This section shows some implementation examples for parsing HL7 text messages and convert it to a usable JSON format.
It's not an AX library component, but it's shown here for convenience.
1 Using external Python library
We can use a Phyton library converts HL7 message to JSON format. Then run the
phyton command as a system process using Ax.lang.ProcessBuilder.
To read more about hl7tojson click the link
1.1 Install hl7tojson
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# pip install --upgrade pip # pip install hl7tojson
1.2 HL7 Message to JSON
Use the following python code as an example of using hl7tojson library to convert a HL7 message to a JSON string
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from hl7tojson import parser
import json
message = '\r'.join([
'MSH|^~\&|MegaReg|XYZHospC|SuperOE|XYZImgCtr|20060529090131-0500||ADT^A01^ADT_A01|01052901|P|2.5',
'EVN||200605290901||||200605290900',
'PID|||56782445^^^UAReg^PI||KLEINSAMPLE^BARRY^Q^JR||19620910|M||2028-9^^HL70005^RA99113^^XYZ|260 GOODWIN CREST '
'DRIVE^^BIRMINGHAM^AL^35209^^M~NICKELLS PICKLES^10000 W 100TH '
'AVE^BIRMINGHAM^AL^35200^^O|||||||0105I30001^^^99DEF^AN',
'PV1||I|W^389^1^UABH^^^^3||||12345^MORGAN^REX^J^^^MD^0010^UAMC^L||67890^GRAINGER^LUCY^X^^^MD^0010^UAMC^L|MED'
'|||||A0||13579^POTTER^SHERMAN^T^^^MD^0010^UAMC^L|||||||||||||||||||||||||||200605290900',
'OBX|1|NM|^Body Height||1.80|m^Meter^ISO+|||||F',
'OBX|2|NM|^Body Weight||79|kg^Kilogram^ISO+|||||F',
'AL1|1||^ASPIRIN',
'DG1|1||786.50^CHEST PAIN, UNSPECIFIED^I9|||A'
])
# covert hl7 message to json object
obj = parser.parse(message)
# Convert JSON to String and replace the u' unicode prefix on strings
text = json.dumps(obj).replace("u'", "'")
print text
{
"info": {
"message_version": "27",
"message_type": "ADT_A01",
"message_description": "Admit/Visit Notification"
},
"segments": [
{
"fields": [
{
"repetitions": [],
"data": "|",
"id": 1,
"description": "Field Separator"
},
{
"repetitions": [],
"data": "^~\\&",
"id": 2,
"description": "Encoding Characters"
},
{
"repetitions": [],
"data": "MegaReg",
"id": 3,
"description": "Sending Application"
},
{
"repetitions": [],
"data": "XYZHospC",
"id": 4,
"description": "Sending Facility"
},
{
"repetitions": [],
"data": "SuperOE",
"id": 5,
"description": "Receiving Application"
},
{
"repetitions": [],
"data": "XYZImgCtr",
"id": 6,
"description": "Receiving Facility"
},
{
"repetitions": [],
"data": "20060529090131-0500",
"id": 7,
"description": "Date/Time of Message"
},
{
"repetitions": [
{
"data": "ADT^A01^ADT_A01",
"description": "Message Type",
"components": [
{
"data": "ADT",
"id": 1,
"description": "Message Code"
},
{
"data": "A01",
"id": 2,
"description": "Trigger Event"
},
{
"data": "ADT_A01",
"id": 3,
"description": "Message Structure"
}
]
}
],
"data": "ADT^A01^ADT_A01",
"id": 9,
"description": "Message Type"
},
{
"repetitions": [],
"data": "01052901",
"id": 10,
"description": "Message Control ID"
},
{
"repetitions": [],
"data": "P",
"id": 11,
"description": "Processing ID"
},
{
"repetitions": [],
"data": "2.5",
"id": 12,
"description": "Version ID"
}
],
"type": "MSH",
"description": "Message Header"
},
{
"fields": [
{
"repetitions": [],
"data": "200605290901",
"id": 2,
"description": "Recorded Date/Time "
},
{
"repetitions": [],
"data": "200605290900",
"id": 6,
"description": "Event Occurred"
}
],
"type": "EVN",
"description": "Event Type"
},
{
"fields": [
{
"repetitions": [
{
"data": "56782445^^^UAReg^PI",
"description": "Patient Identifier List",
"components": [
{
"data": "56782445",
"id": 1,
"description": "ID Number"
},
{
"data": "UAReg",
"id": 4,
"description": "Assigning Authority"
},
{
"data": "PI",
"id": 5,
"description": "Identifier Type Code"
}
]
}
],
"data": "56782445^^^UAReg^PI",
"id": 3,
"description": "Patient Identifier List"
},
{
"repetitions": [
{
"data": "KLEINSAMPLE^BARRY^Q^JR",
"description": "Patient Name",
"components": [
{
"data": "KLEINSAMPLE",
"id": 1,
"description": "Family Name"
},
{
"data": "BARRY",
"id": 2,
"description": "Given Name"
},
{
"data": "Q",
"id": 3,
"description": "Second and Further Given Names or Initials Thereof"
},
{
"data": "JR",
"id": 4,
"description": "Suffix (e.g., JR or III)"
}
]
}
],
"data": "KLEINSAMPLE^BARRY^Q^JR",
"id": 5,
"description": "Patient Name"
},
{
"repetitions": [],
"data": "19620910",
"id": 7,
"description": "Date/Time of Birth"
},
{
"repetitions": [],
"data": "M",
"id": 8,
"description": "Administrative Sex"
},
{
"repetitions": [
{
"data": "2028-9^^HL70005^RA99113^^XYZ",
"description": "Race",
"components": [
{
"data": "2028-9",
"id": 1,
"description": "Identifier"
},
{
"data": "HL70005",
"id": 3,
"description": "Name of Coding System"
},
{
"data": "RA99113",
"id": 4,
"description": "Alternate Identifier"
},
{
"data": "XYZ",
"id": 6,
"description": "Name of Alternate Coding System"
}
]
}
],
"data": "2028-9^^HL70005^RA99113^^XYZ",
"id": 10,
"description": "Race"
},
{
"repetitions": [
{
"data": "260 GOODWIN CREST DRIVE^^BIRMINGHAM^AL^35209^^M",
"description": "Patient Address",
"components": [
{
"data": "260 GOODWIN CREST DRIVE",
"id": 1,
"description": "Street Address"
},
{
"data": "BIRMINGHAM",
"id": 3,
"description": "City"
},
{
"data": "AL",
"id": 4,
"description": "State or Province"
},
{
"data": "35209",
"id": 5,
"description": "Zip or Postal Code"
},
{
"data": "M",
"id": 7,
"description": "Address Type"
}
]
},
{
"data": "NICKELL\u2019S PICKLES^10000 W 100TH AVE^BIRMINGHAM^AL^35200^^O",
"description": "Patient Address",
"components": [
{
"data": "NICKELL\u2019S PICKLES",
"id": 1,
"description": "Street Address"
},
{
"data": "10000 W 100TH AVE",
"id": 2,
"description": "Other Designation"
},
{
"data": "BIRMINGHAM",
"id": 3,
"description": "City"
},
{
"data": "AL",
"id": 4,
"description": "State or Province"
},
{
"data": "35200",
"id": 5,
"description": "Zip or Postal Code"
},
{
"data": "O",
"id": 7,
"description": "Address Type"
}
]
}
],
"data": "260 GOODWIN CREST DRIVE^^BIRMINGHAM^AL^35209^^M~NICKELL\u2019S PICKLES^10000 W 100TH AVE^BIRMINGHAM^AL^35200^^O",
"id": 11,
"description": "Patient Address"
},
{
"repetitions": [
{
"data": "0105I30001^^^99DEF^AN",
"description": "Patient Account Number",
"components": [
{
"data": "0105I30001",
"id": 1,
"description": "ID Number"
},
{
"data": "99DEF",
"id": 4,
"description": "Assigning Authority"
},
{
"data": "AN",
"id": 5,
"description": "Identifier Type Code"
}
]
}
],
"data": "0105I30001^^^99DEF^AN",
"id": 18,
"description": "Patient Account Number"
}
],
"type": "PID",
"description": "Patient Identification"
},
{
"fields": [
{
"repetitions": [],
"data": "I",
"id": 2,
"description": "Patient Class"
},
{
"repetitions": [
{
"data": "W^389^1^UABH^^^^3",
"description": "Assigned Patient Location",
"components": [
{
"data": "W",
"id": 1,
"description": "Point of Care"
},
{
"data": "389",
"id": 2,
"description": "Room"
},
{
"data": "1",
"id": 3,
"description": "Bed"
},
{
"data": "UABH",
"id": 4,
"description": "Facility"
},
{
"data": "3",
"id": 8,
"description": "Floor"
}
]
}
],
"data": "W^389^1^UABH^^^^3",
"id": 3,
"description": "Assigned Patient Location"
},
{
"repetitions": [
{
"data": "12345^MORGAN^REX^J^^^MD^0010^UAMC^L",
"description": "Attending Doctor",
"components": [
{
"data": "12345",
"id": 1,
"description": "Person Identifier"
},
{
"data": "MORGAN",
"id": 2,
"description": "Family Name"
},
{
"data": "REX",
"id": 3,
"description": "Given Name"
},
{
"data": "J",
"id": 4,
"description": "Second and Further Given Names or Initials Thereof"
},
{
"data": "MD",
"id": 7,
"description": "Degree (e.g., MD)"
},
{
"data": "0010",
"id": 8,
"description": "Source Table"
},
{
"data": "UAMC",
"id": 9,
"description": "Assigning Authority"
},
{
"data": "L",
"id": 10,
"description": "Name Type Code"
}
]
}
],
"data": "12345^MORGAN^REX^J^^^MD^0010^UAMC^L",
"id": 7,
"description": "Attending Doctor"
},
{
"repetitions": [
{
"data": "67890^GRAINGER^LUCY^X^^^MD^0010^UAMC^L",
"description": "Consulting Doctor",
"components": [
{
"data": "67890",
"id": 1,
"description": "Person Identifier"
},
{
"data": "GRAINGER",
"id": 2,
"description": "Family Name"
},
{
"data": "LUCY",
"id": 3,
"description": "Given Name"
},
{
"data": "X",
"id": 4,
"description": "Second and Further Given Names or Initials Thereof"
},
{
"data": "MD",
"id": 7,
"description": "Degree (e.g., MD)"
},
{
"data": "0010",
"id": 8,
"description": "Source Table"
},
{
"data": "UAMC",
"id": 9,
"description": "Assigning Authority"
},
{
"data": "L",
"id": 10,
"description": "Name Type Code"
}
]
}
],
"data": "67890^GRAINGER^LUCY^X^^^MD^0010^UAMC^L",
"id": 9,
"description": "Consulting Doctor"
},
{
"repetitions": [],
"data": "MED",
"id": 10,
"description": "Hospital Service"
},
{
"repetitions": [],
"data": "A0",
"id": 15,
"description": "Ambulatory Status"
},
{
"repetitions": [
{
"data": "13579^POTTER^SHERMAN^T^^^MD^0010^UAMC^L",
"description": "Admitting Doctor",
"components": [
{
"data": "13579",
"id": 1,
"description": "Person Identifier"
},
{
"data": "POTTER",
"id": 2,
"description": "Family Name"
},
{
"data": "SHERMAN",
"id": 3,
"description": "Given Name"
},
{
"data": "T",
"id": 4,
"description": "Second and Further Given Names or Initials Thereof"
},
{
"data": "MD",
"id": 7,
"description": "Degree (e.g., MD)"
},
{
"data": "0010",
"id": 8,
"description": "Source Table"
},
{
"data": "UAMC",
"id": 9,
"description": "Assigning Authority"
},
{
"data": "L",
"id": 10,
"description": "Name Type Code"
}
]
}
],
"data": "13579^POTTER^SHERMAN^T^^^MD^0010^UAMC^L",
"id": 17,
"description": "Admitting Doctor"
},
{
"repetitions": [],
"data": "200605290900",
"id": 44,
"description": "Admit Date/Time"
}
],
"type": "PV1",
"description": "Patient Visit"
},
{
"fields": [
{
"repetitions": [],
"data": "1",
"id": 1,
"description": "Set ID - OBX"
},
{
"repetitions": [],
"data": "NM",
"id": 2,
"description": "Value Type"
},
{
"repetitions": [
{
"data": "^Body Height",
"description": "Observation Identifier",
"components": [
{
"data": "Body Height",
"id": 2,
"description": "Text"
}
]
}
],
"data": "^Body Height",
"id": 3,
"description": "Observation Identifier"
},
{
"repetitions": [],
"data": "1.80",
"id": 5,
"description": "Observation Value"
},
{
"repetitions": [
{
"data": "m^Meter^ISO+",
"description": "Units",
"components": [
{
"data": "m",
"id": 1,
"description": "Identifier"
},
{
"data": "Meter",
"id": 2,
"description": "Text"
},
{
"data": "ISO+",
"id": 3,
"description": "Name of Coding System"
}
]
}
],
"data": "m^Meter^ISO+",
"id": 6,
"description": "Units"
},
{
"repetitions": [],
"data": "F",
"id": 11,
"description": "Observation Result Status"
}
],
"type": "OBX",
"description": "Observation/Result"
},
{
"fields": [
{
"repetitions": [],
"data": "2",
"id": 1,
"description": "Set ID - OBX"
},
{
"repetitions": [],
"data": "NM",
"id": 2,
"description": "Value Type"
},
{
"repetitions": [
{
"data": "^Body Weight",
"description": "Observation Identifier",
"components": [
{
"data": "Body Weight",
"id": 2,
"description": "Text"
}
]
}
],
"data": "^Body Weight",
"id": 3,
"description": "Observation Identifier"
},
{
"repetitions": [],
"data": "79",
"id": 5,
"description": "Observation Value"
},
{
"repetitions": [
{
"data": "kg^Kilogram^ISO+",
"description": "Units",
"components": [
{
"data": "kg",
