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/vista sqwm-adt_a60.xml ADDED
@@ -0,0 +1,1360 @@
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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="VISTA SQWM" OrgName="442" Version="" Status="D" Topics="confsig-442-2.4-profile-accNE_accAL-Deferred" />
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+ <ImpNote>This message is sent from VistA to SQWM when new allergies are added or removed
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+ (Entered in Error) for a patient through CPRS. The GMRA SIGN-OFF ON DATA and
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+ GMRA ENTERED IN ERROR protocols are used to trigger this message to SQWM.
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+
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+ SQWM uses snapshot mode to capture patient allergies so each time an update
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+ occurs the previous allergy list is replaced with the latest.
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+ </ImpNote>
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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="ADT" EventType="A60" MsgStructID="ADT_A60" EventDesc="" Role="Sender">
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+ <MetaData Name="VISTA SQWM" OrgName="442" Version="" Status="D" Topics="confsig-442-2.4-static-ADT-A60-null-ADT_A60--D-Sender" />
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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="120" Table="0363">
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+ <DataValues ExValue="VISTA SQWM" />
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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="442" />
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+ </Component>
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+ <Component Name="universal ID" Usage="R" Datatype="ST" Length="120">
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+ <DataValues ExValue="HL7.CHEYENNE.MED.VA.GOV:5274" />
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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="120" Table="0363">
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+ <DataValues ExValue="SQWM" />
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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="3" Table="0363">
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+ <DataValues ExValue="442" />
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+ </Component>
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+ <Component Name="universal ID" Usage="R" Datatype="ST" Length="120">
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+ <DataValues ExValue="VAAUSSQWAPP80:8010" />
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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">
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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="20040328134602.1234+0600" />
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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
80
+ </ImpNote>
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+ <DataValues ExValue="D" />
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+ </Component>
83
+ </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="15" 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="ADT" />
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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="A60" />
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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="ADT_A60" />
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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="442 744187" />
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+ </Field>
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+ <Field Name="Processing ID" Usage="R" Min="1" Max="1" Datatype="PT" Length="7" 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="R" Min="1" Max="1" Datatype="ID" Length="2" Table="0155" ItemNo="00015">
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+ <Reference>2.16.9.15</Reference>
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+ <DataValues ExValue="AL" />
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+ </Field>
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+ <Field Name="Application Acknowledgment Type" Usage="R" Min="1" Max="1" Datatype="ID" Length="2" Table="0155" ItemNo="00016">
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+ <Reference>2.16.9.16</Reference>
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+ <DataValues ExValue="NE" />
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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="EVN" LongName="Event Type" Usage="R" Min="1" Max="1">
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+ <Field Name="Event Type Code" Usage="X" Min="0" Max="*" Datatype="ID" Length="3" Table="0003" ItemNo="00099">
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+ <Reference>3.4.1.1</Reference>
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+ <DataValues ExValue="A60" />
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+ </Field>
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+ <Field Name="Recorded Date/Time" Usage="R" Min="1" Max="1" Datatype="TS" Length="26" ItemNo="00100">
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+ <Reference>3.4.1.2</Reference>
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+ <Component Name="Date/Time" Usage="R" Datatype="NM" Length="20">
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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="20140325164408-0400" />
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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="Date/Time Planned Event" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="00101">
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+ <Reference>3.4.1.3</Reference>
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+ <Component Name="Date/Time" Usage="X" Datatype="NM">
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+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
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+ </ImpNote>
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+ <DataValues ExValue="20040328134602.1234+0600" />
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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
215
+ </ImpNote>
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+ <DataValues ExValue="D" />
217
+ </Component>
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+ </Field>
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+ <Field Name="Event Reason Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="3" Table="0062" ItemNo="00102">
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+ <Reference>3.4.1.4</Reference>
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+ </Field>
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+ <Field Name="Operator ID" Usage="X" Min="0" Max="*" Datatype="XCN" Length="250" Table="0188" ItemNo="00103">
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+ <Reference>3.4.1.5</Reference>
