Table="0103">
99
+ <DataValues ExValue="T" />
100
+ </Component>
101
+ <Component Name="processing mode" Usage="X" Datatype="ID" Table="0207">
102
+ </Component>
103
+ </Field>
104
+ <Field Name="Version ID" Usage="R" Min="1" Max="1" Datatype="VID" Length="60" Table="0104" ItemNo="00012">
105
+ <Reference>2.16.9.12</Reference>
106
+ <Component Name="version ID" Usage="R" Datatype="ID" Length="3" Table="0104">
107
+ <DataValues ExValue="2.4" />
108
+ </Component>
109
+ <Component Name="internationalization code" Usage="X" Datatype="CE" Table="0399">
110
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0399">
111
+ </SubComponent>
112
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
113
+ </SubComponent>
114
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
115
+ </SubComponent>
116
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
117
+ </SubComponent>
118
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
119
+ </SubComponent>
120
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
121
+ </SubComponent>
122
+ </Component>
123
+ <Component Name="international version ID" Usage="X" Datatype="CE">
124
+ <SubComponent Name="identifier" Usage="O" Datatype="ST">
125
+ </SubComponent>
126
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
127
+ </SubComponent>
128
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
129
+ </SubComponent>
130
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
131
+ </SubComponent>
132
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
133
+ </SubComponent>
134
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
135
+ </SubComponent>
136
+ </Component>
137
+ </Field>
138
+ <Field Name="Sequence Number" Usage="X" Min="0" Max="*" Datatype="NM" Length="15" ItemNo="00013">
139
+ <Reference>2.16.9.13</Reference>
140
+ </Field>
141
+ <Field Name="Continuation Pointer" Usage="X" Min="0" Max="*" Datatype="ST" Length="180" ItemNo="00014">
142
+ <Reference>2.16.9.14</Reference>
143
+ </Field>
144
+ <Field Name="Accept Acknowledgment Type" Usage="X" Min="0" Max="*" Datatype="ID" Length="2" Table="0155" ItemNo="00015">
145
+ <Reference>2.16.9.15</Reference>
146
+ </Field>
147
+ <Field Name="Application Acknowledgment Type" Usage="X" Min="0" Max="*" Datatype="ID" Length="2" Table="0155" ItemNo="00016">
148
+ <Reference>2.16.9.16</Reference>
149
+ </Field>
150
+ <Field Name="Country Code" Usage="X" Min="0" Max="*" Datatype="ID" Length="3" Table="0399" ItemNo="00017">
151
+ <Reference>2.16.9.17</Reference>
152
+ </Field>
153
+ <Field Name="Character Set" Usage="X" Min="0" Max="*" Datatype="ID" Length="16" Table="0211" ItemNo="00692">
154
+ <Reference>2.16.9.18</Reference>
155
+ </Field>
156
+ <Field Name="Principal Language Of Message" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" ItemNo="00693">
157
+ <Reference>2.16.9.19</Reference>
158
+ <Component Name="identifier" Usage="X" Datatype="ST">
159
+ </Component>
160
+ <Component Name="text" Usage="X" Datatype="ST">
161
+ </Component>
162
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
163
+ </Component>
164
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
165
+ </Component>
166
+ <Component Name="alternate text" Usage="X" Datatype="ST">
167
+ </Component>
168
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
169
+ </Component>
170
+ </Field>
171
+ <Field Name="Alternate Character Set Handling Scheme" Usage="X" Min="0" Max="*" Datatype="ID" Length="20" Table="0356" ItemNo="01317">
172
+ <Reference>2.16.9.20</Reference>
173
+ </Field>
174
+ <Field Name="Conformance Statement ID" Usage="X" Min="0" Max="*" Datatype="ID" Length="10" Table="0449" ItemNo="01598">
175
+ <Reference>2.16.9.21</Reference>
176
+ </Field>
177
+ </Segment>
178
+ <Segment Name="EVN" LongName="Event Type" Usage="R" Min="1" Max="1">
179
+ <Field Name="Event Type Code" Usage="R" Min="1" Max="1" Datatype="ID" Length="3" Table="0003" ItemNo="00099">
180
+ <Reference>3.4.1.1</Reference>
181
+ <DataValues ExValue="P03" />
182
+ </Field>
183
+ <Field Name="Recorded Date/Time" Usage="R" Min="1" Max="1" Datatype="TS" Length="26" ItemNo="00100">
184
+ <ImpNote>PROCEDURE DATE/TIME
185
+ </ImpNote>
186
+ <Reference>3.4.1.2</Reference>
187
+ <Component Name="Date/Time" Usage="R" Datatype="NM" Length="26">
188
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-
189
+ ZZZZ]
190
+ </ImpNote>
191
+ <DataValues ExValue="20040328134602.1234+0600" />
192
+ </Component>
193
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
194
+ <ImpNote>Retained for backward compatibility only
195
+ </ImpNote>
196
+ <DataValues ExValue="D" />
197
+ </Component>
198
+ </Field>
199
+ <Field Name="Date/Time Planned Event" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="00101">
200
+ <Reference>3.4.1.3</Reference>
201
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
202
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
203
+ </ImpNote>
204
+ <DataValues ExValue="20040328134602.1234+0600" />
205
+ </Component>
206
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
207
+ <ImpNote>Retained for backward compatibility only
208
+ </ImpNote>
209
+ <DataValues ExValue="D" />
210
+ </Component>
211
+ </Field>
212
+ <Field Name="Event Reason Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="3" Table="0062" ItemNo="00102">
213
+ <Reference>3.4.1.4</Reference>
214
+ </Field>
215
+ <Field Name="Operator ID" Usage="R" Min="1" Max="1" Datatype="XCN" Length="15" Table="0188" ItemNo="00103">
216
+ <Reference>3.4.1.5</Reference>
217
+ <Component Name="ID number (ST)" Usage="R" Datatype="ST" Length="15" Table="0188">
218
+ <ImpNote>Enter/Edited by IEN
219
+ New Person File, #200
220
+ </ImpNote>
221
+ <DataValues ExValue="3878" />
222
+ </Component>
223
+ <Component Name="family name" Usage="X" Datatype="FN">
224
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
225
+ </SubComponent>
226
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
227
+ </SubComponent>
228
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
229
+ </SubComponent>
230
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
231
+ </SubComponent>
232
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
233
+ </SubComponent>
234
+ </Component>
235
+ <Component Name="given name" Usage="X" Datatype="ST">
236
+ </Component>
237
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
238
+ </Component>
239
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
240
+ </Component>
241
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
242
+ </Component>
243
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
244
+ </Component>
245
+ <Component Name="source table" Usage="X" Datatype="IS" Table="0297">
246
+ </Component>
247
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
248
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
249
+ </SubComponent>
250
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
251
+ </SubComponent>
252
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
253
+ </SubComponent>
254
+ </Component>
255
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
256
+ </Component>
257
+ <Component Name="identifier check digit" Usage="X" Datatype="ST">
258
+ </Component>
259
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
260
+ </Component>
261
+ <Component Name="identifier type code (IS)" Usage="X" Datatype="IS">
262
+ </Component>
263
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
264
+ <SubComponent Name="namespace ID" Usage="X" Datatype="IS" Table="0363">
265
+ </SubComponent>
266
+ <SubComponent Name="universal ID" Usage="X" Datatype="ST">
267
+ </SubComponent>
268
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
269
+ </SubComponent>
270
+ </Component>
271
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
272
+ </Component>
273
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
274
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
275
+ </SubComponent>
276
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
277
+ </SubComponent>
278
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
279
+ </SubComponent>
280
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
281
+ </SubComponent>
282
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
283
+ </SubComponent>
284
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
285
+ </SubComponent>
286
+ </Component>
287
+ <Component Name="name validity range" Usage="X" Datatype="DR">
288
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
289
+ </SubComponent>
290
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
291
+ </SubComponent>
292
+ </Component>
293
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
294
+ </Component>
295
+ </Field>
296
+ <Field Name="Event Occurred" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="01278">
297
+ <Reference>3.4.1.6</Reference>
298
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
299
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
300
+ </ImpNote>
301
+ <DataValues ExValue="20040328134602.1234+0600" />
302
+ </Component>
303
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
304
+ <ImpNote>Retained for backward compatibility only
305
+ </ImpNote>
306
+ <DataValues ExValue="D" />
307
+ </Component>
308
+ </Field>
309
+ <Field Name="Event Facility" Usage="R" Min="1" Max="1" Datatype="HD" Length="11" ItemNo="01534">
310
+ <ImpNote>Location -Institution File, #4
311
+ </ImpNote>
312
+ <Reference>3.4.1.7</Reference>
313
+ <Component Name="namespace ID" Usage="X" Datatype="IS" Table="0363">
314
+ <DataValues ExValue="10936" />
315
+ </Component>
316
+ <Component Name="universal ID" Usage="R" Datatype="ST" Length="10">
317
+ <ImpNote>Location IEN
318
+ Institution File, #4
319
+ </ImpNote>
320
+ <DataValues ExValue="9876" />
321
+ </Component>
322
+ <Component Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
323
+ </Component>
324
+ </Field>
325
+ </Segment>
326
+ <Segment Name="PID" LongName="Patient identification" Usage="R" Min="1" Max="1">
327
+ <Field Name="Set ID - PID" Usage="X" Min="0" Max="*" Datatype="SI" Length="4" ItemNo="00104">
328
+ <Reference>3.4.2.1</Reference>
329
+ </Field>
330
+ <Field Name="Patient ID" Usage="X" Min="0" Max="*" Datatype="CX" Length="44" ItemNo="00105">
331
+ <Reference>3.4.2.2</Reference>
332
+ <Component Name="ID" Usage="O" Datatype="ST" Length="3">
333
+ </Component>
334
+ <Component Name="Check digit" Usage="X" Datatype="ST">
335
+ </Component>
336
+ <Component Name="code identifying the check digit scheme employed" Usage="O" Datatype="ID" Length="3" Table="0061">
337
+ </Component>
338
+ <Component Name="assigning authority" Usage="O" Datatype="HD" Length="11">
339
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
340
+ </SubComponent>
341
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
342
+ </SubComponent>
343
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
344
+ </SubComponent>
345
+ </Component>
346
+ <Component Name="identifier type code (ID)" Usage="O" Datatype="ID" Length="3" Table="0203">
347
+ </Component>
348
+ <Component Name="assigning facility" Usage="O" Datatype="HD" Length="11">
349
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
350
+ </SubComponent>
351
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
352
+ </SubComponent>
353
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
354
+ </SubComponent>
355
+ </Component>
356
+ <Component Name="effective date (DT)" Usage="O" Datatype="DT" Length="3">
357
+ </Component>
358
+ <Component Name="expiration date" Usage="O" Datatype="DT" Length="3">
359
+ </Component>
360
+ </Field>
361
+ <Field Name="Patient Identifier List" Usage="R" Min="1" Max="1" Datatype="CX" Length="250" ItemNo="00106">
362
+ <Reference>3.4.2.3</Reference>
363
+ <Component Name="ID" Usage="R" Datatype="ST" Length="35">
364
+ <ImpNote>Patient ICN
365
+ </ImpNote>
366
+ <DataValues ExValue="1012662214V507576" />
367
+ </Component>
368
+ <Component Name="Check digit" Usage="X" Datatype="ST">
369
+ </Component>
370
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
371
+ </Component>
372
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
373
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
374
+ </SubComponent>
375
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
376
+ </SubComponent>
377
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
378
+ </SubComponent>
379
+ </Component>
380
+ <Component Name="identifier type code (ID)" Usage="X" Datatype="ID" Table="0203">
381
+ </Component>
382
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
383
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
384
+ </SubComponent>
385
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
386
+ </SubComponent>
387
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
388
+ </SubComponent>
389
+ </Component>
390
+ <Component Name="effective date (DT)" Usage="X" Datatype="DT">
391