"id": 1,
"description": "Identifier"
},
{
"data": "Kilogram",
"id": 2,
"description": "Text"
},
{
"data": "ISO+",
"id": 3,
"description": "Name of Coding System"
}
]
}
],
"data": "kg^Kilogram^ISO+",
"id": 6,
"description": "Units"
},
{
"repetitions": [],
"data": "F",
"id": 11,
"description": "Observation Result Status"
}
],
"type": "OBX",
"description": "Observation/Result"
},
{
"fields": [
{
"repetitions": [],
"data": "1",
"id": 1,
"description": "Set ID - AL1"
},
{
"repetitions": [
{
"data": "^ASPIRIN",
"description": "Allergen Code/Mnemonic/Description",
"components": [
{
"data": "ASPIRIN",
"id": 2,
"description": "Text"
}
]
}
],
"data": "^ASPIRIN",
"id": 3,
"description": "Allergen Code/Mnemonic/Description"
}
],
"type": "AL1",
"description": "Patient Allergy Information"
},
{
"fields": [
{
"repetitions": [],
"data": "1",
"id": 1,
"description": "Set ID - DG1"
},
{
"repetitions": [
{
"data": "786.50^CHEST PAIN, UNSPECIFIED^I9",
"description": "Diagnosis Code - DG1 ",
"components": [
{
"data": "786.50",
"id": 1,
"description": "Identifier"
},
{
"data": "CHEST PAIN, UNSPECIFIED",
"id": 2,
"description": "Text"
},
{
"data": "I9",
"id": 3,
"description": "Name of Coding System"
}
]
}
],
"data": "786.50^CHEST PAIN, UNSPECIFIED^I9",
"id": 3,
"description": "Diagnosis Code - DG1 "
},
{
"repetitions": [],
"data": "A",
"id": 6,
"description": "Diagnosis Type"
}
],
"type": "DG1",
"description": "Diagnosis"
}
]
}
2 Simple JavaScript Parser
This simple HL7 parser, returns an Array including each HL7 segments. All contents like fields, components, etc. are parsed as array elements, so you can retrieve it by index.
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function HL7SimpleParser(hl7text) {
function splitData(data, separator, simple) {
splitArr = data.split(separator);
if (simple && splitArr.length == 1) {
return data;
} else {
return splitArr;
}
}
let MessageSegments = [];
// El separador de segmentos es \r porque algunos campos pueden llevar
// documentos o imagenes que incluyan \n en su contenido
let SegmentSep = "\r";
let FieldSep = "|";
let ElementSep = "^";
let ComponentSep = "~";
let segmentArr = hl7text.split(SegmentSep);
for (let segmentRaw of segmentArr) {
let mshSegment = false;
if (segmentRaw.match(/^MSH/)) {
mshSegment = true;
FieldSep = segmentRaw.substr(3, 1);
ElementSep = segmentRaw.substr(4, 1);
ComponentSep = segmentRaw.substr(5, 1);
SubComponentSep = segmentRaw.substr(6, 1);
}
fields = splitData(segmentRaw, FieldSep, false);
for (let fidx = 0; fidx < fields.length; fidx++) {
let elements = splitData(fields[fidx], ElementSep, false);
for (let eidx = 0; eidx < elements.length; eidx++) {
let components = splitData(elements[eidx], ComponentSep, false);
for (let cidx = 0; cidx < components.length; cidx++) {
let subcomponents = splitData(components[cidx], SubComponentSep, true);
components[cidx] = subcomponents;
}
elements[eidx] = components.length == 1 && !Array.isArray(components[0]) ? components[0] : components;
}
fields[fidx] = elements.length == 1 && !Array.isArray(elements[0]) ? elements[0] : elements;
}
MessageSegments.push(fields);
}
return MessageSegments;
}
var hl7txt = `MSH|^~\&|CASIOPEA3|051010100^CASIOPEA|QUIRONSALUD|051010100|20221005101422|07459619|ADT^A08|105bf228-647f-4311-a1b0-9c6ed3123055|E|2.5|1|||AL||8859/15
EVN|20221005101422||TR|07459619|20221005101422|051010100
PID|1|794664|00794664^^^^PI~794664^^^IMDH^MR~438392^^^FMP^PN~b3ae145c-3abc-4f42-a8c4-fe37b2467782^^^Casiopea3^PN|07700921|GIMENEZ^VICENTE|VILLAZATO|19154811190000|M|GANAHA^VICENTE||&SAN MIGUEL&1190||610453833|||||||||||||||||N`;
console.log(HL7SimpleParser(hl7txt.replace(/\n/g, "\r")));
[
[MSH, [, [, [, ]]], CASIOPEA3, [051010100, CASIOPEA], QUIRONSALUD, 051010100, 20221005101422, 07459619, [ADT, A08], 105bf228-647f-4311-a1b0-9c6ed3123055, E, 2.5, 1, , , AL, , 8859/15],
[EVN, 20221005101422, , TR, 07459619, 20221005101422, 051010100],
[PID, 1, 794664, [00794664, , , , [PI, 794664], , , IMDH, [MR, 438392], , , FMP, [PN, b3ae136d-3afc-4f42-a8c4-fe3ab2467782], , , Casiopea3, PN], 07700921, [GANAHA, GERMAN], VILLAZATO, 19451211190000, M, [GANAHA, GERMAN], , [[[, SAN FELIPE, 1190]]], , 999453733, , , , , , , , , , , , , , , , , N]
]
3 JavaScript HL7 to JSON Parser
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function HL7JSONParser(hl7text) {
// Definition coming from:
// https://raw.githubusercontent.com/khanh96le/hl7tojson/master/hl7tojson/data/27/segments.json
// https://raw.githubusercontent.com/khanh96le/hl7tojson/master/hl7tojson/data/27/fields.json
// -------------------------------------------------------------------------
let DefSegments = {
"ABS": {
"desc": "Abstract",
"fields": [
{
"datatype": "XCN",
"desc": "Discharge Care Provider",
"opt": 1,
"rep": 1,
"table": 10
},
{
"datatype": "CWE",
"desc": "Transfer Medical Service Code",
"opt": 1,
"rep": 1,
"table": 69
},
{
"datatype": "CWE",
"desc": "Severity of Illness Code",
"opt": 1,
"rep": 1,
"table": 421
},
{
"datatype": "DTM",
"desc": "Date/Time of Attestation",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Attested By",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Triage Code",
"opt": 1,
"rep": 1,
"table": 422
},
{
"datatype": "DTM",
"desc": "Abstract Completion Date/Time ",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Abstracted By",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Case Category Code",
"opt": 1,
"rep": 1,
"table": 423
},
{
"datatype": "ID",
"desc": "Caesarian Section Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Gestation Category Code",
"opt": 1,
"rep": 1,
"table": 424
},
{
"datatype": "NM",
"desc": "Gestation Period - Weeks",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Newborn Code",
"opt": 1,
"rep": 1,
"table": 425
},
{
"datatype": "ID",
"desc": "Stillborn Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
}
]
},
"ACC": {
"desc": "Accident",
"fields": [
{
"datatype": "DTM",
"desc": "Accident Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Accident Code",
"opt": 1,
"rep": 1,
"table": 50
},
{
"datatype": "ST",
"desc": "Accident Location",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Auto Accident State",
"opt": 1,
"rep": 1,
"table": 347
},
{
"datatype": "ID",
"desc": "Accident Job Related Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Accident Death Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "XCN",
"desc": "Entered By",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Accident Description",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Brought In By",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Police Notified Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "XAD",
"desc": "Accident Address",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Degree of patient liability",
"opt": 1,
"rep": 1
}
]
},
"ADD": {
"desc": "Addendum",
"fields": [
{
"datatype": "ST",
"desc": "Addendum Continuation Pointer",
"opt": 1,
"rep": 1
}
]
},
"ADJ": {
"desc": "Adjustment",
"fields": [
{
"datatype": "EI",
"desc": "Provider Adjustment Number",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Payer Adjustment Number",
"opt": 2,
"rep": 1
},
{
"datatype": "SI",
"desc": "Adjustment Sequence Number",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Adjustment Category",
"opt": 2,
"rep": 1,
"table": 564
},
{
"datatype": "CP",
"desc": "Adjustment Amount",
"opt": 1,
"rep": 5
},
{
"datatype": "CQ",
"desc": "Adjustment Quantity",
"opt": 1,
"rep": 1,
"table": 560
},
{
"datatype": "CWE",
"desc": "Adjustment Reason PA",
"opt": 3,
"rep": 1,
"table": 565
},
{
"datatype": "ST",
"desc": "Adjustment Description",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Original Value",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Substitute Value",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Adjustment Action",
"opt": 1,
"rep": 1,
"table": 569
},
{
"datatype": "EI",
"desc": "Provider Adjustment Number Cross Reference",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Provider Product/Service Line Item Number Cross Reference",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Adjustment Date",
"opt": 2,
"rep": 1
},
{
"datatype": "XON",
"desc": "Responsible Organization ",
"opt": 1,
"rep": 1
}
]
},
"AFF": {
"desc": "Professional Affiliation",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - AFF",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "XON",
"desc": "Professional Organization",
"opt": 2,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Professional Organization Address",
"opt": 1,
"rep": 1
},
{
"datatype": "DR",
"desc": "Professional Organization Affiliation Date Range",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Professional Affiliation Additional Information",
"opt": 1,
"rep": 1
}
]
},
"AIG": {
"desc": "Appointment Information - General Resource",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - AIG",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Segment Action Code",
"opt": 3,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "CWE",
"desc": "Resource ID",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Resource Type",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Resource Group",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Resource Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Resource Quantity Units",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Start Date/Time",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Start Date/Time Offset",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Start Date/Time Offset Units",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Duration Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Allow Substitution Code",
"opt": 3,
"rep": 1,
"table": 279
},
{
"datatype": "CWE",
"desc": "Filler Status Code",
"opt": 3,
"rep": 1,
"table": 278
}
]
},
"AIL": {
"desc": "Appointment Information - Location Resource",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - AIL",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Segment Action Code",
"opt": 3,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "PL",
"desc": "Location Resource ID",
"opt": 3,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Location Type - AIL",
"opt": 3,
"rep": 1,
"table": 305
},
{
"datatype": "CWE",
"desc": "Location Group",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Start Date/Time",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Start Date/Time Offset",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Start Date/Time Offset Units",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Duration Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Allow Substitution Code",
"opt": 3,
"rep": 1,
"table": 279
},
{
"datatype": "CWE",
"desc": "Filler Status Code",
"opt": 3,
"rep": 1,
"table": 278
}
]
},
"AIP": {
"desc": "Appointment Information - Personnel Resource",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - AIP",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Segment Action code",
"opt": 3,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "XCN",
"desc": "Personnel Resource ID",
"opt": 3,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Resource Type",
"opt": 3,
"rep": 1,
"table": 182
},
{
"datatype": "CWE",