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+ <Component Name="ID number (ST)" Usage="X" Datatype="ST" Table="0188">
225
+ </Component>
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+ <Component Name="family name" Usage="X" Datatype="FN">
227
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
228
+ </SubComponent>
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+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
230
+ </SubComponent>
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+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
232
+ </SubComponent>
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+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
234
+ </SubComponent>
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+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
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+ </SubComponent>
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+ </Component>
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+ <Component Name="given name" Usage="X" Datatype="ST">
239
+ </Component>
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+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
241
+ </Component>
242
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
243
+ </Component>
244
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
245
+ </Component>
246
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
247
+ </Component>
248
+ <Component Name="source table" Usage="X" Datatype="IS" Table="0297">
249
+ </Component>
250
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
251
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
252
+ </SubComponent>
253
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
254
+ </SubComponent>
255
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
256
+ </SubComponent>
257
+ </Component>
258
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
259
+ </Component>
260
+ <Component Name="identifier check digit" Usage="X" Datatype="ST">
261
+ </Component>
262
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
263
+ </Component>
264
+ <Component Name="identifier type code (IS)" Usage="X" Datatype="IS">
265
+ </Component>
266
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
267
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
268
+ </SubComponent>
269
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
270
+ </SubComponent>
271
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
272
+ </SubComponent>
273
+ </Component>
274
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
275
+ </Component>
276
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
277
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
278
+ </SubComponent>
279
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
280
+ </SubComponent>
281
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
282
+ </SubComponent>
283
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
284
+ </SubComponent>
285
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
286
+ </SubComponent>
287
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
288
+ </SubComponent>
289
+ </Component>
290
+ <Component Name="name validity range" Usage="X" Datatype="DR">
291
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
292
+ </SubComponent>
293
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
294
+ </SubComponent>
295
+ </Component>
296
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
297
+ </Component>
298
+ </Field>
299
+ <Field Name="Event Occurred" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="01278">
300
+ <Reference>3.4.1.6</Reference>
301
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
302
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
303
+ </ImpNote>
304
+ <DataValues ExValue="20040328134602.1234+0600" />
305
+ </Component>
306
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
307
+ <ImpNote>Retained for backward compatibility only
308
+ </ImpNote>
309
+ <DataValues ExValue="D" />
310
+ </Component>
311
+ </Field>
312
+ <Field Name="Event Facility" Usage="X" Min="0" Max="*" Datatype="HD" Length="180" ItemNo="01534">
313
+ <Reference>3.4.1.7</Reference>
314
+ <Component Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
315
+ </Component>
316
+ <Component Name="universal ID" Usage="O" Datatype="ST" Length="3">
317
+ </Component>
318
+ <Component Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
319
+ </Component>
320
+ </Field>
321
+ </Segment>
322
+ <Segment Name="PID" LongName="Patient identification" Usage="R" Min="1" Max="1">
323
+ <Field Name="Set ID - PID" Usage="X" Min="0" Max="*" Datatype="SI" Length="4" ItemNo="00104">
324
+ <Reference>3.4.2.1</Reference>
325
+ </Field>
326
+ <Field Name="Patient ID" Usage="X" Min="0" Max="*" Datatype="CX" Length="44" ItemNo="00105">
327
+ <Reference>3.4.2.2</Reference>
328
+ <Component Name="ID" Usage="O" Datatype="ST" Length="3">
329
+ <DataValues ExValue="1008690664V656273" />
330
+ </Component>
331
+ <Component Name="Check digit" Usage="X" Datatype="ST">
332
+ </Component>
333
+ <Component Name="code identifying the check digit scheme employed" Usage="O" Datatype="ID" Length="3" Table="0061">
334
+ </Component>
335
+ <Component Name="assigning authority" Usage="O" Datatype="HD" Length="11">
336
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
337
+ </SubComponent>
338
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
339
+ </SubComponent>
340
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
341
+ </SubComponent>
342
+ </Component>
343
+ <Component Name="identifier type code (ID)" Usage="O" Datatype="ID" Length="3" Table="0203">
344
+ </Component>
345
+ <Component Name="assigning facility" Usage="O" Datatype="HD" Length="11">
346
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
347
+ </SubComponent>
348
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
349
+ </SubComponent>
350
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
351
+ </SubComponent>
352
+ </Component>
353
+ <Component Name="effective date (DT)" Usage="O" Datatype="DT" Length="3">
354
+ </Component>
355
+ <Component Name="expiration date" Usage="O" Datatype="DT" Length="3">
356
+ </Component>
357
+ </Field>
358
+ <Field Name="Patient Identifier List" Usage="R" Min="1" Max="1" Datatype="CX" Length="250" ItemNo="00106">
359
+ <Reference>3.4.2.3</Reference>
360
+ <Component Name="ID" Usage="R" Datatype="ST" Length="60">
361
+ <DataValues ExValue="7209590" />
362
+ </Component>
363
+ <Component Name="Check digit" Usage="RE" Datatype="ST" Length="1">
364
+ <DataValues ExValue="4" />
365
+ </Component>
366
+ <Component Name="code identifying the check digit scheme employed" Usage="R" Datatype="ID" Length="3" Table="0061">
367
+ <DataValues ExValue="M10" />
368
+ </Component>
369
+ <Component Name="assigning authority" Usage="R" Datatype="HD" Length="8">
370
+ <SubComponent Name="namespace ID" Usage="R" Datatype="IS" Length="5" Table="0363">
371
+ <DataValues ExValue="USCDC" />
372
+ </SubComponent>
373
+ <SubComponent Name="universal ID" Usage="X" Datatype="ST">
374
+ </SubComponent>
375
+ <SubComponent Name="universal ID type" Usage="R" Datatype="ID" Length="1" Table="0301">
376
+ <DataValues ExValue="L" />
377
+ </SubComponent>
378
+ </Component>
379
+ <Component Name="identifier type code (ID)" Usage="R" Datatype="ID" Length="2" Table="0203">