+ </Component>
392
+ <Component Name="expiration date" Usage="X" Datatype="DT">
393
+ </Component>
394
+ </Field>
395
+ <Field Name="Alternate Patient ID - PID" Usage="X" Min="0" Max="*" Datatype="CX" Length="44" ItemNo="00107">
396
+ <Reference>3.4.2.4</Reference>
397
+ <Component Name="ID" Usage="O" Datatype="ST" Length="3">
398
+ </Component>
399
+ <Component Name="Check digit" Usage="X" Datatype="ST">
400
+ </Component>
401
+ <Component Name="code identifying the check digit scheme employed" Usage="O" Datatype="ID" Length="3" Table="0061">
402
+ </Component>
403
+ <Component Name="assigning authority" Usage="O" Datatype="HD" Length="11">
404
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
405
+ </SubComponent>
406
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
407
+ </SubComponent>
408
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
409
+ </SubComponent>
410
+ </Component>
411
+ <Component Name="identifier type code (ID)" Usage="O" Datatype="ID" Length="3" Table="0203">
412
+ </Component>
413
+ <Component Name="assigning facility" Usage="O" Datatype="HD" Length="11">
414
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
415
+ </SubComponent>
416
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
417
+ </SubComponent>
418
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
419
+ </SubComponent>
420
+ </Component>
421
+ <Component Name="effective date (DT)" Usage="O" Datatype="DT" Length="3">
422
+ </Component>
423
+ <Component Name="expiration date" Usage="O" Datatype="DT" Length="3">
424
+ </Component>
425
+ </Field>
426
+ <Field Name="Patient Name" Usage="X" Min="0" Max="*" Datatype="XPN" Length="250" ItemNo="00108">
427
+ <Reference>3.4.2.5</Reference>
428
+ <Component Name="family name" Usage="X" Datatype="FN">
429
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
430
+ </SubComponent>
431
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
432
+ </SubComponent>
433
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
434
+ </SubComponent>
435
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
436
+ </SubComponent>
437
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
438
+ </SubComponent>
439
+ </Component>
440
+ <Component Name="given name" Usage="X" Datatype="ST">
441
+ </Component>
442
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
443
+ </Component>
444
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
445
+ </Component>
446
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
447
+ </Component>
448
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
449
+ </Component>
450
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
451
+ </Component>
452
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
453
+ </Component>
454
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
455
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
456
+ </SubComponent>
457
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
458
+ </SubComponent>
459
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
460
+ </SubComponent>
461
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
462
+ </SubComponent>
463
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
464
+ </SubComponent>
465
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
466
+ </SubComponent>
467
+ </Component>
468
+ <Component Name="name validity range" Usage="X" Datatype="DR">
469
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
470
+ </SubComponent>
471
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
472
+ </SubComponent>
473
+ </Component>
474
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
475
+ </Component>
476
+ </Field>
477
+ <Field Name="Mother's Maiden Name" Usage="X" Min="0" Max="*" Datatype="XPN" Length="250" ItemNo="00109">
478
+ <Reference>6.5.7.40</Reference>
479
+ <Component Name="family name" Usage="X" Datatype="FN">
480
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
481
+ </SubComponent>
482
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
483
+ </SubComponent>
484
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
485
+ </SubComponent>
486
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
487
+ </SubComponent>
488
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
489
+ </SubComponent>
490
+ </Component>
491
+ <Component Name="given name" Usage="X" Datatype="ST">
492
+ </Component>
493
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
494
+ </Component>
495
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
496
+ </Component>
497
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
498
+ </Component>
499
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
500
+ </Component>
501
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
502
+ </Component>
503
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
504
+ </Component>
505
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
506
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
507
+ </SubComponent>
508
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
509
+ </SubComponent>
510
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
511
+ </SubComponent>
512
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
513
+ </SubComponent>
514
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
515
+ </SubComponent>
516
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
517
+ </SubComponent>
518
+ </Component>
519
+ <Component Name="name validity range" Usage="X" Datatype="DR">
520
+ <SubComponent Name="range start date/time" Usage="RE" Datatype="TS" Length="3">
521
+ </SubComponent>
522
+ <SubComponent Name="range end date/time" Usage="RE" Datatype="TS" Length="3">
523
+ </SubComponent>
524
+ </Component>
525
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
526
+ </Component>
527
+ </Field>
528
+ <Field Name="Date/Time Of Birth" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="00110">
529
+ <Reference>15.4.6.6</Reference>
530
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
531
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
532
+ </ImpNote>
533
+ <DataValues ExValue="20040328134602.1234+0600" />
534
+ </Component>
535
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
536
+ <ImpNote>Retained for backward compatibility only
537
+ </ImpNote>
538
+ <DataValues ExValue="D" />
539
+ </Component>
540
+ </Field>
541
+ <Field Name="Administrative Sex" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="0001" ItemNo="00111">
542
+ <Reference>15.4.6.5</Reference>
543
+ </Field>
544
+ <Field Name="Patient Alias" Usage="X" Min="0" Max="*" Datatype="XPN" Length="250" ItemNo="00112">
545
+ <Reference>3.4.2.9</Reference>
546
+ <Component Name="family name" Usage="O" Datatype="FN" Length="19">
547
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
548
+ </SubComponent>
549
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
550
+ </SubComponent>
551
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
552
+ </SubComponent>
553
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
554
+ </SubComponent>
555
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
556
+ </SubComponent>
557
+ </Component>
558
+ <Component Name="given name" Usage="O" Datatype="ST" Length="3">
559
+ </Component>
560
+ <Component Name="second and further given names or initials thereof" Usage="O" Datatype="ST" Length="3">
561
+ </Component>
562
+ <Component Name="suffix (e.g., JR or III)" Usage="O" Datatype="ST" Length="3">
563
+ </Component>
564
+ <Component Name="prefix (e.g., DR)" Usage="O" Datatype="ST" Length="3">
565
+ </Component>
566
+ <Component Name="degree (e.g., MD)" Usage="O" Datatype="IS" Length="3" Table="0360">
567
+ </Component>
568
+ <Component Name="name type code" Usage="O" Datatype="ID" Length="3" Table="0200">
569
+ </Component>
570
+ <Component Name="Name Representation code" Usage="O" Datatype="ID" Length="3" Table="0465">
571
+ </Component>
572
+ <Component Name="name context" Usage="O" Datatype="CE" Length="20" Table="0448">
573
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
574
+ </SubComponent>
575
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
576
+ </SubComponent>
577
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
578
+ </SubComponent>
579
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
580
+ </SubComponent>
581
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
582
+ </SubComponent>
583
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
584
+ </SubComponent>
585
+ </Component>
586
+ <Component Name="name validity range" Usage="O" Datatype="DR" Length="7">
587
+ <SubComponent Name="range start date/time" Usage="RE" Datatype="TS" Length="3">
588
+ </SubComponent>
589
+ <SubComponent Name="range end date/time" Usage="RE" Datatype="TS" Length="3">
590
+ </SubComponent>
591
+ </Component>
592
+ <Component Name="name assembly order" Usage="O" Datatype="ID" Length="3" Table="0444">
593
+ </Component>
594
+ </Field>
595
+ <Field Name="Race" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0005" ItemNo="00113">
596
+ <Reference>15.4.6.27</Reference>
597
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0005">
598
+ </Component>
599
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
600
+ </Component>
601
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
602
+ </Component>
603
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
604
+ </Component>
605
+ <Component Name="alternate text" Usage="X" Datatype="ST">
606
+ </Component>
607
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
608
+ </Component>
609
+ </Field>
610
+ <Field Name="Patient Address" Usage="X" Min="0" Max="*" Datatype="XAD" Length="250" ItemNo="00114">
611
+ <Reference>3.4.2.11</Reference>
612
+ <Component Name="street address (SAD)" Usage="X" Datatype="SAD">
613
+ <SubComponent Name="street or mailing address" Usage="O" Datatype="ST" Length="3">
614
+ </SubComponent>
615
+ <SubComponent Name="street name" Usage="O" Datatype="ST" Length="3">
616
+ </SubComponent>
617
+ <SubComponent Name="dwelling number" Usage="O" Datatype="ST" Length="3">
618
+ </SubComponent>
619
+ </Component>
620
+ <Component Name="other designation" Usage="X" Datatype="ST">
621
+ </Component>
622
+ <Component Name="city" Usage="X" Datatype="ST">
623
+ </Component>
624
+ <Component Name="state or province" Usage="X" Datatype="ST">
625
+ </Component>
626
+ <Component Name="zip or postal code" Usage="X" Datatype="ST">
627
+ </Component>
628
+ <Component Name="country" Usage="X" Datatype="ID" Table="0399">
629
+ </Component>
630
+ <Component Name="address type" Usage="X" Datatype="ID" Table="0190">
631
+ </Component>
632
+ <Component Name="other geographic designation" Usage="X" Datatype="ST">
633
+ </Component>
634
+ <Component Name="county/parish code" Usage="X" Datatype="IS" Table="0289">
635
+ </Component>
636
+ <Component Name="census tract" Usage="X" Datatype="IS" Table="0288">
637
+ </Component>
638
+ <Component Name="address representation code" Usage="X" Datatype="ID" Table="0465">
639
+ </Component>
640
+ <Component Name="address validity range" Usage="RE" Datatype="DR" Length="7">
641
+ <SubComponent Name="range start date/time" Usage="RE" Datatype="TS" Length="3">
642
+ </SubComponent>
643
+ <SubComponent Name="range end date/time" Usage="RE" Datatype="TS" Length="3">
644
+ </SubComponent>
645
+ </Component>
646
+ </Field>
647
+ <Field Name="County Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="4" Table="0289" ItemNo="00115">
648
+ <Reference>3.4.2.12</Reference>
649
+ </Field>
650
+ <Field Name="Phone Number - Home" Usage="X" Min="0" Max="*" Datatype="XTN" Length="250" ItemNo="00116">
651
+ <Reference>3.4.2.13</Reference>
652
+ <Component Name="[(999)] 999-9999 [X99999][C any text]" Usage="O" Datatype="TN" Length="3">
653
+ </Component>
654
+ <Component Name="telecommunication use code" Usage="O" Datatype="ID" Length="3" Table="0201">
655
+ </Component>
656
+ <Component Name="telecommunication equipment type (ID)" Usage="O" Datatype="ID" Length="3" Table="0202">
657
+ </Component>
658
+ <Component Name="Email address" Usage="O" Datatype="ST" Length="3">
659
+ </Component>
660
+ <Component Name="Country Code" Usage="O" Datatype="NM" Length="3">
661
+ </Component>
662
+ <Component Name="Area/city code" Usage="O" Datatype="NM" Length="3">
663
+ </Component>
664
+ <Component Name="Phone number" Usage="O" Datatype="NM" Length="3">
665
+ </Component>
666
+ <Component Name="Extension" Usage="O" Datatype="NM" Length="3">
667
+ </Component>
668
+ <Component Name="any text" Usage="O" Datatype="ST" Length="3">
669
+ </Component>
670
+ </Field>
671
+ <Field Name="Phone Number - Business" Usage="X" Min="0" Max="*" Datatype="XTN" Length="250" ItemNo="00117">
672
+ <Reference>3.4.2.14</Reference>
673
+ <Component Name="[(999)] 999-9999 [X99999][C any text]" Usage="O" Datatype="TN" Length="3">
674
+ </Component>
675