"desc": "Resource Group",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Start Date/Time",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Start Date/Time Offset",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Start Date/Time Offset Units",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Duration Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Allow Substitution Code",
"opt": 3,
"rep": 1,
"table": 279
},
{
"datatype": "CWE",
"desc": "Filler Status Code",
"opt": 3,
"rep": 1,
"table": 278
}
]
},
"AIS": {
"desc": "Appointment Information",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - AIS",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Segment Action Code",
"opt": 3,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "CWE",
"desc": "Universal Service Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Start Date/Time",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Start Date/Time Offset",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Start Date/Time Offset Units",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Duration Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Allow Substitution Code",
"opt": 3,
"rep": 1,
"table": 279
},
{
"datatype": "CWE",
"desc": "Filler Status Code",
"opt": 3,
"rep": 1,
"table": 278
},
{
"datatype": "CWE",
"desc": "Placer Supplemental Service Information",
"opt": 1,
"rep": 0,
"table": 411
},
{
"datatype": "CWE",
"desc": "Filler Supplemental Service Information",
"opt": 1,
"rep": 0,
"table": 411
}
]
},
"AL1": {
"desc": "Patient Allergy Information",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - AL1",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Allergen Type Code",
"opt": 1,
"rep": 1,
"table": 127
},
{
"datatype": "CWE",
"desc": "Allergen Code/Mnemonic/Description",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Allergy Severity Code",
"opt": 1,
"rep": 1,
"table": 128
},
{
"datatype": "ST",
"desc": "Allergy Reaction Code",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Identification Date",
"opt": 4,
"rep": 1
}
]
},
"APR": {
"desc": "Appointment Preferences",
"fields": [
{
"datatype": "SCV",
"desc": "Time Selection Criteria",
"opt": 1,
"rep": 0,
"table": 294
},
{
"datatype": "SCV",
"desc": "Resource Selection Criteria",
"opt": 1,
"rep": 0,
"table": 294
},
{
"datatype": "SCV",
"desc": "Location Selection Criteria",
"opt": 1,
"rep": 0,
"table": 294
},
{
"datatype": "NM",
"desc": "Slot Spacing Criteria",
"opt": 1,
"rep": 1
},
{
"datatype": "SCV",
"desc": "Filler Override Criteria",
"opt": 1,
"rep": 0
}
]
},
"ARQ": {
"desc": "Appointment Request",
"fields": [
{
"datatype": "EI",
"desc": "Placer Appointment ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Filler Appointment ID",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Occurrence Number",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Placer Group Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Schedule ID",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Request Event Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Appointment Reason",
"opt": 1,
"rep": 1,
"table": 276
},
{
"datatype": "CWE",
"desc": "Appointment Type",
"opt": 1,
"rep": 1,
"table": 277
},
{
"datatype": "NM",
"desc": "Appointment Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Appointment Duration Units",
"opt": 1,
"rep": 1
},
{
"datatype": "DR",
"desc": "Requested Start Date/Time Range",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Priority-ARQ",
"opt": 1,
"rep": 1
},
{
"datatype": "RI",
"desc": "Repeating Interval",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Repeating Interval Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Placer Contact Person",
"opt": 2,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Placer Contact Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Placer Contact Address",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Placer Contact Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Entered By Person",
"opt": 2,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Entered By Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Entered By Location",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Parent Placer Appointment ID",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Parent Filler Appointment ID",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Placer Order Number",
"opt": 3,
"rep": 0
},
{
"datatype": "EI",
"desc": "Filler Order Number",
"opt": 3,
"rep": 0
}
]
},
"ARV": {
"desc": "Access Restriction",
"fields": [
{
"datatype": "SI",
"desc": "Set ID",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "CNE",
"desc": "Access Restriction Action Code",
"opt": 2,
"rep": 1,
"table": 206
},
{
"datatype": "CWE",
"desc": "Access Restriction Value",
"opt": 2,
"rep": 1,
"table": 717
},
{
"datatype": "CWE",
"desc": "Access Restriction Reason",
"opt": 1,
"rep": 0,
"table": 719
},
{
"datatype": "ST",
"desc": "Special Access Restriction Instructions",
"opt": 1,
"rep": 0
},
{
"datatype": "DR",
"desc": "Access Restriction Date Range ",
"opt": 1,
"rep": 1
}
]
},
"AUT": {
"desc": "Authorization Information",
"fields": [
{
"datatype": "CWE",
"desc": "Authorizing Payor, Plan ID",
"opt": 1,
"rep": 1,
"table": 72
},
{
"datatype": "CWE",
"desc": "Authorizing Payor, Company ID",
"opt": 2,
"rep": 1,
"table": 285
},
{
"datatype": "ST",
"desc": "Authorizing Payor, Company Name",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Authorization Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Authorization Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Authorization Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "CP",
"desc": "Reimbursement Limit",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Requested Number of Treatments",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Authorized Number of Treatments",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Process Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Requested Discipline(s)",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Authorized Discipline(s)",
"opt": 1,
"rep": 0
}
]
},
"BHS": {
"desc": "Batch Header",
"fields": [
{
"datatype": "ST",
"desc": "Batch Field Separator",
"opt": 2,
"rep": 1,
"len": 1
},
{
"datatype": "ST",
"desc": "Batch Encoding Characters",
"opt": 2,
"rep": 1,
"len": 5
},
{
"datatype": "HD",
"desc": "Batch Sending Application",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Batch Sending Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Batch Receiving Application",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Batch Receiving Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Batch Creation Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Batch Security",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Batch Name/ID/Type",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Batch Comment",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Batch Control ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Reference Batch Control ID",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Batch Sending Network Address",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Batch Receiving Network Address",
"opt": 1,
"rep": 1
}
]
},
"BLC": {
"desc": "Blood Code",
"fields": [
{
"datatype": "CWE",
"desc": "Blood Product Code",
"opt": 1,
"rep": 1,
"table": 426
},
{
"datatype": "CQ",
"desc": "Blood Amount",
"opt": 1,
"rep": 1
}
]
},
"BLG": {
"desc": "Billing",
"fields": [
{
"datatype": "CCD",
"desc": "When to Charge",
"opt": 1,
"rep": 1,
"table": 100
},
{
"datatype": "ID",
"desc": "Charge Type",
"opt": 1,
"rep": 1,
"len": 2,
"table": 122
},
{
"datatype": "CX",
"desc": "Account ID",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Charge Type Reason",
"opt": 1,
"rep": 1,
"table": 475
}
]
},
"BPO": {
"desc": "Blood product order",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - BPO",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "BP Universal Service Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "BP Processing Requirements",
"opt": 1,
"rep": 0,
"table": 508
},
{
"datatype": "NM",
"desc": "BP Quantity",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "BP Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "BP Units",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "BP Intended Use Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "BP Intended Dispense From Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "BP Intended Dispense From Address",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "BP Requested Dispense Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "BP Requested Dispense To Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "BP Requested Dispense To Address",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "BP Indication for Use",
"opt": 1,
"rep": 0,
"table": 509
},
{
"datatype": "ID",
"desc": "BP Informed Consent Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
}
]
},
"BPX": {
"desc": "Blood product dispense status",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - BPX",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "BP Dispense Status",
"opt": 2,
"rep": 1,
"table": 510
},
{
"datatype": "ID",
"desc": "BP Status",
"opt": 2,
"rep": 1,
"len": 1,
"table": 511
},
{
"datatype": "DTM",
"desc": "BP Date/Time of Status",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "BC Donation ID ",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "BC Component ",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "BC Donation Type / Intended Use ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "CP Commercial Product ",
"opt": 3,
"rep": 1,
"table": 512
},
{
"datatype": "XON",
"desc": "CP Manufacturer ",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "CP Lot Number ",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "BP Blood Group ",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "BC Special Testing ",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "BP Expiration Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "BP Quantity",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "BP Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "BP Units",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "BP Unique ID",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "BP Actual Dispensed To Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "BP Actual Dispensed To Address",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "BP Dispensed to Receiver",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "BP Dispensing Individual",
"opt": 1,
"rep": 1
}
]
},
"BTS": {
"desc": "Batch Trailer",
"fields": [
{
"datatype": "ST",
"desc": "Batch Message Count",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Batch Comment",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Batch Totals",
"opt": 1,
"rep": 0
}
]
},
"BTX": {
"desc": "Blood Product Transfusion/Disposition",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - BTX",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "EI",
"desc": "BC Donation ID ",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "BC Component ",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "BC Blood Group",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "CP Commercial Product ",
"opt": 3,