380
+ <DataValues ExValue="PI" />
381
+ </Component>
382
+ <Component Name="assigning facility" Usage="RE" Datatype="HD" Length="14">
383
+ <SubComponent Name="namespace ID" Usage="RE" Datatype="IS" Length="6" Table="0363">
384
+ <DataValues ExValue="USCDC" />
385
+ </SubComponent>
386
+ <SubComponent Name="universal ID" Usage="X" Datatype="ST">
387
+ </SubComponent>
388
+ <SubComponent Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
389
+ </SubComponent>
390
+ </Component>
391
+ <Component Name="effective date (DT)" Usage="RE" Datatype="DT" Length="8">
392
+ <DataValues ExValue="20140325" />
393
+ </Component>
394
+ <Component Name="expiration date" Usage="X" Datatype="DT">
395
+ </Component>
396
+ </Field>
397
+ <Field Name="Alternate Patient ID - PID" Usage="X" Min="0" Max="*" Datatype="CX" Length="44" ItemNo="00107">
398
+ <Reference>3.4.2.4</Reference>
399
+ <Component Name="ID" Usage="O" Datatype="ST" Length="3">
400
+ </Component>
401
+ <Component Name="Check digit" Usage="X" Datatype="ST">
402
+ </Component>
403
+ <Component Name="code identifying the check digit scheme employed" Usage="O" Datatype="ID" Length="3" Table="0061">
404
+ </Component>
405
+ <Component Name="assigning authority" Usage="O" Datatype="HD" Length="11">
406
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
407
+ </SubComponent>
408
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
409
+ </SubComponent>
410
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
411
+ </SubComponent>
412
+ </Component>
413
+ <Component Name="identifier type code (ID)" Usage="O" Datatype="ID" Length="3" Table="0203">
414
+ </Component>
415
+ <Component Name="assigning facility" Usage="O" Datatype="HD" Length="11">
416
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
417
+ </SubComponent>
418
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
419
+ </SubComponent>
420
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
421
+ </SubComponent>
422
+ </Component>
423
+ <Component Name="effective date (DT)" Usage="O" Datatype="DT" Length="3">
424
+ </Component>
425
+ <Component Name="expiration date" Usage="O" Datatype="DT" Length="3">
426
+ </Component>
427
+ </Field>
428
+ <Field Name="Patient Name" Usage="R" Min="1" Max="*" Datatype="XPN" Length="250" ItemNo="00108">
429
+ <Reference>3.4.2.5</Reference>
430
+ <Component Name="family name" Usage="R" Datatype="FN" Length="60">
431
+ <SubComponent Name="surname" Usage="R" Datatype="ST" Length="35">
432
+ <DataValues ExValue="SQWMGW" />
433
+ </SubComponent>
434
+ <SubComponent Name="own surname prefix" Usage="X" Datatype="ST">
435
+ </SubComponent>
436
+ <SubComponent Name="own surname" Usage="X" Datatype="ST">
437
+ </SubComponent>
438
+ <SubComponent Name="surname prefix from partner/spouse" Usage="X" Datatype="ST">
439
+ </SubComponent>
440
+ <SubComponent Name="surname from partner/spouse" Usage="X" Datatype="ST">
441
+ </SubComponent>
442
+ </Component>
443
+ <Component Name="given name" Usage="R" Datatype="ST" Length="25">
444
+ <DataValues ExValue="ALLERGIC" />
445
+ </Component>
446
+ <Component Name="second and further given names or initials thereof" Usage="RE" Datatype="ST" Length="25">
447
+ <DataValues ExValue="ONE" />
448
+ </Component>
449
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
450
+ </Component>
451
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
452
+ </Component>
453
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
454
+ </Component>
455
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
456
+ </Component>
457
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
458
+ </Component>
459
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
460
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
461
+ </SubComponent>
462
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
463
+ </SubComponent>
464
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
465
+ </SubComponent>
466
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
467
+ </SubComponent>
468
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
469
+ </SubComponent>
470
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
471
+ </SubComponent>
472
+ </Component>
473
+ <Component Name="name validity range" Usage="X" Datatype="DR">
474
+ <SubComponent Name="range start date/time" Usage="RE" Datatype="TS" Length="3">
475
+ </SubComponent>
476
+ <SubComponent Name="range end date/time" Usage="RE" Datatype="TS" Length="3">
477
+ </SubComponent>
478
+ </Component>
479
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
480
+ </Component>
481
+ </Field>
482
+ <Field Name="Mother's Maiden Name" Usage="X" Min="0" Max="*" Datatype="XPN" Length="250" ItemNo="00109">
483
+ <Reference>6.5.7.40</Reference>
484
+ <Component Name="family name" Usage="O" Datatype="FN" Length="16">
485
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
486
+ </SubComponent>
487
+ <SubComponent Name="own surname prefix" Usage="X" Datatype="ST">
488
+ </SubComponent>
489
+ <SubComponent Name="own surname" Usage="X" Datatype="ST">
490
+ </SubComponent>
491
+ <SubComponent Name="surname prefix from partner/spouse" Usage="X" Datatype="ST">
492
+ </SubComponent>
493
+ <SubComponent Name="surname from partner/spouse" Usage="X" Datatype="ST">
494
+ </SubComponent>
495
+ </Component>
496
+ <Component Name="given name" Usage="X" Datatype="ST">
497
+ </Component>
498
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
499
+ </Component>
500
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
501
+ </Component>
502
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
503
+ </Component>
504
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
505
+ </Component>
506
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
507
+ </Component>
508
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
509
+ </Component>
510
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
511
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
512
+ </SubComponent>
513
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
514
+ </SubComponent>
515
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
516
+ </SubComponent>
517
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
518
+ </SubComponent>
519
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
520
+ </SubComponent>
521
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
522
+ </SubComponent>
523
+ </Component>
524
+ <Component Name="name validity range" Usage="X" Datatype="DR">
525
+ <SubComponent Name="range start date/time" Usage="RE" Datatype="TS" Length="3">
526
+ </SubComponent>
527
+ <SubComponent Name="range end date/time" Usage="RE" Datatype="TS" Length="3">
528
+ </SubComponent>
529
+ </Component>
530
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
531
+ </Component>
532
+ </Field>
533
+ <Field Name="Date/Time Of Birth" Usage="R" Min="1" Max="1" Datatype="TS" Length="26" ItemNo="00110">
534
+ <Reference>15.4.6.6</Reference>
535
+ <Component Name="Date/Time" Usage="R" Datatype="NM" Length="20">
536
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-
537
+ ZZZZ]
538
+ </ImpNote>
539
+ <DataValues ExValue="19880301" />
540
+ </Component>
541
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
542
+ <ImpNote>Retained for backward compatibility only
543
+ </ImpNote>
544
+ <DataValues ExValue="D" />
545
+ </Component>