+ <Component Name="telecommunication use code" Usage="O" Datatype="ID" Length="3" Table="0201">
676
+ </Component>
677
+ <Component Name="telecommunication equipment type (ID)" Usage="O" Datatype="ID" Length="3" Table="0202">
678
+ </Component>
679
+ <Component Name="Email address" Usage="O" Datatype="ST" Length="3">
680
+ </Component>
681
+ <Component Name="Country Code" Usage="O" Datatype="NM" Length="3">
682
+ </Component>
683
+ <Component Name="Area/city code" Usage="O" Datatype="NM" Length="3">
684
+ </Component>
685
+ <Component Name="Phone number" Usage="O" Datatype="NM" Length="3">
686
+ </Component>
687
+ <Component Name="Extension" Usage="O" Datatype="NM" Length="3">
688
+ </Component>
689
+ <Component Name="any text" Usage="O" Datatype="ST" Length="3">
690
+ </Component>
691
+ </Field>
692
+ <Field Name="Primary Language" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0296" ItemNo="00118">
693
+ <Reference>6.5.7.34</Reference>
694
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0296">
695
+ </Component>
696
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
697
+ </Component>
698
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
699
+ </Component>
700
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
701
+ </Component>
702
+ <Component Name="alternate text" Usage="X" Datatype="ST">
703
+ </Component>
704
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
705
+ </Component>
706
+ </Field>
707
+ <Field Name="Marital Status" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0002" ItemNo="00119">
708
+ <Reference>15.4.6.17</Reference>
709
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0002">
710
+ </Component>
711
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
712
+ </Component>
713
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
714
+ </Component>
715
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
716
+ </Component>
717
+ <Component Name="alternate text" Usage="X" Datatype="ST">
718
+ </Component>
719
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
720
+ </Component>
721
+ </Field>
722
+ <Field Name="Religion" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0006" ItemNo="00120">
723
+ <Reference>6.5.7.39</Reference>
724
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0006">
725
+ </Component>
726
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
727
+ </Component>
728
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
729
+ </Component>
730
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
731
+ </Component>
732
+ <Component Name="alternate text" Usage="X" Datatype="ST">
733
+ </Component>
734
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
735
+ </Component>
736
+ </Field>
737
+ <Field Name="Patient Account Number" Usage="X" Min="0" Max="*" Datatype="CX" Length="250" ItemNo="00121">
738
+ <Reference>3.4.2.18</Reference>
739
+ <Component Name="ID" Usage="RE" Datatype="ST" Length="3">
740
+ </Component>
741
+ <Component Name="Check digit" Usage="X" Datatype="ST">
742
+ </Component>
743
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
744
+ </Component>
745
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
746
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
747
+ </SubComponent>
748
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
749
+ </SubComponent>
750
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
751
+ </SubComponent>
752
+ </Component>
753
+ <Component Name="identifier type code (ID)" Usage="X" Datatype="ID" Table="0203">
754
+ </Component>
755
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
756
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
757
+ </SubComponent>
758
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
759
+ </SubComponent>
760
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
761
+ </SubComponent>
762
+ </Component>
763
+ <Component Name="effective date (DT)" Usage="X" Datatype="DT">
764
+ </Component>
765
+ <Component Name="expiration date" Usage="X" Datatype="DT">
766
+ </Component>
767
+ </Field>
768
+ <Field Name="SSN Number - Patient" Usage="X" Min="0" Max="*" Datatype="ST" Length="16" ItemNo="00122">
769
+ <Reference>3.4.2.19</Reference>
770
+ </Field>
771
+ <Field Name="Driver's License Number - Patient" Usage="X" Min="0" Max="*" Datatype="DLN" Length="25" ItemNo="00123">
772
+ <Reference>3.4.2.20</Reference>
773
+ <Component Name="Driver's License Number" Usage="O" Datatype="ST" Length="3">
774
+ </Component>
775
+ <Component Name="Issuing State, province, country" Usage="O" Datatype="IS" Length="3" Table="0333">
776
+ </Component>
777
+ <Component Name="expiration date" Usage="O" Datatype="DT" Length="3">
778
+ </Component>
779
+ </Field>
780
+ <Field Name="Mother's Identifier" Usage="X" Min="0" Max="*" Datatype="CX" Length="250" ItemNo="00124">
781
+ <Reference>3.4.2.21</Reference>
782
+ <Component Name="ID" Usage="RE" Datatype="ST" Length="3">
783
+ </Component>
784
+ <Component Name="Check digit" Usage="X" Datatype="ST">
785
+ </Component>
786
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
787
+ </Component>
788
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
789
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
790
+ </SubComponent>
791
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
792
+ </SubComponent>
793
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
794
+ </SubComponent>
795
+ </Component>
796
+ <Component Name="identifier type code (ID)" Usage="X" Datatype="ID" Table="0203">
797
+ </Component>
798
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
799
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
800
+ </SubComponent>
801
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
802
+ </SubComponent>
803
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
804
+ </SubComponent>
805
+ </Component>
806
+ <Component Name="effective date (DT)" Usage="X" Datatype="DT">
807
+ </Component>
808
+ <Component Name="expiration date" Usage="X" Datatype="DT">
809
+ </Component>
810
+ </Field>
811
+ <Field Name="Ethnic Group" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0189" ItemNo="00125">
812
+ <Reference>15.4.6.28</Reference>
813
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0189">
814
+ </Component>
815
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
816
+ </Component>
817
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
818
+ </Component>
819
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
820
+ </Component>
821
+ <Component Name="alternate text" Usage="X" Datatype="ST">
822
+ </Component>
823
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
824
+ </Component>
825
+ </Field>
826
+ <Field Name="Birth Place" Usage="X" Min="0" Max="*" Datatype="ST" Length="250" ItemNo="00126">
827
+ <Reference>3.4.2.23</Reference>
828
+ </Field>
829
+ <Field Name="Multiple Birth Indicator" Usage="X" Min="0" Max="*" Datatype="ID" Length="1" Table="0136" ItemNo="00127">
830
+ <Reference>3.4.2.24</Reference>
831
+ </Field>
832
+ <Field Name="Birth Order" Usage="X" Min="0" Max="*" Datatype="NM" Length="2" ItemNo="00128">
833
+ <Reference>3.4.2.25</Reference>
834
+ </Field>
835
+ <Field Name="Citizenship" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0171" ItemNo="00129">
836
+ <Reference>6.5.7.33</Reference>
837
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0171">
838
+ </Component>
839
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
840
+ </Component>
841
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
842
+ </Component>
843
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
844
+ </Component>
845
+ <Component Name="alternate text" Usage="X" Datatype="ST">
846
+ </Component>
847
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
848
+ </Component>
849
+ </Field>
850
+ <Field Name="Veterans Military Status" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0172" ItemNo="00130">
851
+ <Reference>3.4.2.27</Reference>
852
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0172">
853
+ </Component>
854
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
855
+ </Component>
856
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
857
+ </Component>
858
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
859
+ </Component>
860
+ <Component Name="alternate text" Usage="X" Datatype="ST">
861
+ </Component>
862
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
863
+ </Component>
864
+ </Field>
865
+ <Field Name="Nationality" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0212" ItemNo="00739">
866
+ <Reference>6.5.7.41</Reference>
867
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0212">
868
+ </Component>
869
+ <Component Name="text" Usage="O" Datatype="ST" Length="3">
870
+ </Component>
871
+ <Component Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
872
+ </Component>
873
+ <Component Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
874
+ </Component>
875
+ <Component Name="alternate text" Usage="O" Datatype="ST" Length="3">
876
+ </Component>
877
+ <Component Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
878
+ </Component>
879
+ </Field>
880
+ <Field Name="Patient Death Date and Time" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="00740">
881
+ <Reference>3.4.2.29</Reference>
882
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
883
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
884
+ </ImpNote>
885
+ <DataValues ExValue="20040328134602.1234+0600" />
886
+ </Component>
887
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
888
+ <ImpNote>Retained for backward compatibility only
889
+ </ImpNote>
890
+ <DataValues ExValue="D" />
891
+ </Component>
892
+ </Field>
893
+ <Field Name="Patient Death Indicator" Usage="X" Min="0" Max="*" Datatype="ID" Length="1" Table="0136" ItemNo="00741">
894
+ <Reference>3.4.2.30</Reference>
895
+ </Field>
896
+ <Field Name="Identity Unknown Indicator" Usage="X" Min="0" Max="*" Datatype="ID" Length="1" Table="0136" ItemNo="01535">
897
+ <Reference>3.4.2.31</Reference>
898
+ </Field>
899
+ <Field Name="Identity Reliability Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="20" Table="0445" ItemNo="01536">
900
+ <Reference>3.4.2.32</Reference>
901
+ </Field>
902
+ <Field Name="Last Update Date/Time" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="01537">
903
+ <Reference>3.4.2.33</Reference>
904
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
905
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
906
+ </ImpNote>
907
+ <DataValues ExValue="20040328134602.1234+0600" />
908
+ </Component>
909
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
910
+ <ImpNote>Retained for backward compatibility only
911
+ </ImpNote>
912
+ <DataValues ExValue="D" />
913
+ </Component>
914
+ </Field>
915
+ <Field Name="Last Update Facility" Usage="X" Min="0" Max="*" Datatype="HD" Length="40" ItemNo="01538">
916
+ <Reference>3.4.2.34</Reference>
917
+ <Component Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
918
+ </Component>
919
+ <Component Name="universal ID" Usage="O" Datatype="ST" Length="3">
920
+ </Component>
921
+ <Component Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
922
+ </Component>
923
+ </Field>
924
+ <Field Name="Species Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0446" ItemNo="01539">
925
+ <Reference>3.4.2.35</Reference>
926
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0446">
927
+ </Component>
928
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
929
+ </Component>
930
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
931
+ </Component>
932
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
933
+ </Component>
934
+ <Component Name="alternate text" Usage="X" Datatype="ST">
935
+ </Component>
936
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
937
+ </Component>
938
+ </Field>
939
+ <Field Name="Breed Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0447" ItemNo="01540">
940
+ <Reference>3.4.2.36</Reference>
941
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0447">
942
+ </Component>
943
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
944
+ </Component>
945
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
946
+ </Component>
947
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
948
+ </Component>
949
+ <Component Name="alternate text" Usage="X" Datatype="ST">
950
+ </Component>
951
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
952
+ </Component>
953
+ </Field>
954
+ <Field Name="Strain" Usage="X" Min="0" Max="*" Datatype="ST" Length="80" ItemNo="01541">
955
+ <Reference>3.4.2.37</Reference>
956
+ </Field>
957
+ <Field Name="Production Class Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0429" ItemNo="01542">
958
+ <Reference>3.4.2.38</Reference>
959
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0429">
960
+ </Component>
961
+ <Component Name="text" Usage="RE" Datatype="ST" Length="3">
