ez7gen 1.0.1

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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 @@
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+ <?xml version="1.0" encoding="UTF-8"?>
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+ <HL7v2xConformanceProfile HL7Version="2.4" ProfileType="Implementation">
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+ <MetaData Name="mhvsm_standardHL7lib_dss_units_response_rtb_k13-rtb_k13" OrgName="MHV" Version="" Status="" Topics="confsig-MHV-2.4-profile-accNE_accAL-Deferred" />
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+ <Encodings>
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+ <Encoding>ER7</Encoding>
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+ </Encodings>
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+ <DynamicDef AccAck="NE" AppAck="AL" MsgAckMode="Deferred" />
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+ <HL7v2xStaticDef MsgType="RTB" EventType="K13" MsgStructID="RTB_K13" EventDesc="" Role="Receiver">
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+ <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" />
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+ <Segment Name="MSH" LongName="Message Header" Usage="R" Min="1" Max="1">
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+ <Field Name="Field Separator" Usage="R" Min="1" Max="1" Datatype="ST" Length="1" ItemNo="00001">
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+ <Reference>2.16.9.1</Reference>
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+ <DataValues ExValue="|" />
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+ </Field>
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+ <Field Name="Encoding Characters" Usage="R" Min="1" Max="1" Datatype="ST" Length="4" ItemNo="00002">
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+ <Reference>2.16.9.2</Reference>
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+ <DataValues ExValue="^~\&amp;" />
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+ </Field>
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+ <Field Name="Sending Application" Usage="R" Min="1" Max="1" Datatype="HD" Length="180" Table="0361" ItemNo="00003">
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+ <Reference>2.16.9.3</Reference>
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+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="10" Table="0363">
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+ <DataValues ExValue="MHV VISTA" />
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+ </Component>
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+ <Component Name="universal ID" Usage="X" Datatype="ST">
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+ </Component>
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+ <Component Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
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+ </Component>
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+ </Field>
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+ <Field Name="Sending Facility" Usage="R" Min="1" Max="1" Datatype="HD" Length="180" Table="0362" ItemNo="00004">
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+ <Reference>2.16.9.4</Reference>
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+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="3" Table="0363">
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+ <DataValues ExValue="991" />
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+ </Component>
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+ <Component Name="universal ID" Usage="R" Datatype="ST" Length="30">
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+ <DataValues ExValue="SLC4.FO-BAYPINES.MED.VA.GOV" />
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+ </Component>
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+ <Component Name="universal ID type" Usage="R" Datatype="ID" Length="3" Table="0301">
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+ <DataValues ExValue="DNS" />
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+ </Component>
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+ </Field>
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+ <Field Name="Receiving Application" Usage="R" Min="1" Max="1" Datatype="HD" Length="180" Table="0361" ItemNo="00005">
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+ <Reference>2.16.9.5</Reference>
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+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="10" Table="0363">
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+ <DataValues ExValue="MHV SM" />
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+ </Component>
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+ <Component Name="universal ID" Usage="X" Datatype="ST">
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+ </Component>
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+ <Component Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
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+ </Component>
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+ </Field>
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+ <Field Name="Receiving Facility" Usage="R" Min="1" Max="1" Datatype="HD" Length="180" Table="0362" ItemNo="00006">
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+ <Reference>2.16.9.6</Reference>
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+ <Component Name="namespace ID" Usage="R" Datatype="IS" Length="10" Table="0363">
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+ <DataValues ExValue="200MHS" />
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+ </Component>
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+ <Component Name="universal ID" Usage="R" Datatype="ST" Length="20">
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+ <DataValues ExValue="SYS.MHV.MED.VA.GOV" />
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+ </Component>
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+ <Component Name="universal ID type" Usage="R" Datatype="ID" Length="3" Table="0301">
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+ <DataValues ExValue="DNS" />
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+ </Component>
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+ </Field>
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+ <Field Name="Date/Time Of Message" Usage="R" Min="1" Max="1" Datatype="TS" Length="26" ItemNo="00007">
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+ <Reference>2.16.9.7</Reference>
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+ <Component Name="Date/Time" Usage="R" Datatype="NM" Length="26">
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+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-
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+ ZZZZ]
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+ </ImpNote>
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+ <DataValues ExValue="20140320155617-0500" />
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+ </Component>
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+ <Component Name="degree of precision" Usage="X" Datatype="ST">
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+ <ImpNote>Retained for backward compatibility only
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+ </ImpNote>
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+ <DataValues ExValue="D" />
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+ </Component>
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+ </Field>
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+ <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>
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+ <Field Name="Message Type" Usage="R" Min="1" Max="1" Datatype="CM_MSG" Length="25" Table="0076" ItemNo="00009">
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+ <Reference>2.16.9.9</Reference>
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+ <Component Name="message type" Usage="R" Datatype="ID" Length="3" Table="0076">
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+ <DataValues ExValue="RTB" />
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+ </Component>