546
+ </Field>
547
+ <Field Name="Administrative Sex" Usage="R" Min="1" Max="1" Datatype="IS" Length="1" Table="0001" ItemNo="00111">
548
+ <Reference>15.4.6.5</Reference>
549
+ <DataValues ExValue="M" />
550
+ </Field>
551
+ <Field Name="Patient Alias" Usage="X" Min="0" Max="*" Datatype="XPN" Length="250" Table="0429" ItemNo="00112">
552
+ <Reference>3.4.2.9</Reference>
553
+ <Component Name="family name" Usage="O" Datatype="FN" Length="16">
554
+ <SubComponent Name="surname" Usage="RE" Datatype="ST" Length="3" Table="0429">
555
+ </SubComponent>
556
+ <SubComponent Name="own surname prefix" Usage="X" Datatype="ST">
557
+ </SubComponent>
558
+ <SubComponent Name="own surname" Usage="X" Datatype="ST">
559
+ </SubComponent>
560
+ <SubComponent Name="surname prefix from partner/spouse" Usage="X" Datatype="ST">
561
+ </SubComponent>
562
+ <SubComponent Name="surname from partner/spouse" Usage="X" Datatype="ST">
563
+ </SubComponent>
564
+ </Component>
565
+ <Component Name="given name" Usage="O" Datatype="ST" Length="3">
566
+ </Component>
567
+ <Component Name="second and further given names or initials thereof" Usage="O" Datatype="ST" Length="3">
568
+ </Component>
569
+ <Component Name="suffix (e.g., JR or III)" Usage="O" Datatype="ST" Length="3">
570
+ </Component>
571
+ <Component Name="prefix (e.g., DR)" Usage="O" Datatype="ST" Length="3">
572
+ </Component>
573
+ <Component Name="degree (e.g., MD)" Usage="O" Datatype="IS" Length="3" Table="0360">
574
+ </Component>
575
+ <Component Name="name type code" Usage="O" Datatype="ID" Length="3" Table="0200">
576
+ </Component>
577
+ <Component Name="Name Representation code" Usage="O" Datatype="ID" Length="3" Table="0465">
578
+ </Component>
579
+ <Component Name="name context" Usage="O" Datatype="CE" Length="20" Table="0448">
580
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
581
+ </SubComponent>
582
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
583
+ </SubComponent>
584
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
585
+ </SubComponent>
586
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
587
+ </SubComponent>
588
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
589
+ </SubComponent>
590
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
591
+ </SubComponent>
592
+ </Component>
593
+ <Component Name="name validity range" Usage="O" Datatype="DR" Length="7">
594
+ <SubComponent Name="range start date/time" Usage="RE" Datatype="TS" Length="3">
595
+ </SubComponent>
596
+ <SubComponent Name="range end date/time" Usage="RE" Datatype="TS" Length="3">
597
+ </SubComponent>
598
+ </Component>
599
+ <Component Name="name assembly order" Usage="O" Datatype="ID" Length="3" Table="0444">
600
+ </Component>
601
+ </Field>
602
+ <Field Name="Race" Usage="RE" Min="0" Max="1" Datatype="CE" Length="250" Table="0005" ItemNo="00113">
603
+ <Reference>15.4.6.27</Reference>
604
+ <Component Name="identifier" Usage="RE" Datatype="ST" Length="10" Table="0005">
605
+ <DataValues ExValue="2054-5-SLF" />
606
+ </Component>
607
+ <Component Name="text" Usage="X" Datatype="ST">
608
+ </Component>
609
+ <Component Name="name of coding system" Usage="RE" Datatype="IS" Length="6" Table="0396">
610
+ <DataValues ExValue="UPC" />
611
+ </Component>
612
+ <Component Name="alternate identifier" Usage="RE" Datatype="ST" Length="6">
613
+ <DataValues ExValue="2054-5" />
614
+ </Component>
615
+ <Component Name="alternate text" Usage="X" Datatype="ST">
616
+ </Component>
617
+ <Component Name="name of alternate coding system" Usage="RE" Datatype="IS" Length="3" Table="0396">
618
+ <DataValues ExValue="UPC" />
619
+ </Component>
620
+ </Field>
621
+ <Field Name="Patient Address" Usage="RE" Min="0" Max="1" Datatype="XAD" Length="250" ItemNo="00114">
622
+ <Reference>3.4.2.11</Reference>
623
+ <Component Name="street address (SAD)" Usage="RE" Datatype="SAD" Length="49">
624
+ <SubComponent Name="street or mailing address" Usage="RE" Datatype="ST" Length="35">
625
+ <DataValues ExValue="100 MAIN STREET" />
626
+ </SubComponent>
627
+ <SubComponent Name="street name" Usage="X" Datatype="ST">
628
+ </SubComponent>
629
+ <SubComponent Name="dwelling number" Usage="X" Datatype="ST">
630
+ </SubComponent>
631
+ </Component>
632
+ <Component Name="other designation" Usage="X" Datatype="ST">
633
+ </Component>
634
+ <Component Name="city" Usage="RE" Datatype="ST" Length="15">
635
+ <DataValues ExValue="PORTLAND" />
636
+ </Component>
637
+ <Component Name="state or province" Usage="RE" Datatype="ST" Length="5">
638
+ <DataValues ExValue="OR" />
639
+ </Component>
640
+ <Component Name="zip or postal code" Usage="RE" Datatype="ST" Length="5">
641
+ <DataValues ExValue="76100" />
642
+ </Component>
643
+ <Component Name="country" Usage="X" Datatype="ID">
644
+ </Component>
645
+ <Component Name="address type" Usage="X" Datatype="ID" Table="0190">
646
+ </Component>
647
+ <Component Name="other geographic designation" Usage="X" Datatype="ST">
648
+ </Component>
649
+ <Component Name="county/parish code" Usage="X" Datatype="IS">
650
+ </Component>
651
+ <Component Name="census tract" Usage="X" Datatype="IS" Table="0288">
652
+ </Component>
653
+ <Component Name="address representation code" Usage="X" Datatype="ID" Table="0465">
654
+ </Component>
655
+ <Component Name="address validity range" Usage="X" Datatype="DR">
656
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
657
+ </SubComponent>
658
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
659
+ </SubComponent>
660
+ </Component>
661
+ </Field>
662
+ <Field Name="County Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="4" Table="0289" ItemNo="00115">
663
+ <Reference>3.4.2.12</Reference>
664
+ </Field>
665
+ <Field Name="Phone Number - Home" Usage="X" Min="0" Max="*" Datatype="XTN" Length="250" ItemNo="00116">
666
+ <Reference>3.4.2.13</Reference>
667
+ <Component Name="[(999)] 999-9999 [X99999][C any text]" Usage="O" Datatype="TN" Length="3">
668
+ </Component>
669
+ <Component Name="telecommunication use code" Usage="O" Datatype="ID" Length="3" Table="0201">
670
+ </Component>
671
+ <Component Name="telecommunication equipment type (ID)" Usage="O" Datatype="ID" Length="3" Table="0202">
672
+ </Component>
673
+ <Component Name="Email address" Usage="O" Datatype="ST" Length="3">
674
+ </Component>
675
+ <Component Name="Country Code" Usage="O" Datatype="NM" Length="3">
676
+ </Component>
677
+ <Component Name="Area/city code" Usage="O" Datatype="NM" Length="3">
678
+ </Component>
679
+ <Component Name="Phone number" Usage="O" Datatype="NM" Length="3">
680
+ </Component>
681
+ <Component Name="Extension" Usage="O" Datatype="NM" Length="3">
682
+ </Component>
683
+ <Component Name="any text" Usage="O" Datatype="ST" Length="3">
684
+ </Component>
685
+ </Field>
686
+ <Field Name="Phone Number - Business" Usage="X" Min="0" Max="*" Datatype="XTN" Length="250" ItemNo="00117">
687
+ <Reference>3.4.2.14</Reference>
688
+ <Component Name="[(999)] 999-9999 [X99999][C any text]" Usage="O" Datatype="TN" Length="3">
689
+ </Component>
690
+ <Component Name="telecommunication use code" Usage="O" Datatype="ID" Length="3" Table="0201">
691
+ </Component>
692
+ <Component Name="telecommunication equipment type (ID)" Usage="O" Datatype="ID" Length="3" Table="0202">
693
+ </Component>
694