"rep": 1,
"table": 512
},
{
"datatype": "XON",
"desc": "CP Manufacturer ",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "CP Lot Number",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "BP Quantity",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "BP Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "BP Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "BP Transfusion/Disposition Status",
"opt": 2,
"rep": 1,
"table": 513
},
{
"datatype": "ID",
"desc": "BP Message Status",
"opt": 2,
"rep": 1,
"len": 1,
"table": 511
},
{
"datatype": "DTM",
"desc": "BP Date/Time of Status",
"opt": 2,
"rep": 1
},
{
"datatype": "XCN",
"desc": "BP Transfusion Administrator",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "BP Transfusion Verifier ",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "BP Transfusion Start Date/Time of Status",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "BP Transfusion End Date/Time of Status",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "BP Adverse Reaction Type",
"opt": 1,
"rep": 0,
"table": 514
},
{
"datatype": "CWE",
"desc": "BP Transfusion Interrupted Reason",
"opt": 1,
"rep": 1,
"table": 515
}
]
},
"CDM": {
"desc": "Charge Description Master",
"fields": [
{
"datatype": "CWE",
"desc": "Primary Key Value - CDM",
"opt": 2,
"rep": 1,
"table": 132
},
{
"datatype": "CWE",
"desc": "Charge Code Alias",
"opt": 1,
"rep": 0,
"table": 132
},
{
"datatype": "ST",
"desc": "Charge Description Short",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Charge Description Long",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Description Override Indicator",
"opt": 1,
"rep": 1,
"table": 268
},
{
"datatype": "CWE",
"desc": "Exploding Charges",
"opt": 1,
"rep": 0,
"table": 132
},
{
"datatype": "CNE",
"desc": "Procedure Code",
"opt": 1,
"rep": 0,
"table": 88
},
{
"datatype": "ID",
"desc": "Active/Inactive Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 183
},
{
"datatype": "CWE",
"desc": "Inventory Number",
"opt": 1,
"rep": 0,
"table": 463
},
{
"datatype": "NM",
"desc": "Resource Load",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Contract Number",
"opt": 1,
"rep": 0
},
{
"datatype": "XON",
"desc": "Contract Organization",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Room Fee Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
}
]
},
"CER": {
"desc": "Certificate Detail",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - CER",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ST",
"desc": "Serial Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Version",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Granting Authority",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Issuing Authority",
"opt": 1,
"rep": 1
},
{
"datatype": "ED",
"desc": "Signature ",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Granting Country",
"opt": 1,
"rep": 1,
"len": 3,
"table": 399
},
{
"datatype": "CWE",
"desc": "Granting State/Province",
"opt": 1,
"rep": 1,
"table": 347
},
{
"datatype": "CWE",
"desc": "Granting County/Parish",
"opt": 1,
"rep": 1,
"table": 289
},
{
"datatype": "CWE",
"desc": "Certificate Type",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Certificate Domain",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Subject ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Subject Name",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Subject Directory Attribute Extension",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Subject Public Key Info",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Authority Key Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Basic Constraint",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "CRL Distribution Point",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Jurisdiction Country",
"opt": 1,
"rep": 1,
"len": 3,
"table": 399
},
{
"datatype": "CWE",
"desc": "Jurisdiction State/Province",
"opt": 1,
"rep": 1,
"table": 347
},
{
"datatype": "CWE",
"desc": "Jurisdiction County/Parish",
"opt": 1,
"rep": 1,
"table": 289
},
{
"datatype": "CWE",
"desc": "Jurisdiction Breadth",
"opt": 1,
"rep": 0,
"table": 547
},
{
"datatype": "DTM",
"desc": "Granting Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Issuing Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Activation Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Inactivation Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Renewal Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Revocation Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Revocation Reason Code",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Certificate Status Code",
"opt": 1,
"rep": 1,
"table": 536
}
]
},
"CM0": {
"desc": "Clinical Study Master",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - CM0",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "EI",
"desc": "Sponsor Study ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Alternate Study ID",
"opt": 1,
"rep": 3
},
{
"datatype": "ST",
"desc": "Title of Study",
"opt": 2,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Chairman of Study",
"opt": 1,
"rep": 0
},
{
"datatype": "DT",
"desc": "Last IRB Approval Date",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Total Accrual to Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Last Accrual Date",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Contact for Study",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Contact's Telephone Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Contact's Address",
"opt": 1,
"rep": 0
}
]
},
"CM1": {
"desc": "Clinical Study Phase Master",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - CM1",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Study Phase Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Description of Study Phase",
"opt": 2,
"rep": 1
}
]
},
"CM2": {
"desc": "Clinical Study Schedule Master",
"fields": [
{
"datatype": "SI",
"desc": "Set ID- CM2",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Scheduled Time Point",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Description of Time Point",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Events Scheduled This Time Point",
"opt": 2,
"rep": 200
}
]
},
"CNS": {
"desc": "Clear Notification",
"fields": [
{
"datatype": "NM",
"desc": "Starting Notification Reference Number",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Ending Notification Reference Number",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Starting Notification Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Ending Notification Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Starting Notification Code",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Ending Notification Code",
"opt": 1,
"rep": 1
}
]
},
"CON": {
"desc": "Consent Segment",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - CON",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Consent Type",
"opt": 1,
"rep": 1,
"table": 496
},
{
"datatype": "ST",
"desc": "Consent Form ID and Version",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Consent Form Number",
"opt": 1,
"rep": 1
},
{
"datatype": "FT",
"desc": "Consent Text",
"opt": 1,
"rep": 0
},
{
"datatype": "FT",
"desc": "Subject-specific Consent Text",
"opt": 1,
"rep": 0
},
{
"datatype": "FT",
"desc": "Consent Background Information",
"opt": 1,
"rep": 0
},
{
"datatype": "FT",
"desc": "Subject-specific Consent Background Text",
"opt": 1,
"rep": 0
},
{
"datatype": "FT",
"desc": "Consenter-imposed limitations",
"opt": 1,
"rep": 0
},
{
"datatype": "CNE",
"desc": "Consent Mode",
"opt": 1,
"rep": 1,
"table": 497
},
{
"datatype": "CNE",
"desc": "Consent Status",
"opt": 2,
"rep": 1,
"table": 498
},
{
"datatype": "DTM",
"desc": "Consent Discussion Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Consent Decision Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Consent Effective Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Consent End Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Subject Competence Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Translator Assistance Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Language Translated To",
"opt": 1,
"rep": 1,
"table": 296
},
{
"datatype": "ID",
"desc": "Informational Material Supplied Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Consent Bypass Reason",
"opt": 1,
"rep": 1,
"table": 499
},
{
"datatype": "ID",
"desc": "Consent Disclosure Level",
"opt": 1,
"rep": 1,
"len": 1,
"table": 500
},
{
"datatype": "CWE",
"desc": "Consent Non-disclosure Reason",
"opt": 1,
"rep": 1,
"table": 501
},
{
"datatype": "CWE",
"desc": "Non-subject Consenter Reason",
"opt": 1,
"rep": 1,
"table": 502
},
{
"datatype": "XPN",
"desc": "Consenter ID",
"opt": 2,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Relationship to Subject ",
"opt": 2,
"rep": 0,
"table": 548
}
]
},
"CSP": {
"desc": "Clinical Study Phase",
"fields": [
{
"datatype": "CWE",
"desc": "Study Phase Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/time Study Phase Began",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/time Study Phase Ended",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Study Phase Evaluability",
"opt": 3,
"rep": 1
}
]
},
"CSR": {
"desc": "Clinical Study Registration",
"fields": [
{
"datatype": "EI",
"desc": "Sponsor Study ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Alternate Study ID",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Institution Registering the Patient",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Sponsor Patient ID ",
"opt": 2,
"rep": 1
},
{
"datatype": "CX",
"desc": "Alternate Patient ID - CSR",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/Time of Patient Study Registration",
"opt": 2,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Person Performing Study Registration",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Study Authorizing Provider ",
"opt": 2,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Date/Time Patient Study Consent Signed",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Patient Study Eligibility Status",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Study Randomization Date/time",
"opt": 1,
"rep": 3
},
{
"datatype": "CWE",
"desc": "Randomized Study Arm",
"opt": 1,
"rep": 3
},
{
"datatype": "CWE",
"desc": "Stratum for Study Randomization",
"opt": 1,
"rep": 3
},
{
"datatype": "CWE",
"desc": "Patient Evaluability Status",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/Time Ended Study",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Reason Ended Study",
"opt": 3,
"rep": 1
}
]
},
"CSS": {
"desc": "Clinical Study Data Schedule Segment",
"fields": [
{
"datatype": "CWE",
"desc": "Study Scheduled Time Point",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Study Scheduled Patient Time Point ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Study Quality Control Codes",
"opt": 1,
"rep": 3
}
]
},
"CTD": {
"desc": "Contact Data",
"fields": [
{
"datatype": "CWE",
"desc": "Contact Role",
"opt": 2,
"rep": 0,
"table": 131
},
{
"datatype": "XPN",
"desc": "Contact Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Contact Address",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Contact Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XTN",