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+ <Component Name="trigger event" Usage="R" Datatype="ID" Length="3" Table="0003">
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+ <DataValues ExValue="K13" />
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+ </Component>
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+ <Component Name="message structure" Usage="R" Datatype="ID" Length="7" Table="0354">
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+ <DataValues ExValue="RTB_K13" />
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+ </Component>
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+ </Field>
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+ <Field Name="Message Control ID" Usage="R" Min="1" Max="1" Datatype="ST" Length="20" ItemNo="00010">
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+ <Reference>2.16.9.10</Reference>
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+ <DataValues ExValue="99146086191" />
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+ </Field>
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+ <Field Name="Processing ID" Usage="R" Min="1" Max="1" Datatype="PT" Length="3" ItemNo="00011">
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+ <Reference>2.16.9.11</Reference>
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+ <Component Name="processing ID" Usage="R" Datatype="ID" Length="3" Table="0103">
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+ <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>
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+ <Component Name="version ID" Usage="R" Datatype="ID" Length="3" Table="0104">
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+ <DataValues ExValue="2.4" />
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+ </Component>
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+ <Component Name="internationalization code" Usage="X" Datatype="CE" Table="0399">
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+ <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">
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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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+ <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>
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+ </Field>
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+ <Field Name="Application Acknowledgment Type" Usage="X" Min="0" Max="*" Datatype="ID" Length="2" Table="0155" ItemNo="00016">
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+ <Reference>2.16.9.16</Reference>
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+ </Field>
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+ <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>
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+ <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>
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+ <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>
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+ </Field>
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+ <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>
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+ </Field>
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+ </Segment>
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+ <Segment Name="MSA" LongName="Message Acknowledgment" Usage="R" Min="1" Max="1">
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+ <Field Name="Acknowledgment Code" Usage="R" Min="1" Max="1" Datatype="ID" Length="2" Table="0008" ItemNo="00018">
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+ <Reference>2.16.8.1</Reference>
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+ <DataValues ExValue="AA" />
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+ </Field>
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+ <Field Name="Message Control ID" Usage="R" Min="1" Max="1" Datatype="ST" Length="20" ItemNo="00010">
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+ <Reference>2.16.9.10</Reference>
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+ <DataValues ExValue="500000000000011828" />
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+ </Field>
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+ <Field Name="Text Message" Usage="RE" Min="0" Max="1" Datatype="ST" Length="80" ItemNo="00020">
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+ <ImpNote>- only if error (the Ack Code = AE)
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+ </ImpNote>
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+ <Reference>2.16.8.3</Reference>
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+ <DataValues ExValue="INVALID DATA LINK" />
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+ </Field>
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+ <Field Name="Expected Sequence Number" Usage="X" Min="0" Max="*" Datatype="NM" Length="15" ItemNo="00021">
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+ <Reference>2.16.8.4</Reference>
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+ </Field>
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+ <Field Name="Delayed Acknowledgment Type" Usage="X" Min="0" Max="*" Datatype="ID" Length="1" Table="0102" ItemNo="00022">
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+ <Reference>2.16.8.5</Reference>
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+ </Field>
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+ <Field Name="Error Condition" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0357" ItemNo="00023">
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+ <Reference>2.16.8.6</Reference>
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+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0357">
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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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+ </Segment>
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+ <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">
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+ <ImpNote>Ensemble will accept the length of 40
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+ chars.
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+ </ImpNote>
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+ <Reference>5.10.5.8.1</Reference>
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+ <DataValues ExValue="B350C65E-B069-11E3-9CA9-50569E013100" />
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+ </Field>
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+ <Field Name="Query Response Status" Usage="R" Min="1" Max="1" Datatype="ID" Length="2" Table="0208" ItemNo="00708">
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+ <Reference>5.5.2.2</Reference>
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+ <DataValues ExValue="OK" />
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+ </Field>
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+ <Field Name="Message Query Name" Usage="R" Min="1" Max="1" Datatype="CE" Length="250" Table="0471" ItemNo="01375">
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+ <Reference>5.5.3.1</Reference>
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+ <Component Name="identifier" Usage="R" Datatype="ST" Length="10" Table="0471">
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+ <DataValues ExValue="Q13" />
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+ </Component>
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+ <Component Name="text" Usage="R" Datatype="ST" Length="20">
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+ <DataValues ExValue="SMDSSUNITS" />
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+ </Component>
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+ <Component Name="name of coding system" Usage="R" Datatype="IS" Length="10" Table="0396">
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+ <DataValues ExValue="HL70471" />
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+ </Component>
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+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
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+ </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
+