+ <Component Name="Email address" Usage="O" Datatype="ST" Length="3">
695
+ </Component>
696
+ <Component Name="Country Code" Usage="O" Datatype="NM" Length="3">
697
+ </Component>
698
+ <Component Name="Area/city code" Usage="O" Datatype="NM" Length="3">
699
+ </Component>
700
+ <Component Name="Phone number" Usage="O" Datatype="NM" Length="3">
701
+ </Component>
702
+ <Component Name="Extension" Usage="O" Datatype="NM" Length="3">
703
+ </Component>
704
+ <Component Name="any text" Usage="O" Datatype="ST" Length="3">
705
+ </Component>
706
+ </Field>
707
+ <Field Name="Primary Language" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0296" ItemNo="00118">
708
+ <Reference>6.5.7.34</Reference>
709
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0296">
710
+ </Component>
711
+ <Component Name="text" Usage="X" Datatype="ST">
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="Marital Status" Usage="RE" Min="0" Max="1" Datatype="CE" Length="250" Table="0002" ItemNo="00119">
723
+ <Reference>15.4.6.17</Reference>
724
+ <Component Name="identifier" Usage="RE" Datatype="ST" Length="1" Table="0002">
725
+ <DataValues ExValue="M" />
726
+ </Component>
727
+ <Component Name="text" Usage="X" Datatype="ST">
728
+ </Component>
729
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
730
+ </Component>
731
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
732
+ </Component>
733
+ <Component Name="alternate text" Usage="X" Datatype="ST">
734
+ </Component>
735
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
736
+ </Component>
737
+ </Field>
738
+ <Field Name="Religion" Usage="RE" Min="0" Max="1" Datatype="CE" Length="250" Table="0006" ItemNo="00120">
739
+ <Reference>6.5.7.39</Reference>
740
+ <Component Name="identifier" Usage="RE" Datatype="ST" Length="2" Table="0006">
741
+ <DataValues ExValue="29" />
742
+ </Component>
743
+ <Component Name="text" Usage="X" Datatype="ST">
744
+ </Component>
745
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
746
+ </Component>
747
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
748
+ </Component>
749
+ <Component Name="alternate text" Usage="X" Datatype="ST">
750
+ </Component>
751
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
752
+ </Component>
753
+ </Field>
754
+ <Field Name="Patient Account Number" Usage="X" Min="0" Max="*" Datatype="CX" Length="250" ItemNo="00121">
755
+ <Reference>3.4.2.18</Reference>
756
+ <Component Name="ID" Usage="X" Datatype="ST">
757
+ </Component>
758
+ <Component Name="Check digit" Usage="X" Datatype="ST">
759
+ </Component>
760
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
761
+ </Component>
762
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
763
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
764
+ </SubComponent>
765
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
766
+ </SubComponent>
767
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
768
+ </SubComponent>
769
+ </Component>
770
+ <Component Name="identifier type code (ID)" Usage="X" Datatype="ID" Table="0203">
771
+ </Component>
772
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
773
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
774
+ </SubComponent>
775
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
776
+ </SubComponent>
777
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
778
+ </SubComponent>
779
+ </Component>
780
+ <Component Name="effective date (DT)" Usage="X" Datatype="DT">
781
+ </Component>
782
+ <Component Name="expiration date" Usage="X" Datatype="DT">
783
+ </Component>
784
+ </Field>
785
+ <Field Name="SSN Number - Patient" Usage="X" Min="0" Max="*" Datatype="ST" Length="16" ItemNo="00122">
786
+ <Reference>3.4.2.19</Reference>
787
+ <DataValues ExValue="000006663" />
788
+ </Field>
789
+ <Field Name="Driver's License Number - Patient" Usage="X" Min="0" Max="*" Datatype="DLN" Length="25" ItemNo="00123">
790
+ <Reference>3.4.2.20</Reference>
791
+ <Component Name="Driver's License Number" Usage="O" Datatype="ST" Length="3">
792
+ </Component>
793
+ <Component Name="Issuing State, province, country" Usage="O" Datatype="IS" Length="3" Table="0333">
794
+ </Component>
795
+ <Component Name="expiration date" Usage="O" Datatype="DT" Length="3">
796
+ </Component>
797
+ </Field>
798
+ <Field Name="Mother's Identifier" Usage="X" Min="0" Max="*" Datatype="CX" Length="250" ItemNo="00124">
799
+ <Reference>3.4.2.21</Reference>
800
+ <Component Name="ID" Usage="X" Datatype="ST">
801
+ </Component>
802
+ <Component Name="Check digit" Usage="X" Datatype="ST">
803
+ </Component>
804
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
805
+ </Component>
806
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
807
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
808
+ </SubComponent>
809
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
810
+ </SubComponent>
811
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
812
+ </SubComponent>
813
+ </Component>
814
+ <Component Name="identifier type code (ID)" Usage="X" Datatype="ID" Table="0203">
815
+ </Component>
816
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
817
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
818
+ </SubComponent>
819
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
820
+ </SubComponent>
821
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
822
+ </SubComponent>
823
+ </Component>
824
+ <Component Name="effective date (DT)" Usage="X" Datatype="DT">
825
+ </Component>
826
+ <Component Name="expiration date" Usage="X" Datatype="DT">
827
+ </Component>
828
+ </Field>
829
+ <Field Name="Ethnic Group" Usage="RE" Min="0" Max="1" Datatype="CE" Length="250" Table="0189" ItemNo="00125">
830
+ <Reference>15.4.6.28</Reference>
831
+ <Component Name="identifier" Usage="RE" Datatype="ST" Length="10" Table="0189">
832
+ <DataValues ExValue="2186-5-SLF" />
833
+ </Component>
834
+ <Component Name="text" Usage="X" Datatype="ST">
835
+ </Component>
836
+ <Component Name="name of coding system" Usage="RE" Datatype="IS" Length="6" Table="0396">
837
+ <DataValues ExValue="ACR" />
838
+ </Component>
839
+ <Component Name="alternate identifier" Usage="RE" Datatype="ST" Length="6">
840
+ <DataValues ExValue="2186-5" />
841
+ </Component>
842
+ <Component Name="alternate text" Usage="X" Datatype="ST">
843
+ </Component>
844
+ <Component Name="name of alternate coding system" Usage="RE" Datatype="IS" Length="6" Table="0396">
845
+ <DataValues ExValue="ART" />
846
+ </Component>
847
+ </Field>
848
+ <Field Name="Birth Place" Usage="X" Min="0" Max="*" Datatype="ST" Length="250" ItemNo="00126">
849
+ <Reference>3.4.2.23</Reference>
850
+ </Field>
851
+ <Field Name="Multiple Birth Indicator" Usage="X" Min="0" Max="*" Datatype="ID" Length="1" Table="0136" ItemNo="00127">
852
+ <Reference>3.4.2.24</Reference>
853
+ </Field>
854
+ <Field Name="Birth Order" Usage="X" Min="0" Max="*" Datatype="NM" Length="2" ItemNo="00128">
855
+ <Reference>3.4.2.25</Reference>
856
+ </Field>
857
+ <Field Name="Citizenship" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0171" ItemNo="00129">
858
+ <Reference>6.5.7.33</Reference>
859
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0171">
860
+ </Component>
861
+ <Component Name="text" Usage="X" Datatype="ST">
862
+ </Component>
863
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