"desc": "Contact Communication Information",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Preferred Method of Contact ",
"opt": 1,
"rep": 1,
"table": 185
},
{
"datatype": "PLN",
"desc": "Contact Identifiers",
"opt": 1,
"rep": 0,
"table": 338
}
]
},
"CTI": {
"desc": "Clinical Trial Identification",
"fields": [
{
"datatype": "EI",
"desc": "Sponsor Study ID",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Study Phase Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Study Scheduled Time Point",
"opt": 1,
"rep": 1
}
]
},
"DB1": {
"desc": "Disability",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - DB1",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Disabled Person Code",
"opt": 1,
"rep": 1,
"table": 334
},
{
"datatype": "CX",
"desc": "Disabled Person Identifier",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Disability Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DT",
"desc": "Disability Start Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Disability End Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Disability Return to Work Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Disability Unable to Work Date",
"opt": 1,
"rep": 1
}
]
},
"DG1": {
"desc": "Diagnosis",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - DG1",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ST",
"desc": "Diagnosis Coding Method ",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Diagnosis Code - DG1 ",
"opt": 2,
"rep": 1,
"table": 51
},
{
"datatype": "ST",
"desc": "Diagnosis Description",
"opt": 4,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Diagnosis Date/Time ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Diagnosis Type",
"opt": 2,
"rep": 1,
"table": 52
},
{
"datatype": "ST",
"desc": "Major Diagnostic Category",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Diagnostic Related Group ",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "DRG Approval Indicator ",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "DRG Grouper Review Code",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Outlier Type ",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Outlier Days ",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Outlier Cost",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Grouper Version And Type",
"opt": 4,
"rep": 1
},
{
"datatype": "NM",
"desc": "Diagnosis Priority",
"opt": 1,
"rep": 1,
"table": 359
},
{
"datatype": "XCN",
"desc": "Diagnosing Clinician",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Diagnosis Classification",
"opt": 1,
"rep": 1,
"table": 228
},
{
"datatype": "ID",
"desc": "Confidential Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DTM",
"desc": "Attestation Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Diagnosis Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Diagnosis Action Code",
"opt": 3,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "EI",
"desc": "Parent Diagnosis",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "DRG CCL Value Code",
"opt": 1,
"rep": 1,
"table": 728
},
{
"datatype": "ID",
"desc": "DRG Grouping Usage",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "DRG Diagnosis Determination Status",
"opt": 1,
"rep": 1,
"table": 731
},
{
"datatype": "CWE",
"desc": "Present On Admission (POA) Indicator",
"opt": 1,
"rep": 1,
"table": 895
}
]
},
"DMI": {
"desc": "DRG Master File Information",
"fields": [
{
"datatype": "CNE",
"desc": "Diagnostic Related Group ",
"opt": 1,
"rep": 1,
"table": 55
},
{
"datatype": "CNE",
"desc": "Major Diagnostic Category",
"opt": 3,
"rep": 1,
"table": 118
},
{
"datatype": "NR",
"desc": "Lower and Upper Trim Points",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Average Length of Stay",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Relative Weight",
"opt": 3,
"rep": 1
}
]
},
"DRG": {
"desc": "Diagnosis Related Group",
"fields": [
{
"datatype": "CNE",
"desc": "Diagnostic Related Group ",
"opt": 1,
"rep": 1,
"table": 55
},
{
"datatype": "DTM",
"desc": "DRG Assigned Date/Time ",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "DRG Approval Indicator ",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "DRG Grouper Review Code",
"opt": 1,
"rep": 1,
"table": 56
},
{
"datatype": "CWE",
"desc": "Outlier Type ",
"opt": 1,
"rep": 1,
"table": 83
},
{
"datatype": "NM",
"desc": "Outlier Days ",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Outlier Cost",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "DRG Payor",
"opt": 1,
"rep": 1,
"table": 229
},
{
"datatype": "CP",
"desc": "Outlier Reimbursement",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Confidential Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "DRG Transfer Type",
"opt": 1,
"rep": 1,
"table": 415
},
{
"datatype": "XPN",
"desc": "Name of Coder",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Grouper Status",
"opt": 1,
"rep": 1,
"table": 734
},
{
"datatype": "CWE",
"desc": "PCCL Value Code",
"opt": 1,
"rep": 1,
"table": 728
},
{
"datatype": "NM",
"desc": "Effective Weight",
"opt": 1,
"rep": 1
},
{
"datatype": "MO",
"desc": "Monetary Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Status Patient",
"opt": 1,
"rep": 1,
"table": 739
},
{
"datatype": "ST",
"desc": "Grouper Software Name ",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Grouper Software Version",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Status Financial Calculation",
"opt": 1,
"rep": 1,
"table": 742
},
{
"datatype": "MO",
"desc": "Relative Discount/Surcharge",
"opt": 1,
"rep": 1
},
{
"datatype": "MO",
"desc": "Basic Charge",
"opt": 1,
"rep": 1
},
{
"datatype": "MO",
"desc": "Total Charge",
"opt": 1,
"rep": 1
},
{
"datatype": "MO",
"desc": "Discount/Surcharge",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Calculated Days",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Status Gender",
"opt": 1,
"rep": 1,
"table": 749
},
{
"datatype": "CWE",
"desc": "Status Age",
"opt": 1,
"rep": 1,
"table": 749
},
{
"datatype": "CWE",
"desc": "Status Length of Stay",
"opt": 1,
"rep": 1,
"table": 749
},
{
"datatype": "CWE",
"desc": "Status Same Day Flag",
"opt": 1,
"rep": 1,
"table": 749
},
{
"datatype": "CWE",
"desc": "Status Separation Mode",
"opt": 1,
"rep": 1,
"table": 749
},
{
"datatype": "CWE",
"desc": "Status Weight at Birth",
"opt": 1,
"rep": 1,
"table": 755
},
{
"datatype": "CWE",
"desc": "Status Respiration Minutes",
"opt": 1,
"rep": 1,
"table": 757
},
{
"datatype": "CWE",
"desc": "Status Admission",
"opt": 1,
"rep": 1,
"table": 759
}
]
},
"DSC": {
"desc": "Continuation Pointer",
"fields": [
{
"datatype": "ST",
"desc": "Continuation Pointer",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Continuation Style",
"opt": 1,
"rep": 1,
"len": 1,
"table": 398
}
]
},
"DSP": {
"desc": "Display Data",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - DSP",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "SI",
"desc": "Display Level",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "TX",
"desc": "Data Line",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Logical Break Point",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Result ID",
"opt": 1,
"rep": 1
}
]
},
"ECD": {
"desc": "Equipment Command",
"fields": [
{
"datatype": "NM",
"desc": "Reference Command Number",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Remote Control Command",
"opt": 2,
"rep": 1,
"table": 368
},
{
"datatype": "ID",
"desc": "Response Required",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ST",
"desc": "Requested Completion Time",
"opt": 4,
"rep": 1
},
{
"datatype": "TX",
"desc": "Parameters",
"opt": 1,
"rep": 0
}
]
},
"ECR": {
"desc": "Equipment Command Response",
"fields": [
{
"datatype": "CWE",
"desc": "Command Response",
"opt": 2,
"rep": 1,
"table": 387
},
{
"datatype": "DTM",
"desc": "Date/Time Completed",
"opt": 2,
"rep": 1
},
{
"datatype": "TX",
"desc": "Command Response Parameters",
"opt": 1,
"rep": 0
}
]
},
"EDU": {
"desc": "Educational Detail",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - EDU",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Academic Degree",
"opt": 1,
"rep": 1,
"table": 360
},
{
"datatype": "DR",
"desc": "Academic Degree Program Date Range",
"opt": 1,
"rep": 1
},
{
"datatype": "DR",
"desc": "Academic Degree Program Participation Date Range",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Academic Degree Granted Date",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "School",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "School Type Code",
"opt": 1,
"rep": 1,
"table": 402
},
{
"datatype": "XAD",
"desc": "School Address",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Major Field of Study",
"opt": 1,
"rep": 0
}
]
},
"EQP": {
"desc": "Equipment/log Service",
"fields": [
{
"datatype": "CWE",
"desc": "Event type ",
"opt": 2,
"rep": 1,
"table": 450
},
{
"datatype": "ST",
"desc": "File Name",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Start Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "End Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "FT",
"desc": "Transaction Data",
"opt": 2,
"rep": 1
}
]
},
"EQU": {
"desc": "Equipment Detail",
"fields": [
{
"datatype": "EI",
"desc": "Equipment Instance Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Event Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Equipment State",
"opt": 3,
"rep": 1,
"table": 365
},
{
"datatype": "CWE",
"desc": "Local/Remote Control State",
"opt": 1,
"rep": 1,
"table": 366
},
{
"datatype": "CWE",
"desc": "Alert Level",
"opt": 1,
"rep": 1,
"table": 367
}
]
},
"ERR": {
"desc": "Error",
"fields": [
{
"datatype": "ST",
"desc": "Error Code and Location",
"opt": 4,
"rep": 1
},
{
"datatype": "ERL",
"desc": "Error Location",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "HL7 Error Code",
"opt": 2,
"rep": 1,
"table": 357
},
{
"datatype": "ID",
"desc": "Severity",
"opt": 2,
"rep": 1,
"len": 1,
"table": 516
},
{
"datatype": "CWE",
"desc": "Application Error Code",
"opt": 1,
"rep": 1,
"table": 533
},
{
"datatype": "ST",
"desc": "Application Error Parameter",
"opt": 1,
"rep": 10
},
{
"datatype": "TX",
"desc": "Diagnostic Information",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "User Message",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Inform Person Indicator",
"opt": 1,
"rep": 0,
"table": 517
},
{
"datatype": "CWE",
"desc": "Override Type",
"opt": 1,
"rep": 1,
"table": 518
},
{
"datatype": "CWE",
"desc": "Override Reason Code",
"opt": 1,
"rep": 0,
"table": 519
},
{
"datatype": "XTN",
"desc": "Help Desk Contact Point",
"opt": 1,
"rep": 0
}
]
},
"EVN": {
"desc": "Event Type",
"fields": [
{
"datatype": "ST",
"desc": "Event Type Code",
"opt": 4,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Recorded Date/Time ",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/Time Planned Event",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Event Reason Code",
"opt": 1,
"rep": 1,
"table": 62
},
{
"datatype": "XCN",
"desc": "Operator ID",
"opt": 1,
"rep": 0,
"table": 188
},
{
"datatype": "DTM",
"desc": "Event Occurred",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Event Facility",
"opt": 1,
"rep": 1
}
]
},
"FHS": {
"desc": "File Header",
"fields": [
{
"datatype": "ST",
"desc": "File Field Separator",
"opt": 2,