962
+ </Component>
963
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
964
+ </Component>
965
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
966
+ </Component>
967
+ <Component Name="alternate text" Usage="X" Datatype="ST">
968
+ </Component>
969
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
970
+ </Component>
971
+ </Field>
972
+ </Segment>
973
+ <Segment Name="PV1" LongName="Patient visit" Usage="R" Min="1" Max="1">
974
+ <Field Name="Set ID - PV1" Usage="X" Min="0" Max="*" Datatype="SI" Length="4" ItemNo="00131">
975
+ <Reference>3.4.3.1</Reference>
976
+ </Field>
977
+ <Field Name="Patient Class" Usage="R" Min="1" Max="1" Datatype="IS" Length="1" Table="0004" ItemNo="00132">
978
+ <ImpNote>Patient Status
979
+ I - Inpatient; O - Outpatient
980
+ </ImpNote>
981
+ <Reference>3.4.3.2</Reference>
982
+ <DataValues ExValue="O" />
983
+ </Field>
984
+ <Field Name="Assigned Patient Location" Usage="R" Min="1" Max="1" Datatype="PL" Length="14" ItemNo="00133">
985
+ <ImpNote>Associated Clinic
986
+ Hospital Location File, #44
987
+ </ImpNote>
988
+ <Reference>6.5.1.16</Reference>
989
+ <Component Name="point of care" Usage="X" Datatype="IS" Table="0302">
990
+ </Component>
991
+ <Component Name="room" Usage="X" Datatype="IS" Table="0303">
992
+ </Component>
993
+ <Component Name="bed" Usage="X" Datatype="IS" Table="0304">
994
+ </Component>
995
+ <Component Name="facility (HD)" Usage="R" Datatype="HD" Length="11">
996
+ <ImpNote>Associated Clinic
997
+ Hospital Location File, #44
998
+ </ImpNote>
999
+ <SubComponent Name="namespace ID" Usage="X" Datatype="IS" Table="0363">
1000
+ </SubComponent>
1001
+ <SubComponent Name="universal ID" Usage="R" Datatype="ST" Length="10">
1002
+ <ImpNote>Associated Clinic IEN
1003
+ Hospital Location File, #44
1004
+ </ImpNote>
1005
+ <DataValues ExValue="100" />
1006
+ </SubComponent>
1007
+ <SubComponent Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
1008
+ </SubComponent>
1009
+ </Component>
1010
+ <Component Name="location status" Usage="X" Datatype="IS" Table="0306">
1011
+ </Component>
1012
+ <Component Name="person location type" Usage="X" Datatype="IS" Table="0305">
1013
+ </Component>
1014
+ <Component Name="building" Usage="X" Datatype="IS" Table="0307">
1015
+ </Component>
1016
+ <Component Name="floor" Usage="X" Datatype="IS" Table="0308">
1017
+ </Component>
1018
+ <Component Name="Location description" Usage="X" Datatype="ST">
1019
+ </Component>
1020
+ </Field>
1021
+ <Field Name="Admission Type" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0007" ItemNo="00134">
1022
+ <Reference>3.4.3.4</Reference>
1023
+ </Field>
1024
+ <Field Name="Preadmit Number" Usage="X" Min="0" Max="*" Datatype="CX" Length="250" ItemNo="00135">
1025
+ <Reference>3.4.3.5</Reference>
1026
+ <Component Name="ID" Usage="X" Datatype="ST">
1027
+ </Component>
1028
+ <Component Name="Check digit" Usage="X" Datatype="ST">
1029
+ </Component>
1030
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
1031
+ </Component>
1032
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
1033
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1034
+ </SubComponent>
1035
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1036
+ </SubComponent>
1037
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1038
+ </SubComponent>
1039
+ </Component>
1040
+ <Component Name="identifier type code (ID)" Usage="X" Datatype="ID" Table="0203">
1041
+ </Component>
1042
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
1043
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1044
+ </SubComponent>
1045
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1046
+ </SubComponent>
1047
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1048
+ </SubComponent>
1049
+ </Component>
1050
+ <Component Name="effective date (DT)" Usage="X" Datatype="DT">
1051
+ </Component>
1052
+ <Component Name="expiration date" Usage="X" Datatype="DT">
1053
+ </Component>
1054
+ </Field>
1055
+ <Field Name="Prior Patient Location" Usage="X" Min="0" Max="*" Datatype="PL" Length="80" ItemNo="00136">
1056
+ <Reference>3.4.3.6</Reference>
1057
+ <Component Name="point of care" Usage="O" Datatype="IS" Length="3" Table="0302">
1058
+ </Component>
1059
+ <Component Name="room" Usage="O" Datatype="IS" Length="3" Table="0303">
1060
+ </Component>
1061
+ <Component Name="bed" Usage="O" Datatype="IS" Length="3" Table="0304">
1062
+ </Component>
1063
+ <Component Name="facility (HD)" Usage="O" Datatype="HD" Length="11">
1064
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1065
+ </SubComponent>
1066
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1067
+ </SubComponent>
1068
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1069
+ </SubComponent>
1070
+ </Component>
1071
+ <Component Name="location status" Usage="O" Datatype="IS" Length="3" Table="0306">
1072
+ </Component>
1073
+ <Component Name="person location type" Usage="O" Datatype="IS" Length="3" Table="0305">
1074
+ </Component>
1075
+ <Component Name="building" Usage="O" Datatype="IS" Length="3" Table="0307">
1076
+ </Component>
1077
+ <Component Name="floor" Usage="O" Datatype="IS" Length="3" Table="0308">
1078
+ </Component>
1079
+ <Component Name="Location description" Usage="O" Datatype="ST" Length="3">
1080
+ </Component>
1081
+ </Field>
1082
+ <Field Name="Attending Doctor" Usage="R" Min="1" Max="*" Datatype="XCN" Length="250" Table="0010" ItemNo="00137">
1083
+ <ImpNote>Primary and Secondary Provider IENs
1084
+ 1st- always for Primary Provider
1085
+ 2nd and on - for Secondary Provider
1086
+ </ImpNote>
1087
+ <Reference>3.4.3.7</Reference>
1088
+ <Component Name="ID number (ST)" Usage="R" Datatype="ST" Length="10" Table="0010">
1089
+ <ImpNote>Primary and Secondary Provider IENs
1090
+ 1st- always for Primary Provider
1091
+ 2nd and on - for Secondary Provider
1092
+ </ImpNote>
1093
+ <DataValues ExValue="97832" />
1094
+ </Component>
1095
+ <Component Name="family name" Usage="X" Datatype="FN">
1096
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
1097
+ </SubComponent>
1098
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
1099
+ </SubComponent>
1100
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
1101
+ </SubComponent>
1102
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
1103
+ </SubComponent>
1104
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
1105
+ </SubComponent>
1106
+ </Component>
1107
+ <Component Name="given name" Usage="X" Datatype="ST">
1108
+ </Component>
1109
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
1110
+ </Component>
1111
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
1112
+ </Component>
1113
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
1114
+ </Component>
1115
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
1116
+ </Component>
1117
+ <Component Name="source table" Usage="X" Datatype="IS" Table="0297">
1118
+ </Component>
1119
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
1120
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1121
+ </SubComponent>
1122
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1123
+ </SubComponent>
1124
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1125
+ </SubComponent>
1126
+ </Component>
1127
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
1128
+ </Component>
1129
+ <Component Name="identifier check digit" Usage="X" Datatype="ST">
1130
+ </Component>
1131
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
1132
+ </Component>
1133
+ <Component Name="identifier type code (IS)" Usage="X" Datatype="IS">
1134
+ </Component>
1135
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
1136
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1137
+ </SubComponent>
1138
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1139
+ </SubComponent>
1140
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1141
+ </SubComponent>
1142
+ </Component>
1143
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
1144
+ </Component>
1145
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
1146
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
1147
+ </SubComponent>
1148
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
1149
+ </SubComponent>
1150
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1151
+ </SubComponent>
1152
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
1153
+ </SubComponent>
1154
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
1155
+ </SubComponent>
1156
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1157
+ </SubComponent>
1158
+ </Component>
1159
+ <Component Name="name validity range" Usage="X" Datatype="DR">
1160
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
1161
+ </SubComponent>
1162
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
1163
+ </SubComponent>
1164
+ </Component>
1165
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
1166
+ </Component>
1167
+ </Field>
1168
+ <Field Name="Referring Doctor" Usage="X" Min="0" Max="*" Datatype="XCN" Length="250" Table="0010" ItemNo="00138">
1169
+ <Reference>3.4.3.8</Reference>
1170
+ <Component Name="ID number (ST)" Usage="X" Datatype="ST" Table="0010">
1171
+ </Component>
1172
+ <Component Name="family name" Usage="X" Datatype="FN">
1173
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
1174
+ </SubComponent>
1175
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
1176
+ </SubComponent>
1177
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
1178
+ </SubComponent>
1179
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
1180
+ </SubComponent>
1181
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
1182
+ </SubComponent>
1183
+ </Component>
1184
+ <Component Name="given name" Usage="X" Datatype="ST">
1185
+ </Component>
1186
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
1187
+ </Component>
1188
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
1189
+ </Component>
1190
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
1191
+ </Component>
1192
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
1193
+ </Component>
1194
+ <Component Name="source table" Usage="X" Datatype="IS" Table="0297">
1195
+ </Component>
1196
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
1197
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1198
+ </SubComponent>
1199
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1200
+ </SubComponent>
1201
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1202
+ </SubComponent>
1203
+ </Component>
1204
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
1205
+ </Component>
1206
+ <Component Name="identifier check digit" Usage="X" Datatype="ST">
1207
+ </Component>
1208
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
1209
+ </Component>
1210
+ <Component Name="identifier type code (IS)" Usage="X" Datatype="IS">
1211
+ </Component>
1212
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
1213
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1214
+ </SubComponent>
1215
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1216
+ </SubComponent>
1217
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1218
+ </SubComponent>
1219
+ </Component>
1220
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
1221
+ </Component>
1222
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
1223
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
1224
+ </SubComponent>
1225
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
1226
+ </SubComponent>
1227
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1228
+ </SubComponent>
1229
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
1230
+ </SubComponent>
1231
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
1232
+ </SubComponent>
1233
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1234
+ </SubComponent>
1235
+ </Component>
1236
+ <Component Name="name validity range" Usage="X" Datatype="DR">
1237
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
1238
+ </SubComponent>
1239
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
1240
+ </SubComponent>
1241
+ </Component>
1242
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
1243
+ </Component>
1244
+ </Field>
1245
+ <Field Name="Consulting Doctor" Usage="X" Min="0" Max="*" Datatype="XCN" Length="250" Table="0010" ItemNo="00139">
1246
+ <Reference>3.4.3.9</Reference>
1247
+ <Component Name="ID number (ST)" Usage="O" Datatype="ST" Length="3" Table="0010">
1248
+ </Component>
1249
+ <Component Name="family name" Usage="O" Datatype="FN" Length="19">
1250
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
1251
+ </SubComponent>
1252
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
1253
+ </SubComponent>
1254
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
1255
+ </SubComponent>
1256
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
1257
+ </SubComponent>
1258