864
+ </Component>
865
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
866
+ </Component>
867
+ <Component Name="alternate text" Usage="X" Datatype="ST">
868
+ </Component>
869
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
870
+ </Component>
871
+ </Field>
872
+ <Field Name="Veterans Military Status" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0172" ItemNo="00130">
873
+ <Reference>3.4.2.27</Reference>
874
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0172">
875
+ </Component>
876
+ <Component Name="text" Usage="X" Datatype="ST">
877
+ </Component>
878
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
879
+ </Component>
880
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
881
+ </Component>
882
+ <Component Name="alternate text" Usage="X" Datatype="ST">
883
+ </Component>
884
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
885
+ </Component>
886
+ </Field>
887
+ <Field Name="Nationality" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0212" ItemNo="00739">
888
+ <Reference>6.5.7.41</Reference>
889
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0212">
890
+ </Component>
891
+ <Component Name="text" Usage="O" Datatype="ST" Length="3">
892
+ </Component>
893
+ <Component Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
894
+ </Component>
895
+ <Component Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
896
+ </Component>
897
+ <Component Name="alternate text" Usage="O" Datatype="ST" Length="3">
898
+ </Component>
899
+ <Component Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
900
+ </Component>
901
+ </Field>
902
+ <Field Name="Patient Death Date and Time" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="00740">
903
+ <Reference>3.4.2.29</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="Patient Death Indicator" Usage="X" Min="0" Max="*" Datatype="ID" Length="1" Table="0136" ItemNo="00741">
916
+ <Reference>3.4.2.30</Reference>
917
+ </Field>
918
+ <Field Name="Identity Unknown Indicator" Usage="X" Min="0" Max="*" Datatype="ID" Length="1" Table="0136" ItemNo="01535">
919
+ <Reference>3.4.2.31</Reference>
920
+ </Field>
921
+ <Field Name="Identity Reliability Code" Usage="X" Min="0" Max="*" Datatype="IS" Length="20" Table="0445" ItemNo="01536">
922
+ <Reference>3.4.2.32</Reference>
923
+ </Field>
924
+ <Field Name="Last Update Date/Time" Usage="X" Min="0" Max="*" Datatype="TS" Length="26" ItemNo="01537">
925
+ <Reference>3.4.2.33</Reference>
926
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
927
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
928
+ </ImpNote>
929
+ <DataValues ExValue="20040328134602.1234+0600" />
930
+ </Component>
931
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
932
+ <ImpNote>Retained for backward compatibility only
933
+ </ImpNote>
934
+ <DataValues ExValue="D" />
935
+ </Component>
936
+ </Field>
937
+ <Field Name="Last Update Facility" Usage="X" Min="0" Max="*" Datatype="HD" Length="40" ItemNo="01538">
938
+ <Reference>3.4.2.34</Reference>
939
+ <Component Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
940
+ </Component>
941
+ <Component Name="universal ID" Usage="O" Datatype="ST" Length="3">
942
+ </Component>
943
+ <Component Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
944
+ </Component>
945
+ </Field>
946
+ <Field Name="Species Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0446" ItemNo="01539">
947
+ <Reference>3.4.2.35</Reference>
948
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0446">
949
+ </Component>
950
+ <Component Name="text" Usage="X" Datatype="ST">
951
+ </Component>
952
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
953
+ </Component>
954
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
955
+ </Component>
956
+ <Component Name="alternate text" Usage="X" Datatype="ST">
957
+ </Component>
958
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
959
+ </Component>
960
+ </Field>
961
+ <Field Name="Breed Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0447" ItemNo="01540">
962
+ <Reference>3.4.2.36</Reference>
963
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0447">
964
+ </Component>
965
+ <Component Name="text" Usage="X" Datatype="ST">
966
+ </Component>
967
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
968
+ </Component>
969
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
970
+ </Component>
971
+ <Component Name="alternate text" Usage="X" Datatype="ST">
972
+ </Component>
973
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
974
+ </Component>
975
+ </Field>
976
+ <Field Name="Strain" Usage="X" Min="0" Max="*" Datatype="ST" Length="80" ItemNo="01541">
977
+ <Reference>3.4.2.37</Reference>
978
+ </Field>
979
+ <Field Name="Production Class Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0429" ItemNo="01542">
980
+ <Reference>3.4.2.38</Reference>
981
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0429">
982
+ </Component>
983
+ <Component Name="text" Usage="X" Datatype="ST">
984
+ </Component>
985
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
986
+ </Component>
987
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
988
+ </Component>
989
+ <Component Name="alternate text" Usage="X" Datatype="ST">
990
+ </Component>
991
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
992
+ </Component>
993
+ </Field>
994
+ </Segment>
995
+ <Segment Name="IAM" LongName="Patient adverse reaction information - unique iden" Usage="R" Min="1" Max="*">
996
+ <Field Name="Set ID - IAM" Usage="R" Min="1" Max="1" Datatype="SI" Length="4" ItemNo="01612">
997
+ <Reference>3.4.7.1</Reference>
998
+ <DataValues ExValue="2" />
999
+ </Field>
1000
+ <Field Name="Allergen Type Code" Usage="R" Min="1" Max="1" Datatype="CE" Length="250" Table="0127" ItemNo="00204">
1001
+ <Reference>3.4.7.2</Reference>
1002
+ <Component Name="identifier" Usage="R" Datatype="ST" Length="3" Table="0127">
1003
+ <DataValues ExValue="F" />
1004
+ </Component>
1005
+ <Component Name="text" Usage="X" Datatype="ST">
1006
+ </Component>
1007
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1008
+ </Component>
1009
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1010
+ </Component>
1011
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1012
+ </Component>
1013
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1014
+ </Component>
1015
+ </Field>
1016
+ <Field Name="Allergen Code/Mnemonic/Description" Usage="R" Min="1" Max="1" Datatype="CE" Length="250" ItemNo="00205">
1017
+ <Reference>3.4.7.3</Reference>
1018
+ <Component Name="identifier" Usage="R" Datatype="ST" Length="60">
1019
+ <DataValues ExValue="GLUTENS" />
1020
+ </Component>
1021
+ <Component Name="text" Usage="X" Datatype="ST">
1022
+ </Component>
1023
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1024
+ </Component>
1025
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1026
+ </Component>
1027
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1028
+ </Component>
1029
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1030
+ </Component>
1031
+ </Field>
1032
+ <Field Name="Allergy Severity Code" Usage="R" Min="1" Max="1" Datatype="CE" Length="250" Table="0128" ItemNo="00206">
1033
+ <Reference>3.4.7.4</Reference>
1034
+ <Component Name="identifier" Usage="R" Datatype="ST" Length="2" Table="0128">
1035
+ <DataValues ExValue="MO" />