"rep": 1,
"len": 1
},
{
"datatype": "ST",
"desc": "File Encoding Characters",
"opt": 2,
"rep": 1,
"len": 5
},
{
"datatype": "HD",
"desc": "File Sending Application",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "File Sending Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "File Receiving Application",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "File Receiving Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "File Creation Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "File Security",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "File Name/ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "File Header Comment",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "File Control ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Reference File Control ID",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "File Sending Network Address",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "File Receiving Network Address",
"opt": 1,
"rep": 1
}
]
},
"FT1": {
"desc": "Financial Transaction",
"fields": [
{
"datatype": "SI",
"desc": "Set ID FT1",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "ST",
"desc": "Transaction ID ",
"opt": 1,
"rep": 1,
"len": 12
},
{
"datatype": "ST",
"desc": "Transaction Batch ID ",
"opt": 1,
"rep": 1,
"len": 10
},
{
"datatype": "DR",
"desc": "Transaction Date ",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Transaction Posting Date ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Transaction Type ",
"opt": 2,
"rep": 1,
"table": 17
},
{
"datatype": "CWE",
"desc": "Transaction Code ",
"opt": 2,
"rep": 1,
"table": 132
},
{
"datatype": "ST",
"desc": "Transaction Description ",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Transaction Description Alt ",
"opt": 4,
"rep": 1
},
{
"datatype": "NM",
"desc": "Transaction Quantity ",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Transaction Amount Extended ",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Transaction Amount Unit ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Department Code ",
"opt": 1,
"rep": 1,
"table": 49
},
{
"datatype": "CWE",
"desc": "Health Plan ID ",
"opt": 1,
"rep": 1,
"table": 72
},
{
"datatype": "CP",
"desc": "Insurance Amount ",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "Assigned Patient Location ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Fee Schedule ",
"opt": 1,
"rep": 1,
"table": 24
},
{
"datatype": "CWE",
"desc": "Patient Type ",
"opt": 1,
"rep": 1,
"table": 18
},
{
"datatype": "CWE",
"desc": "Diagnosis Code - FT1 ",
"opt": 1,
"rep": 0,
"table": 51
},
{
"datatype": "XCN",
"desc": "Performed By Code ",
"opt": 1,
"rep": 0,
"table": 84
},
{
"datatype": "XCN",
"desc": "Ordered By Code ",
"opt": 1,
"rep": 0
},
{
"datatype": "CP",
"desc": "Unit Cost ",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Filler Order Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Entered By Code",
"opt": 1,
"rep": 0
},
{
"datatype": "CNE",
"desc": "Procedure Code",
"opt": 1,
"rep": 1,
"table": 88
},
{
"datatype": "CNE",
"desc": "Procedure Code Modifier",
"opt": 1,
"rep": 0,
"table": 340
},
{
"datatype": "CWE",
"desc": "Advanced Beneficiary Notice Code",
"opt": 1,
"rep": 1,
"table": 339
},
{
"datatype": "CWE",
"desc": "Medically Necessary Duplicate Procedure Reason",
"opt": 1,
"rep": 1,
"table": 476
},
{
"datatype": "CWE",
"desc": "NDC Code",
"opt": 1,
"rep": 1,
"table": 549
},
{
"datatype": "CX",
"desc": "Payment Reference ID",
"opt": 1,
"rep": 1
},
{
"datatype": "SI",
"desc": "Transaction Reference Key",
"opt": 1,
"rep": 0,
"len": 4
},
{
"datatype": "XON",
"desc": "Performing Facility",
"opt": 1,
"rep": 0
},
{
"datatype": "XON",
"desc": "Ordering Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Item Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Model Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Special Processing Code",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Clinic Code",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Referral Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Authorization Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Service Provider Taxonomy Code",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Revenue Code",
"opt": 1,
"rep": 1,
"table": 456
},
{
"datatype": "ST",
"desc": "Prescription Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "NDC Qty and UOM",
"opt": 1,
"rep": 1
}
]
},
"FTS": {
"desc": "File Trailer",
"fields": [
{
"datatype": "NM",
"desc": "File Batch Count",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "File Trailer Comment",
"opt": 1,
"rep": 1
}
]
},
"GOL": {
"desc": "Goal Detail",
"fields": [
{
"datatype": "ID",
"desc": "Action Code",
"opt": 2,
"rep": 1,
"len": 2,
"table": 287
},
{
"datatype": "DTM",
"desc": "Action Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Goal ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Goal Instance ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Episode of Care ID",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Goal List Priority",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Goal Established Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expected Goal Achieve Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Goal Classification",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Goal Management Discipline",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Current Goal Review Status",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Current Goal Review Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Next Goal Review Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Previous Goal Review Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Goal Review Interval",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Goal Evaluation",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Goal Evaluation Comment",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Goal Life Cycle Status",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Goal Life Cycle Status Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Goal Target Type",
"opt": 1,
"rep": 0
},
{
"datatype": "XPN",
"desc": "Goal Target Name",
"opt": 1,
"rep": 0
},
{
"datatype": "CNE",
"desc": "Mood Code ",
"opt": 3,
"rep": 1,
"table": 725
}
]
},
"GP1": {
"desc": "Grouping/Reimbursement - Visit",
"fields": [
{
"datatype": "CWE",
"desc": "Type of Bill Code",
"opt": 2,
"rep": 1,
"table": 455
},
{
"datatype": "CWE",
"desc": "Revenue Code",
"opt": 1,
"rep": 0,
"table": 456
},
{
"datatype": "CWE",
"desc": "Overall Claim Disposition Code",
"opt": 1,
"rep": 1,
"table": 457
},
{
"datatype": "CWE",
"desc": "OCE Edits per Visit Code",
"opt": 1,
"rep": 0,
"table": 458
},
{
"datatype": "CP",
"desc": "Outlier Cost",
"opt": 1,
"rep": 1
}
]
},
"GP2": {
"desc": "Grouping/Reimbursement - Procedure Line Item",
"fields": [
{
"datatype": "CWE",
"desc": "Revenue Code",
"opt": 1,
"rep": 1,
"table": 456
},
{
"datatype": "NM",
"desc": "Number of Service Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Charge",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Reimbursement Action Code",
"opt": 1,
"rep": 1,
"table": 459
},
{
"datatype": "CWE",
"desc": "Denial or Rejection Code",
"opt": 1,
"rep": 1,
"table": 460
},
{
"datatype": "CWE",
"desc": "OCE Edit Code",
"opt": 1,
"rep": 0,
"table": 458
},
{
"datatype": "CWE",
"desc": "Ambulatory Payment Classification Code ",
"opt": 1,
"rep": 1,
"table": 466
},
{
"datatype": "CWE",
"desc": "Modifier Edit Code",
"opt": 1,
"rep": 0,
"table": 467
},
{
"datatype": "CWE",
"desc": "Payment Adjustment Code",
"opt": 1,
"rep": 1,
"table": 468
},
{
"datatype": "CWE",
"desc": "Packaging Status Code",
"opt": 1,
"rep": 1,
"table": 469
},
{
"datatype": "CP",
"desc": "Expected CMS Payment Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Reimbursement Type Code",
"opt": 1,
"rep": 1,
"table": 470
},
{
"datatype": "CP",
"desc": "Co-Pay Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Pay Rate per Service Unit",
"opt": 1,
"rep": 1
}
]
},
"GT1": {
"desc": "Guarantor",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - GT1",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CX",
"desc": "Guarantor Number",
"opt": 1,
"rep": 0
},
{
"datatype": "XPN",
"desc": "Guarantor Name",
"opt": 2,
"rep": 0
},
{
"datatype": "XPN",
"desc": "Guarantor Spouse Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Guarantor Address",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Guarantor Ph Num - Home",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Guarantor Ph Num - Business",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Guarantor Date/Time Of Birth",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Guarantor Administrative Sex",
"opt": 1,
"rep": 1,
"table": 1
},
{
"datatype": "CWE",
"desc": "Guarantor Type",
"opt": 1,
"rep": 1,
"table": 68
},
{
"datatype": "CWE",
"desc": "Guarantor Relationship",
"opt": 1,
"rep": 1,
"table": 63
},
{
"datatype": "ST",
"desc": "Guarantor SSN",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Guarantor Date - Begin",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Guarantor Date - End",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Guarantor Priority",
"opt": 1,
"rep": 1,
"len": 2
},
{
"datatype": "XPN",
"desc": "Guarantor Employer Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Guarantor Employer Address",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Guarantor Employer Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CX",
"desc": "Guarantor Employee ID Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Guarantor Employment Status",
"opt": 1,
"rep": 1,
"table": 66
},
{
"datatype": "XON",
"desc": "Guarantor Organization Name",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Guarantor Billing Hold Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Guarantor Credit Rating Code",
"opt": 1,
"rep": 1,
"table": 341
},
{
"datatype": "DTM",
"desc": "Guarantor Death Date And Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Guarantor Death Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Guarantor Charge Adjustment Code",
"opt": 1,
"rep": 1,
"table": 218
},
{
"datatype": "CP",
"desc": "Guarantor Household Annual Income",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Guarantor Household Size",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Guarantor Employer ID Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Guarantor Marital Status Code",
"opt": 1,
"rep": 1,
"table": 2
},
{
"datatype": "DT",
"desc": "Guarantor Hire Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Employment Stop Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Living Dependency",
"opt": 1,
"rep": 1,
"table": 223
},
{
"datatype": "CWE",
"desc": "Ambulatory Status",
"opt": 1,
"rep": 0,
"table": 9
},
{
"datatype": "CWE",
"desc": "Citizenship",
"opt": 1,
"rep": 0,
"table": 171
},
{
"datatype": "CWE",
"desc": "Primary Language",
"opt": 1,
"rep": 1,
"table": 296
},
{
"datatype": "CWE",
"desc": "Living Arrangement",
"opt": 1,
"rep": 1,
"table": 220
},
{
"datatype": "CWE",
"desc": "Publicity Code",
"opt": 1,
"rep": 1,
"table": 215
},
{
"datatype": "ID",
"desc": "Protection Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Student Indicator",
"opt": 1,
"rep": 1,