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
1259
+ </SubComponent>
1260
+ </Component>
1261
+ <Component Name="given name" Usage="O" Datatype="ST" Length="3">
1262
+ </Component>
1263
+ <Component Name="second and further given names or initials thereof" Usage="O" Datatype="ST" Length="3">
1264
+ </Component>
1265
+ <Component Name="suffix (e.g., JR or III)" Usage="O" Datatype="ST" Length="3">
1266
+ </Component>
1267
+ <Component Name="prefix (e.g., DR)" Usage="O" Datatype="ST" Length="3">
1268
+ </Component>
1269
+ <Component Name="degree (e.g., MD)" Usage="O" Datatype="IS" Length="3" Table="0360">
1270
+ </Component>
1271
+ <Component Name="source table" Usage="O" Datatype="IS" Length="3" Table="0297">
1272
+ </Component>
1273
+ <Component Name="assigning authority" Usage="O" Datatype="HD" Length="11">
1274
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1275
+ </SubComponent>
1276
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1277
+ </SubComponent>
1278
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1279
+ </SubComponent>
1280
+ </Component>
1281
+ <Component Name="name type code" Usage="O" Datatype="ID" Length="3" Table="0200">
1282
+ </Component>
1283
+ <Component Name="identifier check digit" Usage="O" Datatype="ST" Length="3">
1284
+ </Component>
1285
+ <Component Name="code identifying the check digit scheme employed" Usage="O" Datatype="ID" Length="3" Table="0061">
1286
+ </Component>
1287
+ <Component Name="identifier type code (IS)" Usage="O" Datatype="IS" Length="3">
1288
+ </Component>
1289
+ <Component Name="assigning facility" Usage="O" Datatype="HD" Length="11">
1290
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1291
+ </SubComponent>
1292
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1293
+ </SubComponent>
1294
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1295
+ </SubComponent>
1296
+ </Component>
1297
+ <Component Name="Name Representation code" Usage="O" Datatype="ID" Length="3" Table="0465">
1298
+ </Component>
1299
+ <Component Name="name context" Usage="O" Datatype="CE" Length="20" Table="0448">
1300
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
1301
+ </SubComponent>
1302
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
1303
+ </SubComponent>
1304
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1305
+ </SubComponent>
1306
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
1307
+ </SubComponent>
1308
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
1309
+ </SubComponent>
1310
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1311
+ </SubComponent>
1312
+ </Component>
1313
+ <Component Name="name validity range" Usage="C" Datatype="DR" Length="1">
1314
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
1315
+ </SubComponent>
1316
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
1317
+ </SubComponent>
1318
+ </Component>
1319
+ <Component Name="name assembly order" Usage="O" Datatype="ID" Length="3" Table="0444">
1320
+ </Component>
1321
+ </Field>
1322
+ <Field Name="Hospital Service" Usage="X" Min="0" Max="*" Datatype="IS" Length="3" Table="0069" ItemNo="00140">
1323
+ <Reference>3.4.3.10</Reference>
1324
+ </Field>
1325
+ <Field Name="Temporary Location" Usage="X" Min="0" Max="*" Datatype="PL" Length="80" ItemNo="00141">
1326
+ <Reference>3.4.3.11</Reference>
1327
+ <Component Name="point of care" Usage="O" Datatype="IS" Length="3" Table="0302">
1328
+ </Component>
1329
+ <Component Name="room" Usage="O" Datatype="IS" Length="3" Table="0303">
1330
+ </Component>
1331
+ <Component Name="bed" Usage="O" Datatype="IS" Length="3" Table="0304">
1332
+ </Component>
1333
+ <Component Name="facility (HD)" Usage="O" Datatype="HD" Length="11">
1334
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1335
+ </SubComponent>
1336
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1337
+ </SubComponent>
1338
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1339
+ </SubComponent>
1340
+ </Component>
1341
+ <Component Name="location status" Usage="O" Datatype="IS" Length="3" Table="0306">
1342
+ </Component>
1343
+ <Component Name="person location type" Usage="O" Datatype="IS" Length="3" Table="0305">
1344
+ </Component>
1345
+ <Component Name="building" Usage="O" Datatype="IS" Length="3" Table="0307">
1346
+ </Component>
1347
+ <Component Name="floor" Usage="O" Datatype="IS" Length="3" Table="0308">
1348
+ </Component>
1349
+ <Component Name="Location description" Usage="O" Datatype="ST" Length="3">
1350
+ </Component>
1351
+ </Field>
1352
+ <Field Name="Preadmit Test Indicator" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0087" ItemNo="00142">
1353
+ <Reference>3.4.3.12</Reference>
1354
+ </Field>
1355
+ <Field Name="Re-admission Indicator" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0092" ItemNo="00143">
1356
+ <Reference>3.4.3.13</Reference>
1357
+ </Field>
1358
+ <Field Name="Admit Source" Usage="X" Min="0" Max="*" Datatype="IS" Length="6" Table="0023" ItemNo="00144">
1359
+ <Reference>3.4.3.14</Reference>
1360
+ </Field>
1361
+ <Field Name="Ambulatory Status" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0009" ItemNo="00145">
1362
+ <Reference>6.5.7.32</Reference>
1363
+ </Field>
1364
+ <Field Name="VIP Indicator" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0099" ItemNo="00146">
1365
+ <Reference>3.4.3.16</Reference>
1366
+ </Field>
1367
+ <Field Name="Admitting Doctor" Usage="X" Min="0" Max="*" Datatype="XCN" Length="250" Table="0010" ItemNo="00147">
1368
+ <Reference>3.4.3.17</Reference>
1369
+ <Component Name="ID number (ST)" Usage="X" Datatype="ST" Table="0010">
1370
+ </Component>
1371
+ <Component Name="family name" Usage="X" Datatype="FN">
1372
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
1373
+ </SubComponent>
1374
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
1375
+ </SubComponent>
1376
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
1377
+ </SubComponent>
1378
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
1379
+ </SubComponent>
1380
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
1381
+ </SubComponent>
1382
+ </Component>
1383
+ <Component Name="given name" Usage="X" Datatype="ST">
1384
+ </Component>
1385
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
1386
+ </Component>
1387
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
1388
+ </Component>
1389
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
1390
+ </Component>
1391
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
1392
+ </Component>
1393
+ <Component Name="source table" Usage="X" Datatype="IS" Table="0297">
1394
+ </Component>
1395
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
1396
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1397
+ </SubComponent>
1398
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1399
+ </SubComponent>
1400
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1401
+ </SubComponent>
1402
+ </Component>
1403
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
1404
+ </Component>
1405
+ <Component Name="identifier check digit" Usage="X" Datatype="ST">
1406
+ </Component>
1407
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
1408
+ </Component>
1409
+ <Component Name="identifier type code (IS)" Usage="X" Datatype="IS">
1410
+ </Component>
1411
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
1412
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1413
+ </SubComponent>
1414
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1415
+ </SubComponent>
1416
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1417
+ </SubComponent>
1418
+ </Component>
1419
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
1420
+ </Component>
1421
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
1422
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
1423
+ </SubComponent>
1424
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
1425
+ </SubComponent>
1426
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1427
+ </SubComponent>
1428
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
1429
+ </SubComponent>
1430
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
1431
+ </SubComponent>
1432
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1433
+ </SubComponent>
1434
+ </Component>
1435
+ <Component Name="name validity range" Usage="X" Datatype="DR">
1436
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
1437
+ </SubComponent>
1438
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
1439
+ </SubComponent>
1440
+ </Component>
1441
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
1442
+ </Component>
1443
+ </Field>
1444
+ <Field Name="Patient Type" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0018" ItemNo="00148">
1445
+ <Reference>6.5.1.18</Reference>
1446
+ </Field>
1447
+ <Field Name="Visit Number" Usage="X" Min="0" Max="*" Datatype="CX" Length="250" ItemNo="00149">
1448
+ <Reference>3.4.3.19</Reference>
1449
+ <Component Name="ID" Usage="X" Datatype="ST">
1450
+ </Component>
1451
+ <Component Name="Check digit" Usage="X" Datatype="ST">
1452
+ </Component>
1453
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
1454
+ </Component>
1455
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
1456
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1457
+ </SubComponent>
1458
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1459
+ </SubComponent>
1460
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1461
+ </SubComponent>
1462
+ </Component>
1463
+ <Component Name="identifier type code (ID)" Usage="X" Datatype="ID" Table="0203">
1464
+ </Component>
1465
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
1466
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1467
+ </SubComponent>
1468
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1469
+ </SubComponent>
1470
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1471
+ </SubComponent>
1472
+ </Component>
1473
+ <Component Name="effective date (DT)" Usage="X" Datatype="DT">
1474
+ </Component>
1475
+ <Component Name="expiration date" Usage="X" Datatype="DT">
1476
+ </Component>
1477
+ </Field>
1478
+ <Field Name="Financial Class" Usage="X" Min="0" Max="*" Datatype="FC" Length="50" Table="0064" ItemNo="00150">
1479
+ <Reference>3.4.3.20</Reference>
1480
+ <Component Name="Financial Class" Usage="X" Datatype="IS" Table="0064">
1481
+ </Component>
1482
+ <Component Name="Effective Date (TS)" Usage="X" Datatype="TS">
1483
+ <SubComponent Name="Date/Time" Usage="X" Datatype="NM">
1484
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-
1485
+ ZZZZ]
1486
+ </ImpNote>
1487
+ <DataValues ExValue="20040328134602.1234+0600" />
1488
+ </SubComponent>
1489
+ <SubComponent Name="degree of precision" Usage="X" Datatype="ST">
1490
+ <ImpNote>Retained for backward compatibility only
1491
+ </ImpNote>
1492
+ <DataValues ExValue="D" />
1493
+ </SubComponent>
1494
+ </Component>
1495
+ </Field>
1496
+ <Field Name="Charge Price Indicator" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0032" ItemNo="00151">
1497
+ <Reference>3.4.3.21</Reference>
1498
+ </Field>
1499
+ <Field Name="Courtesy Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0045" ItemNo="00152">
1500
+ <Reference>3.4.3.22</Reference>
1501
+ </Field>
1502
+ <Field Name="Credit Rating" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0046" ItemNo="00153">
1503
+ <Reference>3.4.3.23</Reference>
1504
+ </Field>
1505
+ <Field Name="Contract Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0044" ItemNo="00154">
1506
+ <Reference>3.4.3.24</Reference>
1507
+ </Field>
1508
+ <Field Name="Contract Effective Date" Usage="X" Min="0" Max="*" Datatype="DT" Length="8" ItemNo="00155">
1509
+ <Reference>3.4.3.25</Reference>
1510
+ </Field>
1511
+ <Field Name="Contract Amount" Usage="X" Min="0" Max="*" Datatype="NM" Length="12" ItemNo="00156">
1512
+ <Reference>3.4.3.26</Reference>
1513
+ </Field>
1514
+ <Field Name="Contract Period" Usage="X" Min="0" Max="*" Datatype="NM" Length="3" ItemNo="00157">
1515
+ <Reference>3.4.3.27</Reference>
1516
+ </Field>
1517
+ <Field Name="Interest Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0073" ItemNo="00158">
1518
+ <Reference>3.4.3.28</Reference>
1519
+ </Field>
1520
+ <Field Name="Transfer to Bad Debt Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="0110" ItemNo="00159">
1521
+ <Reference>3.4.3.29</Reference>
1522
+ </Field>
1523
+ <Field Name="Transfer to Bad Debt Date" Usage="X" Min="0" Max="*" Datatype="DT" Length="8" ItemNo="00160">
1524
+ <Reference>3.4.3.30</Reference>
1525
+ </Field>
1526
+ <Field Name="Bad Debt Agency Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="10" Table="0021" ItemNo="00161">
1527
+ <Reference>3.4.3.31</Reference>
1528
+ </Field>
1529
+ <Field Name="Bad Debt Transfer Amount" Usage="X" Min="0" Max="*" Datatype="NM" Length="12" ItemNo="00162">
1530
+ <Reference>3.4.3.32</Reference>