1036
+ </Component>
1037
+ <Component Name="text" Usage="X" Datatype="ST">
1038
+ </Component>
1039
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1040
+ </Component>
1041
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1042
+ </Component>
1043
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1044
+ </Component>
1045
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1046
+ </Component>
1047
+ </Field>
1048
+ <Field Name="Allergy Reaction Code" Usage="RE" Min="0" Max="*" Datatype="ST" Length="15" ItemNo="00207">
1049
+ <Reference>3.4.7.5</Reference>
1050
+ <DataValues ExValue="DROWSY" />
1051
+ </Field>
1052
+ <Field Name="Allergy Action Code" Usage="R" Min="1" Max="1" Datatype="CNE" Length="250" Table="0323" ItemNo="01551">
1053
+ <Reference>3.4.7.6</Reference>
1054
+ <Component Name="identifier (ST)" Usage="R" Datatype="ST" Length="3" Table="0323">
1055
+ <DataValues ExValue="U" />
1056
+ </Component>
1057
+ <Component Name="text" Usage="X" Datatype="ST">
1058
+ </Component>
1059
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1060
+ </Component>
1061
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1062
+ </Component>
1063
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1064
+ </Component>
1065
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1066
+ </Component>
1067
+ <Component Name="coding system version ID" Usage="X" Datatype="ST">
1068
+ </Component>
1069
+ <Component Name="alternate coding system version ID" Usage="X" Datatype="ST">
1070
+ </Component>
1071
+ <Component Name="original text" Usage="X" Datatype="ST">
1072
+ </Component>
1073
+ </Field>
1074
+ <Field Name="Allergy Unique Identifier" Usage="R" Min="1" Max="1" Datatype="EI" Length="80" ItemNo="01552">
1075
+ <Reference>3.4.7.7</Reference>
1076
+ <Component Name="entity identifier" Usage="R" Datatype="ST" Length="80">
1077
+ <DataValues ExValue="168;GMRD(120.82," />
1078
+ </Component>
1079
+ <Component Name="namespace ID" Usage="X" Datatype="IS" Table="0363">
1080
+ </Component>
1081
+ <Component Name="universal ID" Usage="X" Datatype="ST">
1082
+ </Component>
1083
+ <Component Name="universal ID type" Usage="X" Datatype="ID" Table="0301">
1084
+ </Component>
1085
+ </Field>
1086
+ <Field Name="Action Reason" Usage="X" Min="0" Max="*" Datatype="ST" Length="60" ItemNo="01553">
1087
+ <Reference>3.4.7.8</Reference>
1088
+ </Field>
1089
+ <Field Name="Sensitivity to Causative Agent Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0436" ItemNo="01554">
1090
+ <Reference>3.4.7.9</Reference>
1091
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0436">
1092
+ </Component>
1093
+ <Component Name="text" Usage="X" Datatype="ST">
1094
+ </Component>
1095
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1096
+ </Component>
1097
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1098
+ </Component>
1099
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1100
+ </Component>
1101
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1102
+ </Component>
1103
+ </Field>
1104
+ <Field Name="Allergen Group Code/Mnemonic/Description" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" ItemNo="01555">
1105
+ <Reference>3.4.7.10</Reference>
1106
+ <Component Name="identifier" Usage="X" Datatype="ST">
1107
+ </Component>
1108
+ <Component Name="text" Usage="X" Datatype="ST">
1109
+ </Component>
1110
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1111
+ </Component>
1112
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1113
+ </Component>
1114
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1115
+ </Component>
1116
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1117
+ </Component>
1118
+ </Field>
1119
+ <Field Name="Onset Date" Usage="X" Min="0" Max="*" Datatype="DT" Length="8" ItemNo="01556">
1120
+ <Reference>3.4.7.11</Reference>
1121
+ </Field>
1122
+ <Field Name="Onset Date Text" Usage="X" Min="0" Max="*" Datatype="ST" Length="60" ItemNo="01557">
1123
+ <Reference>3.4.7.12</Reference>
1124
+ </Field>
1125
+ <Field Name="Reported Date/Time" Usage="X" Min="0" Max="*" Datatype="TS" Length="8" ItemNo="01558">
1126
+ <Reference>3.4.7.13</Reference>
1127
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
1128
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
1129
+ </ImpNote>
1130
+ <DataValues ExValue="20040328134602.1234+0600" />
1131
+ </Component>
1132
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
1133
+ <ImpNote>Retained for backward compatibility only
1134
+ </ImpNote>
1135
+ <DataValues ExValue="D" />
1136
+ </Component>
1137
+ </Field>
1138
+ <Field Name="Reported By" Usage="X" Min="0" Max="*" Datatype="XPN" Length="250" ItemNo="01559">
1139
+ <Reference>3.4.7.14</Reference>
1140
+ <Component Name="family name" Usage="X" Datatype="FN">
1141
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
1142
+ </SubComponent>
1143
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
1144
+ </SubComponent>
1145
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
1146
+ </SubComponent>
1147
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
1148
+ </SubComponent>
1149
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
1150
+ </SubComponent>
1151
+ </Component>
1152
+ <Component Name="given name" Usage="X" Datatype="ST">
1153
+ </Component>
1154
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
1155
+ </Component>
1156
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
1157
+ </Component>
1158
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
1159
+ </Component>
1160
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
1161
+ </Component>
1162
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
1163
+ </Component>
1164
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
1165
+ </Component>
1166
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
1167
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
1168
+ </SubComponent>
1169
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
1170
+ </SubComponent>
1171
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1172
+ </SubComponent>
1173
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
1174
+ </SubComponent>
1175
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
1176
+ </SubComponent>
1177
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1178
+ </SubComponent>
1179
+ </Component>
1180
+ <Component Name="name validity range" Usage="X" Datatype="DR">
1181
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
1182
+ </SubComponent>
1183
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
1184
+ </SubComponent>
1185
+ </Component>
1186
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
1187
+ </Component>
1188
+ </Field>
1189
+ <Field Name="Relationship to Patient Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0063" ItemNo="01560">
1190
+ <Reference>3.4.7.15</Reference>
1191
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0063">
1192
+ </Component>
1193
+ <Component Name="text" Usage="X" Datatype="ST">
1194
+ </Component>
1195
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1196
+ </Component>
1197
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1198
+ </Component>
1199
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1200
+ </Component>
1201
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1202
+ </Component>
1203
+ </Field>
1204