"table": 231
},
{
"datatype": "CWE",
"desc": "Religion",
"opt": 1,
"rep": 1,
"table": 6
},
{
"datatype": "XPN",
"desc": "Mother's Maiden Name",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Nationality",
"opt": 1,
"rep": 1,
"table": 212
},
{
"datatype": "CWE",
"desc": "Ethnic Group",
"opt": 1,
"rep": 0,
"table": 189
},
{
"datatype": "XPN",
"desc": "Contact Person's Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Contact Person's Telephone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Contact Reason",
"opt": 1,
"rep": 1,
"table": 222
},
{
"datatype": "CWE",
"desc": "Contact Relationship",
"opt": 1,
"rep": 1,
"table": 63
},
{
"datatype": "ST",
"desc": "Job Title",
"opt": 1,
"rep": 1
},
{
"datatype": "JCC",
"desc": "Job Code/Class",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Guarantor Employer's Organization Name",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Handicap ",
"opt": 1,
"rep": 1,
"table": 295
},
{
"datatype": "CWE",
"desc": "Job Status",
"opt": 1,
"rep": 1,
"table": 311
},
{
"datatype": "FC",
"desc": "Guarantor Financial Class",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Guarantor Race",
"opt": 1,
"rep": 0,
"table": 5
},
{
"datatype": "ST",
"desc": "Guarantor Birth Place",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "VIP Indicator",
"opt": 1,
"rep": 1,
"table": 99
}
]
},
"IAM": {
"desc": "Patient Adverse Reaction Information",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - IAM",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Allergen Type Code",
"opt": 1,
"rep": 1,
"table": 127
},
{
"datatype": "CWE",
"desc": "Allergen Code/Mnemonic/Description",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Allergy Severity Code",
"opt": 1,
"rep": 1,
"table": 128
},
{
"datatype": "ST",
"desc": "Allergy Reaction Code",
"opt": 1,
"rep": 0
},
{
"datatype": "CNE",
"desc": "Allergy Action Code",
"opt": 2,
"rep": 1,
"table": 206
},
{
"datatype": "EI",
"desc": "Allergy Unique Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Action Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Sensitivity to Causative Agent Code",
"opt": 1,
"rep": 1,
"table": 436
},
{
"datatype": "CWE",
"desc": "Allergen Group Code/Mnemonic/Description",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Onset Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Onset Date Text",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Reported Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XPN",
"desc": "Reported By",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Relationship to Patient Code",
"opt": 1,
"rep": 1,
"table": 63
},
{
"datatype": "CWE",
"desc": "Alert Device Code",
"opt": 1,
"rep": 1,
"table": 437
},
{
"datatype": "CWE",
"desc": "Allergy Clinical Status Code",
"opt": 1,
"rep": 1,
"table": 438
},
{
"datatype": "XCN",
"desc": "Statused by Person",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Statused by Organization",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Statused at Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Inactivated by Person",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Inactivated Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Initially Recorded by Person",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Initially Recorded Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Modified by Person",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Modified Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Clinician Identified Code",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Initially Recorded by Organization",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Modified by Organization",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Inactivated by Organization",
"opt": 1,
"rep": 1
}
]
},
"IAR": {
"desc": "allergy reaction",
"fields": [
{
"datatype": "CWE",
"desc": "Allergy Reaction Code",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Allergy Severity Code",
"opt": 2,
"rep": 1,
"table": 128
},
{
"datatype": "CWE",
"desc": "Sensitivity to Causative Agent Code",
"opt": 1,
"rep": 1,
"table": 436
},
{
"datatype": "ST",
"desc": "Management",
"opt": 1,
"rep": 1
}
]
},
"IIM": {
"desc": "Inventory Item Master",
"fields": [
{
"datatype": "CWE",
"desc": "Primary Key Value - IIM",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Service Item Code",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Inventory Lot Number",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Inventory Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Inventory Manufacturer Name",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Inventory Location",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Inventory Received Date",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Inventory Received Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Inventory Received Quantity Unit",
"opt": 1,
"rep": 1
},
{
"datatype": "MO",
"desc": "Inventory Received Item Cost",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Inventory On Hand Date",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Inventory On Hand Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Inventory On Hand Quantity Unit",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Procedure Code",
"opt": 1,
"rep": 1,
"table": 88
},
{
"datatype": "CNE",
"desc": "Procedure Code Modifier",
"opt": 1,
"rep": 0,
"table": 340
}
]
},
"ILT": {
"desc": "Material Lot",
"fields": [
{
"datatype": "SI",
"desc": "Set Id - ILT",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ST",
"desc": "Inventory Lot Number",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Inventory Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Inventory Received Date",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Inventory Received Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Inventory Received Quantity Unit",
"opt": 1,
"rep": 1,
"table": 818
},
{
"datatype": "MO",
"desc": "Inventory Received Item Cost",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Inventory On Hand Date",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Inventory On Hand Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Inventory On Hand Quantity Unit",
"opt": 1,
"rep": 1,
"table": 818
}
]
},
"IN1": {
"desc": "Insurance",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - IN1",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Health Plan ID",
"opt": 2,
"rep": 1,
"table": 72
},
{
"datatype": "CX",
"desc": "Insurance Company ID",
"opt": 2,
"rep": 0
},
{
"datatype": "XON",
"desc": "Insurance Company Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Insurance Company Address",
"opt": 1,
"rep": 0
},
{
"datatype": "XPN",
"desc": "Insurance Co Contact Person",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Insurance Co Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Group Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Group Name",
"opt": 1,
"rep": 0
},
{
"datatype": "CX",
"desc": "Insured's Group Emp ID",
"opt": 1,
"rep": 0
},
{
"datatype": "XON",
"desc": "Insured's Group Emp Name",
"opt": 1,
"rep": 0
},
{
"datatype": "DT",
"desc": "Plan Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Plan Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "AUI",
"desc": "Authorization Information",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Plan Type",
"opt": 1,
"rep": 1,
"table": 86
},
{
"datatype": "XPN",
"desc": "Name Of Insured",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Insured's Relationship To Patient",
"opt": 1,
"rep": 1,
"table": 63
},
{
"datatype": "DTM",
"desc": "Insured's Date Of Birth",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Insured's Address",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Assignment Of Benefits",
"opt": 1,
"rep": 1,
"table": 135
},
{
"datatype": "CWE",
"desc": "Coordination Of Benefits",
"opt": 1,
"rep": 1,
"table": 173
},
{
"datatype": "ST",
"desc": "Coord Of Ben. Priority",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Notice Of Admission Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DT",
"desc": "Notice Of Admission Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Report Of Eligibility Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DT",
"desc": "Report Of Eligibility Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Release Information Code",
"opt": 1,
"rep": 1,
"table": 93
},
{
"datatype": "ST",
"desc": "Pre-Admit Cert (PAC)",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Verification Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Verification By",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Type Of Agreement Code",
"opt": 1,
"rep": 1,
"table": 98
},
{
"datatype": "CWE",
"desc": "Billing Status",
"opt": 1,
"rep": 1,
"table": 22
},
{
"datatype": "NM",
"desc": "Lifetime Reserve Days",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Delay Before L.R. Day",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Company Plan Code",
"opt": 1,
"rep": 1,
"table": 42
},
{
"datatype": "ST",
"desc": "Policy Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Policy Deductible",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Policy Limit - Amount",
"opt": 4,
"rep": 1
},
{
"datatype": "NM",
"desc": "Policy Limit - Days",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Room Rate - Semi-Private",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Room Rate - Private",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Insured's Employment Status",
"opt": 1,
"rep": 1,
"table": 66
},
{
"datatype": "CWE",
"desc": "Insured's Administrative Sex",
"opt": 1,
"rep": 1,
"table": 1
},
{
"datatype": "XAD",
"desc": "Insured's Employer's Address",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Verification Status",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Prior Insurance Plan ID",
"opt": 1,
"rep": 1,
"table": 72
},
{
"datatype": "CWE",
"desc": "Coverage Type",
"opt": 1,
"rep": 1,
"table": 309
},
{
"datatype": "CWE",
"desc": "Handicap ",
"opt": 1,
"rep": 1,
"table": 295
},
{
"datatype": "CX",
"desc": "Insured's ID Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Signature Code",
"opt": 1,
"rep": 1,
"table": 535
},
{
"datatype": "DT",
"desc": "Signature Code Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Insured's Birth Place",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "VIP Indicator",
"opt": 1,
"rep": 1,
"table": 99
},
{
"datatype": "CX",
"desc": "External Health Plan Identifiers",
"opt": 1,
"rep": 0
}
]
},
"IN2": {
"desc": "Insurance Additional Information",
"fields": [
{
"datatype": "CX",
"desc": "Insured's Employee ID",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Insured's Social Security Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Insured's Employer's Name and ID",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Employer Information Data",
"opt": 1,
"rep": 1,
"table": 139
},
{
"datatype": "CWE",
"desc": "Mail Claim Party",
"opt": 1,
"rep": 0,
"table": 137
},
{
"datatype": "ST",
"desc": "Medicare Health Ins Card Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XPN",
"desc": "Medicaid Case Name",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Medicaid Case Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XPN",