1531
+ </Field>
1532
+ <Field Name="Bad Debt Recovery Amount" Usage="X" Min="0" Max="*" Datatype="NM" Length="12" ItemNo="00163">
1533
+ <Reference>3.4.3.33</Reference>
1534
+ </Field>
1535
+ <Field Name="Delete Account Indicator" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="0111" ItemNo="00164">
1536
+ <Reference>3.4.3.34</Reference>
1537
+ </Field>
1538
+ <Field Name="Delete Account Date" Usage="X" Min="0" Max="*" Datatype="DT" Length="8" ItemNo="00165">
1539
+ <Reference>3.4.3.35</Reference>
1540
+ </Field>
1541
+ <Field Name="Discharge Disposition" Usage="X" Min="0" Max="*" Datatype="IS" Length="3" Table="0112" ItemNo="00166">
1542
+ <Reference>3.4.3.36</Reference>
1543
+ </Field>
1544
+ <Field Name="Discharged to Location" Usage="X" Min="0" Max="*" Datatype="CM_DLD" Length="25" Table="0113" ItemNo="00167">
1545
+ <Reference>3.4.3.37</Reference>
1546
+ <Component Name="discharge location" Usage="X" Datatype="ID" Table="0113">
1547
+ </Component>
1548
+ <Component Name="effective date" Usage="X" Datatype="TS">
1549
+ <SubComponent Name="Date/Time" Usage="X" Datatype="NM">
1550
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-
1551
+ ZZZZ]
1552
+ </ImpNote>
1553
+ <DataValues ExValue="20040328134602.1234+0600" />
1554
+ </SubComponent>
1555
+ <SubComponent Name="degree of precision" Usage="X" Datatype="ST">
1556
+ <ImpNote>Retained for backward compatibility only
1557
+ </ImpNote>
1558
+ <DataValues ExValue="D" />
1559
+ </SubComponent>
1560
+ </Component>
1561
+ </Field>
1562
+ <Field Name="Diet Type" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0114" ItemNo="00168">
1563
+ <Reference>3.4.3.38</Reference>
1564
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0114">
1565
+ </Component>
1566
+ <Component Name="text" Usage="X" Datatype="ST">
1567
+ </Component>
1568
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1569
+ </Component>
1570
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1571
+ </Component>
1572
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1573
+ </Component>
1574
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1575
+ </Component>
1576
+ </Field>
1577
+ <Field Name="Servicing Facility" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0115" ItemNo="00169">
1578
+ <Reference>3.4.3.39</Reference>
1579
+ </Field>
1580
+ <Field Name="Bed Status" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="0116" ItemNo="00170">
1581
+ <Reference>3.4.8.2</Reference>
1582
+ </Field>
1583
+ <Field Name="Account Status" Usage="X" Min="0" Max="*" Datatype="IS" Length="2" Table="0117" ItemNo="00171">
1584
+ <Reference>3.4.3.41</Reference>
1585
+ </Field>
1586
+ <Field Name="Pending Location" Usage="X" Min="0" Max="*" Datatype="PL" Length="80" ItemNo="00172">
1587
+ <Reference>3.4.3.42</Reference>
1588
+ <Component Name="point of care" Usage="O" Datatype="IS" Length="3" Table="0302">
1589
+ </Component>
1590
+ <Component Name="room" Usage="O" Datatype="IS" Length="3" Table="0303">
1591
+ </Component>
1592
+ <Component Name="bed" Usage="O" Datatype="IS" Length="3" Table="0304">
1593
+ </Component>
1594
+ <Component Name="facility (HD)" Usage="O" Datatype="HD" Length="11">
1595
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1596
+ </SubComponent>
1597
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1598
+ </SubComponent>
1599
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1600
+ </SubComponent>
1601
+ </Component>
1602
+ <Component Name="location status" Usage="O" Datatype="IS" Length="3" Table="0306">
1603
+ </Component>
1604
+ <Component Name="person location type" Usage="O" Datatype="IS" Length="3" Table="0305">
1605
+ </Component>
1606
+ <Component Name="building" Usage="O" Datatype="IS" Length="3" Table="0307">
1607
+ </Component>
1608
+ <Component Name="floor" Usage="O" Datatype="IS" Length="3" Table="0308">
1609
+ </Component>
1610
+ <Component Name="Location description" Usage="O" Datatype="ST" Length="3">
1611
+ </Component>
1612
+ </Field>
1613
+ <Field Name="Prior Temporary Location" Usage="X" Min="0" Max="*" Datatype="PL" Length="80" ItemNo="00173">
1614
+ <Reference>3.4.3.43</Reference>
1615
+ <Component Name="point of care" Usage="O" Datatype="IS" Length="3" Table="0302">
1616
+ </Component>
1617
+ <Component Name="room" Usage="O" Datatype="IS" Length="3" Table="0303">
1618
+ </Component>
1619
+ <Component Name="bed" Usage="O" Datatype="IS" Length="3" Table="0304">
1620
+ </Component>
1621
+ <Component Name="facility (HD)" Usage="O" Datatype="HD" Length="11">
1622
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1623
+ </SubComponent>
1624
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1625
+ </SubComponent>
1626
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1627
+ </SubComponent>
1628
+ </Component>
1629
+ <Component Name="location status" Usage="O" Datatype="IS" Length="3" Table="0306">
1630
+ </Component>
1631
+ <Component Name="person location type" Usage="O" Datatype="IS" Length="3" Table="0305">
1632
+ </Component>
1633
+ <Component Name="building" Usage="O" Datatype="IS" Length="3" Table="0307">
1634
+ </Component>
1635
+ <Component Name="floor" Usage="O" Datatype="IS" Length="3" Table="0308">
1636
+ </Component>
1637
+ <Component Name="Location description" Usage="O" Datatype="ST" Length="3">
1638
+ </Component>
1639
+ </Field>
1640
+ <Field Name="Admit Date/Time" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="00174">
1641
+ <Reference>3.4.3.44</Reference>
1642
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
1643
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
1644
+ </ImpNote>
1645
+ <DataValues ExValue="20040328134602.1234+0600" />
1646
+ </Component>
1647
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
1648
+ <ImpNote>Retained for backward compatibility only
1649
+ </ImpNote>
1650
+ <DataValues ExValue="D" />
1651
+ </Component>
1652
+ </Field>
1653
+ <Field Name="Discharge Date/Time" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="00175">
1654
+ <Reference>3.4.3.45</Reference>
1655
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
1656
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
1657
+ </ImpNote>
1658
+ <DataValues ExValue="20040328134602.1234+0600" />
1659
+ </Component>
1660
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
1661
+ <ImpNote>Retained for backward compatibility only
1662
+ </ImpNote>
1663
+ <DataValues ExValue="D" />
1664
+ </Component>
1665
+ </Field>
1666
+ <Field Name="Current Patient Balance" Usage="X" Min="0" Max="*" Datatype="NM" Length="12" ItemNo="00176">
1667
+ <Reference>3.4.3.46</Reference>
1668
+ </Field>
1669
+ <Field Name="Total Charges" Usage="X" Min="0" Max="*" Datatype="NM" Length="12" ItemNo="00177">
1670
+ <Reference>3.4.3.47</Reference>
1671
+ </Field>
1672
+ <Field Name="Total Adjustments" Usage="X" Min="0" Max="*" Datatype="NM" Length="12" ItemNo="00178">
1673
+ <Reference>3.4.3.48</Reference>
1674
+ </Field>
1675
+ <Field Name="Total Payments" Usage="X" Min="0" Max="*" Datatype="NM" Length="12" ItemNo="00179">
1676
+ <Reference>3.4.3.49</Reference>
1677
+ </Field>
1678
+ <Field Name="Alternate Visit ID" Usage="X" Min="0" Max="*" Datatype="CX" Length="250" Table="0203" ItemNo="00180">
1679
+ <Reference>3.4.3.50</Reference>
1680
+ <Component Name="ID" Usage="X" Datatype="ST" Table="0203">
1681
+ </Component>
1682
+ <Component Name="Check digit" Usage="X" Datatype="ST">
1683
+ </Component>
1684
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
1685
+ </Component>
1686
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
1687
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1688
+ </SubComponent>
1689
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1690
+ </SubComponent>
1691
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1692
+ </SubComponent>
1693
+ </Component>
1694
+ <Component Name="identifier type code (ID)" Usage="X" Datatype="ID" Table="0203">
1695
+ </Component>
1696
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
1697
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1698
+ </SubComponent>
1699
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1700
+ </SubComponent>
1701
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1702
+ </SubComponent>
1703
+ </Component>
1704
+ <Component Name="effective date (DT)" Usage="X" Datatype="DT">
1705
+ </Component>
1706
+ <Component Name="expiration date" Usage="X" Datatype="DT">
1707
+ </Component>
1708
+ </Field>
1709
+ <Field Name="Visit Indicator" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="0326" ItemNo="01226">
1710
+ <Reference>3.4.3.51</Reference>
1711
+ <DataValues ExValue="V" />
1712
+ </Field>
1713
+ <Field Name="Other Healthcare Provider" Usage="X" Min="0" Max="*" Datatype="XCN" Length="250" Table="0010" ItemNo="01274">
1714
+ <Reference>3.4.3.52</Reference>
1715
+ <Component Name="ID number (ST)" Usage="O" Datatype="ST" Length="3" Table="0010">
1716
+ </Component>
1717
+ <Component Name="family name" Usage="O" Datatype="FN" Length="19">
1718
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
1719
+ </SubComponent>
1720
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
1721
+ </SubComponent>
1722
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
1723
+ </SubComponent>
1724
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
1725
+ </SubComponent>
1726
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
1727
+ </SubComponent>
1728
+ </Component>
1729
+ <Component Name="given name" Usage="O" Datatype="ST" Length="3">
1730
+ </Component>
1731
+ <Component Name="second and further given names or initials thereof" Usage="O" Datatype="ST" Length="3">
1732
+ </Component>
1733
+ <Component Name="suffix (e.g., JR or III)" Usage="O" Datatype="ST" Length="3">
1734
+ </Component>
1735
+ <Component Name="prefix (e.g., DR)" Usage="O" Datatype="ST" Length="3">
1736
+ </Component>
1737
+ <Component Name="degree (e.g., MD)" Usage="O" Datatype="IS" Length="3" Table="0360">
1738
+ </Component>
1739
+ <Component Name="source table" Usage="O" Datatype="IS" Length="3" Table="0297">
1740
+ </Component>
1741
+ <Component Name="assigning authority" Usage="O" Datatype="HD" Length="11">
1742
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1743
+ </SubComponent>
1744
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1745
+ </SubComponent>
1746
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1747
+ </SubComponent>
1748
+ </Component>
1749
+ <Component Name="name type code" Usage="O" Datatype="ID" Length="3" Table="0200">
1750
+ </Component>
1751
+ <Component Name="identifier check digit" Usage="O" Datatype="ST" Length="3">
1752
+ </Component>
1753
+ <Component Name="code identifying the check digit scheme employed" Usage="O" Datatype="ID" Length="3" Table="0061">
1754
+ </Component>
1755
+ <Component Name="identifier type code (IS)" Usage="O" Datatype="IS" Length="3">
1756
+ </Component>
1757
+ <Component Name="assigning facility" Usage="O" Datatype="HD" Length="11">
1758
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1759
+ </SubComponent>
1760
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1761
+ </SubComponent>
1762
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1763
+ </SubComponent>
1764
+ </Component>
1765
+ <Component Name="Name Representation code" Usage="O" Datatype="ID" Length="3" Table="0465">
1766
+ </Component>
1767
+ <Component Name="name context" Usage="O" Datatype="CE" Length="20" Table="0448">
1768
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
1769
+ </SubComponent>
1770
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
1771
+ </SubComponent>
1772
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1773
+ </SubComponent>
1774
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
1775
+ </SubComponent>
1776
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
1777
+ </SubComponent>
1778
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1779
+ </SubComponent>
1780
+ </Component>
1781
+ <Component Name="name validity range" Usage="X" Datatype="DR">
1782
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
1783
+ </SubComponent>
1784
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
1785
+ </SubComponent>
1786
+ </Component>
1787
+ <Component Name="name assembly order" Usage="O" Datatype="ID" Length="3" Table="0444">
1788
+ </Component>
1789
+ </Field>
1790
+ </Segment>
1791
+ <Segment Name="ZEL" LongName="Patient Eligibility Segment" Usage="R" Min="1" Max="1">
1792
+ <ImpNote>MHV SM Implementation:
1793
+ - this will be a repeating segment only
1794
+ if
1795
+ there is more than one eligibility code
1796
+ available for the patient;
1797
+ - 1st ZEL segment is always for
1798
+ Primary
1799
+ Eligibility; and for Data Classification:
1800
+ Fields 2,8,9,10,18,19,20,23,35,40,42
1801
+ and
1802
+ 44 are required if data present.