+ <Field Name="Alert Device Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0437" ItemNo="01561">
1205
+ <Reference>3.4.7.16</Reference>
1206
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0437">
1207
+ </Component>
1208
+ <Component Name="text" Usage="X" Datatype="ST">
1209
+ </Component>
1210
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1211
+ </Component>
1212
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1213
+ </Component>
1214
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1215
+ </Component>
1216
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1217
+ </Component>
1218
+ </Field>
1219
+ <Field Name="Allergy Clinical Status Code" Usage="X" Min="0" Max="*" Datatype="CE" Length="250" Table="0438" ItemNo="01562">
1220
+ <Reference>3.4.7.17</Reference>
1221
+ <Component Name="identifier" Usage="X" Datatype="ST" Table="0438">
1222
+ </Component>
1223
+ <Component Name="text" Usage="X" Datatype="ST">
1224
+ </Component>
1225
+ <Component Name="name of coding system" Usage="X" Datatype="IS" Table="0396">
1226
+ </Component>
1227
+ <Component Name="alternate identifier" Usage="X" Datatype="ST">
1228
+ </Component>
1229
+ <Component Name="alternate text" Usage="X" Datatype="ST">
1230
+ </Component>
1231
+ <Component Name="name of alternate coding system" Usage="X" Datatype="IS" Table="0396">
1232
+ </Component>
1233
+ </Field>
1234
+ <Field Name="Statused by Person" Usage="X" Min="0" Max="*" Datatype="XCN" Length="250" ItemNo="01563">
1235
+ <Reference>3.4.7.18</Reference>
1236
+ <Component Name="ID number (ST)" Usage="X" Datatype="ST">
1237
+ </Component>
1238
+ <Component Name="family name" Usage="X" Datatype="FN">
1239
+ <SubComponent Name="surname" Usage="O" Datatype="ST" Length="3">
1240
+ </SubComponent>
1241
+ <SubComponent Name="own surname prefix" Usage="O" Datatype="ST" Length="3">
1242
+ </SubComponent>
1243
+ <SubComponent Name="own surname" Usage="O" Datatype="ST" Length="3">
1244
+ </SubComponent>
1245
+ <SubComponent Name="surname prefix from partner/spouse" Usage="O" Datatype="ST" Length="3">
1246
+ </SubComponent>
1247
+ <SubComponent Name="surname from partner/spouse" Usage="O" Datatype="ST" Length="3">
1248
+ </SubComponent>
1249
+ </Component>
1250
+ <Component Name="given name" Usage="X" Datatype="ST">
1251
+ </Component>
1252
+ <Component Name="second and further given names or initials thereof" Usage="X" Datatype="ST">
1253
+ </Component>
1254
+ <Component Name="suffix (e.g., JR or III)" Usage="X" Datatype="ST">
1255
+ </Component>
1256
+ <Component Name="prefix (e.g., DR)" Usage="X" Datatype="ST">
1257
+ </Component>
1258
+ <Component Name="degree (e.g., MD)" Usage="X" Datatype="IS" Table="0360">
1259
+ </Component>
1260
+ <Component Name="source table" Usage="X" Datatype="IS" Table="0297">
1261
+ </Component>
1262
+ <Component Name="assigning authority" Usage="X" Datatype="HD">
1263
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1264
+ </SubComponent>
1265
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1266
+ </SubComponent>
1267
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1268
+ </SubComponent>
1269
+ </Component>
1270
+ <Component Name="name type code" Usage="X" Datatype="ID" Table="0200">
1271
+ </Component>
1272
+ <Component Name="identifier check digit" Usage="X" Datatype="ST">
1273
+ </Component>
1274
+ <Component Name="code identifying the check digit scheme employed" Usage="X" Datatype="ID" Table="0061">
1275
+ </Component>
1276
+ <Component Name="identifier type code (IS)" Usage="X" Datatype="IS">
1277
+ </Component>
1278
+ <Component Name="assigning facility" Usage="X" Datatype="HD">
1279
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1280
+ </SubComponent>
1281
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1282
+ </SubComponent>
1283
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1284
+ </SubComponent>
1285
+ </Component>
1286
+ <Component Name="Name Representation code" Usage="X" Datatype="ID" Table="0465">
1287
+ </Component>
1288
+ <Component Name="name context" Usage="X" Datatype="CE" Table="0448">
1289
+ <SubComponent Name="identifier" Usage="O" Datatype="ST" Table="0448">
1290
+ </SubComponent>
1291
+ <SubComponent Name="text" Usage="O" Datatype="ST" Length="3">
1292
+ </SubComponent>
1293
+ <SubComponent Name="name of coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1294
+ </SubComponent>
1295
+ <SubComponent Name="alternate identifier" Usage="O" Datatype="ST" Length="3">
1296
+ </SubComponent>
1297
+ <SubComponent Name="alternate text" Usage="O" Datatype="ST" Length="3">
1298
+ </SubComponent>
1299
+ <SubComponent Name="name of alternate coding system" Usage="O" Datatype="IS" Length="3" Table="0396">
1300
+ </SubComponent>
1301
+ </Component>
1302
+ <Component Name="name validity range" Usage="X" Datatype="DR">
1303
+ <SubComponent Name="range start date/time" Usage="X" Datatype="TS">
1304
+ </SubComponent>
1305
+ <SubComponent Name="range end date/time" Usage="X" Datatype="TS">
1306
+ </SubComponent>
1307
+ </Component>
1308
+ <Component Name="name assembly order" Usage="X" Datatype="ID" Table="0444">
1309
+ </Component>
1310
+ </Field>
1311
+ <Field Name="Statused by Organization" Usage="X" Min="0" Max="*" Datatype="XON" Length="250" ItemNo="01564">
1312
+ <Reference>3.4.7.19</Reference>
1313
+ <Component Name="organization name" Usage="O" Datatype="ST" Length="3">
1314
+ </Component>
1315
+ <Component Name="organization name type code" Usage="O" Datatype="IS" Length="3" Table="0204">
1316
+ </Component>
1317
+ <Component Name="ID number (NM)" Usage="O" Datatype="NM" Length="3">
1318
+ </Component>
1319
+ <Component Name="check digit" Usage="O" Datatype="NM" Length="3">
1320
+ </Component>
1321
+ <Component Name="code identifying the check digit scheme employed" Usage="O" Datatype="ID" Length="3" Table="0061">
1322
+ </Component>
1323
+ <Component Name="assigning authority" Usage="O" Datatype="HD" Length="11">
1324
+ <SubComponent Name="namespace ID" Usage="O" Datatype="IS" Length="3" Table="0363">
1325
+ </SubComponent>
1326
+ <SubComponent Name="universal ID" Usage="O" Datatype="ST" Length="3">
1327
+ </SubComponent>
1328
+ <SubComponent Name="universal ID type" Usage="O" Datatype="ID" Length="3" Table="0301">
1329
+ </SubComponent>
1330
+ </Component>
1331
+ <Component Name="identifier type code (IS)" Usage="O" Datatype="IS" Length="3">
1332
+ </Component>
1333
+ <Component Name="assigning facility ID" Usage="O" Datatype="HD" Length="11" Table="0300">
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="Name Representation code" Usage="O" Datatype="ID" Length="3" Table="0465">
1342
+ </Component>
1343
+ </Field>
1344
+ <Field Name="Statused at Date/Time" Usage="X" Min="0" Max="*" Datatype="TS" Length="8" ItemNo="01565">
1345
+ <Reference>3.4.7.20</Reference>
1346
+ <Component Name="Date/Time" Usage="X" Datatype="NM">
1347
+ <ImpNote>YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
1348
+ </ImpNote>
1349
+ <DataValues ExValue="20040328134602.1234+0600" />
1350
+ </Component>
1351
+ <Component Name="degree of precision" Usage="X" Datatype="ST">
1352
+ <ImpNote>Retained for backward compatibility only
1353
+ </ImpNote>
1354
+ <DataValues ExValue="D" />
1355
+ </Component>
1356
+ </Field>
1357
+ </Segment>
1358
+ </HL7v2xStaticDef>
1359
+ </HL7v2xConformanceProfile>
1360
+