1803
+ - Aditional ZEL segments for
1804
+ Secondary
1805
+ Eligibilities; Fields 5 thru 44 are null.
1806
+ </ImpNote>
1807
+ <Field Name="SET ID - ZEL" Usage="R" Min="1" Max="1" Datatype="SI" Length="4" ConstantValue="0001">
1808
+ <Reference>SEQUENTIAL NUMBER (1 is always primary eligibility)</Reference>
1809
+ <DataValues ExValue="0001" />
1810
+ </Field>
1811
+ <Field Name="ELIGIBILITY CODE" Usage="R" Min="1" Max="1" Datatype="IS" Length="2" Table="VA004">
1812
+ <ImpNote>- first for Primary Eligibilitiesand Aditional
1813
+ ZEL segments for Secondary Eligibilities
1814
+ </ImpNote>
1815
+ <Reference>2.361</Reference>
1816
+ <DataValues ExValue="1" />
1817
+ </Field>
1818
+ <Field Name="LONG ID" Usage="X" Min="0" Max="*" Datatype="CK" Length="25">
1819
+ <ImpNote>For backward compatability only
1820
+ </ImpNote>
1821
+ <Reference>2.363</Reference>
1822
+ <Component Name="ID number (NM)" Usage="X" Datatype="NM">
1823
+ <DataValues ExValue="567889098" />
1824
+ </Component>
1825
+ <Component Name="check digit" Usage="X" Datatype="NM">
1826
+ </Component>
1827
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID">
1828
+ </Component>
1829
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
1830
+ <SubComponent Name="namespace ID" Usage="X" Datatype="IS" Length="3" Table="0300">
1831
+ </SubComponent>
1832
+ <SubComponent Name="universal ID" Usage="X" Datatype="ST" Length="3">
1833
+ </SubComponent>
1834
+ <SubComponent Name="universal ID type" Usage="X" Datatype="ID" Length="3" Table="0301">
1835
+ </SubComponent>
1836
+ </Component>
1837
+ </Field>
1838
+ <Field Name="SHORT ID" Usage="X" Min="0" Max="*" Datatype="ST" Length="12">
1839
+ <ImpNote>For backward compatability only
1840
+ </ImpNote>
1841
+ <Reference>2.364</Reference>
1842
+ <DataValues ExValue="9098" />
1843
+ </Field>
1844
+ <Field Name="DISABILITY RETIREMENT FROM MIL" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="VA005">
1845
+ <Reference>2.362</Reference>
1846
+ <DataValues ExValue="0" />
1847
+ </Field>
1848
+ <Field Name="CLAIM FOLDER NUMBER" Usage="X" Min="0" Max="*" Datatype="NM" Length="8">
1849
+ <Reference>2.313</Reference>
1850
+ <DataValues ExValue="1212134" />
1851
+ </Field>
1852
+ <Field Name="CLAIM FOLDER LOCATION" Usage="X" Min="0" Max="*" Datatype="ST" Length="40">
1853
+ <Reference>2.314</Reference>
1854
+ <DataValues ExValue="541CLEVELAND-RO" />
1855
+ </Field>
1856
+ <Field Name="VETERAN?" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="VA001">
1857
+ <Reference>2.1901</Reference>
1858
+ <DataValues ExValue="0" />
1859
+ </Field>
1860
+ <Field Name="TYPE OF PATIENT" Usage="RE" Min="0" Max="1" Datatype="ST" Length="30">
1861
+ <ImpNote>Inpatient Outpatient Status:
1862
+ - O - Outpatient
1863
+ - I - Inpatient
1864
+ </ImpNote>
1865
+ <Reference>2.391</Reference>
1866
+ <DataValues ExValue="ALLIED VETERAN" />
1867
+ </Field>
1868
+ <Field Name="ELIGIBLITY STATUS" Usage="RE" Min="0" Max="1" Datatype="IS" Length="1" Table="VA006">
1869
+ <Reference>2.3611</Reference>
1870
+ <DataValues ExValue="V" />
1871
+ </Field>
1872
+ <Field Name="ELIGIBILITY STATUS DATE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1873
+ <Reference>2.3612</Reference>
1874
+ <DataValues ExValue="20041203" />
1875
+ </Field>
1876
+ <Field Name="ELIGIBLILITY INTERIM RESPONSE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1877
+ <Reference>2.3614</Reference>
1878
+ <DataValues ExValue="20041103" />
1879
+ </Field>
1880
+ <Field Name="ELIGIBILITY VERIFICATION METHOD" Usage="X" Min="0" Max="*" Datatype="ST" Length="50">
1881
+ <Reference>2.3615</Reference>
1882
+ <DataValues ExValue="Interview" />
1883
+ </Field>
1884
+ <Field Name="RECEIVING A&amp;A BENEFITS?" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="VA001">
1885
+ <Reference>2.36205</Reference>
1886
+ <DataValues ExValue="0" />
1887
+ </Field>
1888
+ <Field Name="RECEIVING HOUSEBOUND BENEFITS?" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="VA001">
1889
+ <Reference>2.36215</Reference>
1890
+ <DataValues ExValue="0" />
1891
+ </Field>
1892
+ <Field Name="RECEIVING A VA PENSION?" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="VA001">
1893
+ <Reference>2.36235</Reference>
1894
+ <DataValues ExValue="0" />
1895
+ </Field>
1896
+ <Field Name="RECEIVING A VA DISABILITY?" Usage="X" Min="0" Max="*" Datatype="IS" Length="1" Table="VA001">
1897
+ <Reference>2.3025</Reference>
1898
+ <DataValues ExValue="1" />
1899
+ </Field>
1900
+ <Field Name="EXPOSED TO AGENT ORANGE" Usage="RE" Min="0" Max="1" Datatype="IS" Length="1" Table="VA001">
1901
+ <ImpNote>- 1st ZEL segment is always for Primary
1902
+ Eligibility; and for Data Classification:
1903
+ Fields 2,8,9,10,18,19,20,23,35,40,42 and
1904
+ 44 are required if data present.
1905
+ </ImpNote>
1906
+ <Reference>2.32102</Reference>
1907
+ <DataValues ExValue="E" />
1908
+ </Field>
1909
+ <Field Name="RADIATION EXPOSURE INDICATED" Usage="RE" Min="0" Max="1" Datatype="IS" Length="1" Table="VA001">
1910
+ <ImpNote>- 1st ZEL segment is always for Primary
1911
+ Eligibility; and for Data Classification:
1912
+ Fields 2,8,9,10,18,19,20,23,35,40,42 and
1913
+ 44 are required if data present.
1914
+ </ImpNote>
1915
+ <Reference>2.32103</Reference>
1916
+ <DataValues ExValue="E" />
1917
+ </Field>
1918
+ <Field Name="ENVIRONMENTAL CONTAMINANTS" Usage="RE" Min="0" Max="1" Datatype="IS" Length="1" Table="VA001">
1919
+ <ImpNote>- 1st ZEL segment is always for Primary
1920
+ Eligibility; and for Data Classification:
1921
+ Fields 2,8,9,10,18,19,20,23,35,40,42 and
1922
+ 44 are required if data present.
1923
+ </ImpNote>
1924
+ <Reference>2.322013</Reference>
1925
+ <DataValues ExValue="E" />
1926
+ </Field>
1927
+ <Field Name="TOTAL ANNUAL VA CHECK AMOUNT" Usage="X" Min="0" Max="*" Datatype="NM" Length="8">
1928
+ <Reference>2.36295</Reference>
1929
+ <DataValues ExValue="1000.00" />
1930
+ </Field>
1931
+ <Field Name="RADIATION EXPOSURE METHOD" Usage="X" Min="0" Max="*" Datatype="CE" Length="22" Table="VA022">
1932
+ <Reference>2.3212</Reference>
1933
+ <Component Name="identifier" Usage="R" Datatype="ST" Length="3" Table="VA022">
1934
+ <Reference>2.3212</Reference>
1935
+ <DataValues ExValue="3" />
1936
+ </Component>
1937
+ <Component Name="text" Usage="X" Datatype="ST">
1938
+ </Component>
1939
+ <Component Name="name of coding system" Usage="X" Datatype="ST">
1940
+ </Component>
1941
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1942
+ </Component>
1943
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1944
+ </Component>
1945
+ <Component Name="name of alternate coding system" Usage="X" Datatype="ST">
1946
+ </Component>
1947
+ </Field>
1948
+ <Field Name="MST STATUS" Usage="RE" Min="0" Max="1" Datatype="IS" Length="1" Table="VA036">
1949
+ <ImpNote>- 1st ZEL segment is always for Primary
1950
+ Eligibility; and for Data Classification:
1951
+ Fields 2,8,9,10,18,19,20,23,35,40,42 and
1952
+ 44 are required if data present.
1953
+ </ImpNote>
1954
+ <Reference>29.11.3</Reference>
1955
+ <DataValues ExValue="Y" />
1956
+ </Field>
1957
+ <Field Name="MST STATUS CHANGE DATE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1958
+ <Reference>29.11.01</Reference>
1959
+ <DataValues ExValue="20030101" />
1960
+ </Field>
1961
+ <Field Name="SITE DETERMINING MST STATUS" Usage="X" Min="0" Max="*" Datatype="NM" Length="10" Table="0115">
1962
+ <Reference>29.11.6</Reference>
1963
+ <DataValues ExValue="402" />
1964
+ </Field>
1965
+ <Field Name="AGENT ORANGE REGISTRATION DATE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1966
+ <Reference>2.32107</Reference>
1967
+ <DataValues ExValue="19890908" />
1968
+ </Field>
1969
+ <Field Name="AGENT ORANGE EXAM DATE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1970
+ <Reference>2.32109</Reference>
1971
+ <DataValues ExValue="19890908" />
1972
+ </Field>
1973
+ <Field Name="AGENT ORANGE REGISTRATION NUMBER" Usage="X" Min="0" Max="*" Datatype="NM" Length="6">
1974
+ <Reference>2.3211</Reference>
1975
+ <DataValues ExValue="12345" />
1976
+ </Field>
1977
+ <Field Name="AGENT ORANGE EXPOSURE LOCATION" Usage="X" Min="0" Max="*" Datatype="ST" Length="1">
1978
+ <Reference>2.3213</Reference>
1979
+ <DataValues ExValue="V" />
1980
+ </Field>
1981
+ <Field Name="RADIATION REGISTRATION DATE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1982
+ <Reference>2.32111</Reference>
1983
+ <DataValues ExValue="19780405" />
1984
+ </Field>
1985
+ <Field Name="ENVIRONMENTAL CONTAMINANTS EXAM DATE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1986
+ <Reference>2.322015</Reference>
1987
+ <DataValues ExValue="19780405" />
1988
+ </Field>
1989
+ <Field Name="ENVIRONMENTAL CONTAMINANTS REGISTRATION DATE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1990
+ <Reference>2.322014</Reference>
1991
+ <DataValues ExValue="19780405" />
1992
+ </Field>
1993
+ <Field Name="MONETARY BENEFITS DATE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1994
+ <Reference>2.306</Reference>
1995
+ <DataValues ExValue="20041203" />
1996
+ </Field>
1997
+ <Field Name="USER ENROLLEE VALID THROUGH" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
1998
+ <Reference>2.3617</Reference>
1999
+ <DataValues ExValue="20061203" />
2000
+ </Field>
2001
+ <Field Name="USER ENROLLEE SITE" Usage="RE" Min="0" Max="1" Datatype="NM" Length="3">
2002
+ <Reference>2.3618</Reference>
2003
+ <DataValues ExValue="500" />
2004
+ </Field>
2005
+ <Field Name="ELIGIBILITY VERIFICATION SITE/SOURCE" Usage="X" Min="0" Max="*" Datatype="XON" Length="200">
2006
+ <Component Name="organization name" Usage="X" Datatype="ST">
2007
+ <Reference>2.3613</Reference>
2008
+ <DataValues ExValue="V" />
2009
+ </Component>
2010
+ <Component Name="organization name type code" Usage="X" Datatype="IS">
2011
+ </Component>
2012
+ <Component Name="ID number (NM)" Usage="X" Datatype="NM">
2013
+ <Reference>2.3613</Reference>
2014
+ <DataValues ExValue="541" />
2015
+ </Component>
2016
+ <Component Name="check digit" Usage="X" Datatype="NM">
2017
+ </Component>
2018
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID">
2019
+ </Component>
2020
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
2021
+ <SubComponent Name="namespace ID" Usage="X" Datatype="IS" Length="3" Table="0300">
2022
+ </SubComponent>
2023
+ <SubComponent Name="universal ID" Usage="X" Datatype="ST" Length="3">
2024
+ </SubComponent>
2025
+ <SubComponent Name="universal ID type" Usage="X" Datatype="ID" Length="3" Table="0301">
2026
+ </SubComponent>
2027
+ </Component>
2028
+ <Component Name="identifier type code" Usage="X" Datatype="IS">
2029
+ </Component>
2030
+ <Component Name="assigning facility ID" Usage="X" Datatype="HD">
2031
+ <SubComponent Name="namespace ID" Usage="X" Datatype="IS" Length="3" Table="0300">
2032
+ </SubComponent>
2033
+ <SubComponent Name="universal ID" Usage="X" Datatype="ST" Length="3">
2034
+ </SubComponent>
2035
+ <SubComponent Name="universal ID type" Usage="X" Datatype="ID" Length="3" Table="0301">
2036
+ </SubComponent>
2037
+ </Component>
2038
+ <Component Name="Name Representation code" Usage="X" Datatype="ID">
2039
+ </Component>
2040
+ </Field>
2041
+ <Field Name="COMBAT VETERAN" Usage="X" Min="0" Max="*" Datatype="ID" Length="1" Table="VA001">
2042
+ <Reference>2.5292</Reference>
2043
+ <DataValues ExValue="1" />
2044
+ </Field>
2045
+ <Field Name="COMBAT VETERAN STATUS END DATE" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
2046
+ <Reference>2.5295</Reference>
2047
+ <DataValues ExValue="20011023" />
2048
+ </Field>
2049
+ <Field Name="ELIGIBILITY STATUS ENTERED BY" Usage="X" Min="0" Max="*" Datatype="XCN" Length="250">
2050
+ <Reference>2.3616</Reference>
2051
+ <Component Name="ID number (ST)" Usage="X" Datatype="ST">
2052
+ <Reference>2.3616</Reference>
2053
+ <DataValues ExValue="541732145" />
2054
+ </Component>
2055
+ <Component Name="family name" Usage="X" Datatype="FN">
2056
+ <SubComponent Name="surname" Usage="R" Datatype="ST" Length="35">
2057
+ <Reference>2.3616</Reference>
2058
+ <DataValues ExValue="HL7PFSSZELSURNAME" />
2059
+ </SubComponent>
2060
+ <SubComponent Name="own surname prefix" Usage="X" Datatype="ST">
2061
+ </SubComponent>
2062
+ <SubComponent Name="own surname" Usage="X" Datatype="ST">
2063
+ </SubComponent>
2064
+ <SubComponent Name="surname prefix from partner/spouse" Usage="X" Datatype="ST">
2065
+ </SubComponent>
2066
+ <SubComponent Name="surname from partner/spouse" Usage="X" Datatype="ST">
2067
+ </SubComponent>
2068
+ </Component>
2069
+ <Component Name="given name" Usage="X" Datatype="ST">
2070
+ <Reference>2.3616</Reference>
2071
+ <DataValues ExValue="HL7PFSSZELGVNNAME" />
2072
+ </Component>
2073
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
2074
+ </Component>
2075
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
2076
+ </Component>
2077
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
2078
+ </Component>
2079
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
2080
+ </Component>
2081
+ <Component Name="source table" Usage="X" Datatype="IS" Table="0297">
2082
+ </Component>
2083
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
2084
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
2085
+ </SubComponent>
2086
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
2087
+ </SubComponent>
2088
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
2089
+ </SubComponent>
2090
+ </Component>
2091
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
2092
+ </Component>
2093
+ <Component Name="identifier check digit" Usage="X" Datatype="ST">
2094
+ </Component>
2095
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
2096
+ </Component>
2097
+ <Component Name="identifier type code (IS)" Usage="X" Datatype="IS">
2098
+ </Component>
2099
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
2100
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
2101
+ </SubComponent>
2102
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
2103
+ </SubComponent>
2104
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
2105
+ </SubComponent>
2106
+ </Component>
2107
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
2108
+ </Component>
2109
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
2110
+ <SubComponent Name="identifier" Usage="U" Datatype="ST" Table="0448">
2111
+ </SubComponent>
2112
+ <SubComponent Name="text" Usage="U" Datatype="ST" Length="3">
2113
+ </SubComponent>
2114
+ <SubComponent Name="name of coding system" Usage="U" Datatype="IS" Length="3" Table="0396">
2115
+ </SubComponent>
2116
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
2117
+ </SubComponent>
2118
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
2119
+ </SubComponent>
2120
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
2121
+ </SubComponent>
2122
+ </Component>
2123
+ <Component Name="name validity range" Usage="X" Datatype="DR">
2124
+ <SubComponent Name="range start date/time" Usage="U" Datatype="TS" Length="3">
2125
+ </SubComponent>
2126
+ <SubComponent Name="range end date/time" Usage="U" Datatype="TS" Length="3">
2127
+ </SubComponent>
2128
+ </Component>
2129
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
2130
+ </Component>
2131
+ </Field>
2132
+ <Field Name="NOSE/THROAT RADIATION" Usage="RE" Min="0" Max="1" Datatype="ID" Length="1" Table="VA001">
2133
+ <ImpNote>- 1st ZEL segment is always for Primary
2134
+ Eligibility; and for Data Classification:
2135
+ Fields 2,8,9,10,18,19,20,23,35,40,42 and
2136
+ 44 are required if data present.
2137
+ </ImpNote>
2138
+ <Reference>28.11.02</Reference>
2139
+ <DataValues ExValue="E" />
2140
+ </Field>
2141
+ <Field Name="NOSE/THROAT RADIATION DATE VERIFIED" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
2142
+ <Reference>28.11.1.02</Reference>
2143
+ <DataValues ExValue="19901231" />
2144
+ </Field>
2145
+ <Field Name="HEAD/NECK CANCER" Usage="RE" Min="0" Max="1" Datatype="ID" Length="1" Table="VA001">
2146
+ <ImpNote>- 1st ZEL segment is always for Primary
2147
+ Eligibility; and for Data Classification:
2148
+ Fields 2,8,9,10,18,19,20,23,35,40,42 and
2149
+ 44 are required if data present.
2150
+ </ImpNote>
2151
+ <Reference>28.11.2.01</Reference>
2152
+ <DataValues ExValue="E" />
2153
+ </Field>
2154
+ <Field Name="HEAD/NECK CANCER DATE VERIFIED" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
2155
+ <Reference>28.11.2.02</Reference>
2156
+ <DataValues ExValue="19960325" />
2157
+ </Field>
2158
+ <Field Name="SHAD (Shipboard Hazard And Defense)" Usage="RE" Min="0" Max="1" Datatype="ST" Length="1">
2159
+ <ImpNote>- 1st ZEL segment is always for Primary
2160
+ Eligibility; and for Data Classification:
2161
+ Fields 2,8,9,10,18,19,20,23,35,40,42 and
2162
+ 44 are required if data present.
2163
+ </ImpNote>
2164
+ <DataValues ExValue="Y" />
2165
+ </Field>
2166
+ <Field Name="SHAD DATE VERIFIED" Usage="X" Min="0" Max="*" Datatype="DT" Length="8">
2167
+ <DataValues ExValue="20050302" />
2168
+ </Field>
2169
+ </Segment>
2170
+ </HL7v2xStaticDef>
2171
+ </HL7v2xConformanceProfile>
2172
+