"desc": "Military Sponsor Name",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Military ID Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Dependent Of Military Recipient",
"opt": 1,
"rep": 1,
"table": 342
},
{
"datatype": "ST",
"desc": "Military Organization",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Military Station",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Military Service",
"opt": 1,
"rep": 1,
"table": 140
},
{
"datatype": "CWE",
"desc": "Military Rank/Grade",
"opt": 1,
"rep": 1,
"table": 141
},
{
"datatype": "CWE",
"desc": "Military Status",
"opt": 1,
"rep": 1,
"table": 142
},
{
"datatype": "DT",
"desc": "Military Retire Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Military Non-Avail Cert On File",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Baby Coverage",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Combine Baby Bill",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ST",
"desc": "Blood Deductible",
"opt": 1,
"rep": 1
},
{
"datatype": "XPN",
"desc": "Special Coverage Approval Name",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Special Coverage Approval Title",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Non-Covered Insurance Code",
"opt": 1,
"rep": 0,
"table": 143
},
{
"datatype": "CX",
"desc": "Payor ID",
"opt": 1,
"rep": 0
},
{
"datatype": "CX",
"desc": "Payor Subscriber ID",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Eligibility Source",
"opt": 1,
"rep": 1,
"table": 144
},
{
"datatype": "RMC",
"desc": "Room Coverage Type/Amount",
"opt": 1,
"rep": 0
},
{
"datatype": "PTA",
"desc": "Policy Type/Amount",
"opt": 1,
"rep": 0
},
{
"datatype": "DDI",
"desc": "Daily Deductible",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Living Dependency",
"opt": 1,
"rep": 1,
"table": 223
},
{
"datatype": "CWE",
"desc": "Ambulatory Status",
"opt": 1,
"rep": 0,
"table": 9
},
{
"datatype": "CWE",
"desc": "Citizenship ",
"opt": 1,
"rep": 0,
"table": 171
},
{
"datatype": "CWE",
"desc": "Primary Language",
"opt": 1,
"rep": 1,
"table": 296
},
{
"datatype": "CWE",
"desc": "Living Arrangement ",
"opt": 1,
"rep": 1,
"table": 220
},
{
"datatype": "CWE",
"desc": "Publicity Code",
"opt": 1,
"rep": 1,
"table": 215
},
{
"datatype": "ID",
"desc": "Protection Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Student Indicator ",
"opt": 1,
"rep": 1,
"table": 231
},
{
"datatype": "CWE",
"desc": "Religion ",
"opt": 1,
"rep": 1,
"table": 6
},
{
"datatype": "XPN",
"desc": "Mother's Maiden Name",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Nationality ",
"opt": 1,
"rep": 1,
"table": 212
},
{
"datatype": "CWE",
"desc": "Ethnic Group ",
"opt": 1,
"rep": 0,
"table": 189
},
{
"datatype": "CWE",
"desc": "Marital Status ",
"opt": 1,
"rep": 0,
"table": 2
},
{
"datatype": "DT",
"desc": "Insured's Employment Start Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Employment Stop Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Job Title",
"opt": 1,
"rep": 1
},
{
"datatype": "JCC",
"desc": "Job Code/Class",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Job Status ",
"opt": 1,
"rep": 1,
"table": 311
},
{
"datatype": "XPN",
"desc": "Employer Contact Person Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Employer Contact Person Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Employer Contact Reason ",
"opt": 1,
"rep": 1,
"table": 222
},
{
"datatype": "XPN",
"desc": "Insured's Contact Person's Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Insured's Contact Person Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Insured's Contact Person Reason ",
"opt": 1,
"rep": 0,
"table": 222
},
{
"datatype": "DT",
"desc": "Relationship to the Patient Start Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Relationship to the Patient Stop Date",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Insurance Co Contact Reason ",
"opt": 1,
"rep": 1,
"table": 232
},
{
"datatype": "XTN",
"desc": "Insurance Co Contact Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Policy Scope ",
"opt": 1,
"rep": 1,
"table": 312
},
{
"datatype": "CWE",
"desc": "Policy Source ",
"opt": 1,
"rep": 1,
"table": 313
},
{
"datatype": "CX",
"desc": "Patient Member Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Guarantor's Relationship to Insured",
"opt": 1,
"rep": 1,
"table": 63
},
{
"datatype": "XTN",
"desc": "Insured's Phone Number - Home",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Insured's Employer Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Military Handicapped Program ",
"opt": 1,
"rep": 1,
"table": 343
},
{
"datatype": "ID",
"desc": "Suspend Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Copay Limit Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Stoploss Limit Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "XON",
"desc": "Insured Organization Name and ID",
"opt": 1,
"rep": 0
},
{
"datatype": "XON",
"desc": "Insured Employer Organization Name and ID",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Race",
"opt": 1,
"rep": 0,
"table": 5
},
{
"datatype": "CWE",
"desc": "Patient's Relationship to Insured",
"opt": 1,
"rep": 1,
"table": 344
}
]
},
"IN3": {
"desc": "Insurance Additional Information, Certification",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - IN3",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CX",
"desc": "Certification Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Certified By",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Certification Required",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "MOP",
"desc": "Penalty",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Certification Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Certification Modify Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Operator",
"opt": 1,
"rep": 0
},
{
"datatype": "DT",
"desc": "Certification Begin Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Certification End Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTN",
"desc": "Days",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Non-Concur Code/Description",
"opt": 1,
"rep": 1,
"table": 233
},
{
"datatype": "DTM",
"desc": "Non-Concur Effective Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Physician Reviewer",
"opt": 1,
"rep": 0,
"table": 10
},
{
"datatype": "ST",
"desc": "Certification Contact",
"opt": 1,
"rep": 1
},
{
"datatype": "XTN",
"desc": "Certification Contact Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Appeal Reason",
"opt": 1,
"rep": 1,
"table": 345
},
{
"datatype": "CWE",
"desc": "Certification Agency",
"opt": 1,
"rep": 1,
"table": 346
},
{
"datatype": "XTN",
"desc": "Certification Agency Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "ICD",
"desc": "Pre-Certification Requirement",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Case Manager",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Second Opinion Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Second Opinion Status ",
"opt": 1,
"rep": 1,
"table": 151
},
{
"datatype": "CWE",
"desc": "Second Opinion Documentation Received",
"opt": 1,
"rep": 0,
"table": 152
},
{
"datatype": "XCN",
"desc": "Second Opinion Physician",
"opt": 1,
"rep": 0,
"table": 10
}
]
},
"INV": {
"desc": "Inventory Detail",
"fields": [
{
"datatype": "CWE",
"desc": "Substance Identifier",
"opt": 2,
"rep": 1,
"table": 451
},
{
"datatype": "CWE",
"desc": "Substance Status",
"opt": 2,
"rep": 0,
"table": 383
},
{
"datatype": "CWE",
"desc": "Substance Type",
"opt": 1,
"rep": 1,
"table": 384
},
{
"datatype": "CWE",
"desc": "Inventory Container Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Container Carrier Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Position on Carrier",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Initial Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Current Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Available Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Consumption Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Quantity Units",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expiration Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "First Used Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "On Board Stability Duration",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Test/Fluid Identifier(s)",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Manufacturer Lot Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Manufacturer Identifier",
"opt": 1,
"rep": 1,
"table": 385
},
{
"datatype": "CWE",
"desc": "Supplier Identifier",
"opt": 1,
"rep": 1,
"table": 386
},
{
"datatype": "CQ",
"desc": "On Board Stability Time ",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Target Value",
"opt": 1,
"rep": 1
}
]
},
"IPC": {
"desc": "Imaging Procedure Control Segment",
"fields": [
{
"datatype": "EI",
"desc": "Accession Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Requested Procedure ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Study Instance UID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Scheduled Procedure Step ID",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Modality ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Protocol Code",
"opt": 1,
"rep": 0
},
{
"datatype": "EI",
"desc": "Scheduled Station Name",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Scheduled Procedure Step Location",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Scheduled Station AE Title",
"opt": 1,
"rep": 1
}
]
},
"IPR": {
"desc": "Invoice Processing Results",
"fields": [
{
"datatype": "EI",
"desc": "IPR Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Provider Cross Reference Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Payer Cross Reference Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "IPR Status",
"opt": 2,
"rep": 1,
"table": 571
},
{
"datatype": "DTM",
"desc": "IPR Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "CP",
"desc": "Adjudicated/Paid Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expected Payment Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "IPR Checksum",
"opt": 2,
"rep": 1
}
]
},
"ISD": {
"desc": "Interaction Status Detail",
"fields": [
{
"datatype": "NM",
"desc": "Reference Interaction Number",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Interaction Type Identifier ",
"opt": 1,
"rep": 1,
"table": 368
},
{
"datatype": "CWE",
"desc": "Interaction Active State",
"opt": 2,
"rep": 1,
"table": 387
}
]
},
"ITM": {
"desc": "Material Item",
"fields": [
{
"datatype": "EI",
"desc": "Item Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Item Description",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Item Status",
"opt": 1,
"rep": 1,
"table": 776
},
{
"datatype": "CWE",
"desc": "Item Type ",
"opt": 1,
"rep": 1,
"table": 778
},
{
"datatype": "CWE",
"desc": "Item Category",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Subject to Expiration Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "EI",
"desc": "Manufacturer Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Manufacturer Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Manufacturer Catalog Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Manufacturer Labeler Identification Code",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Patient Chargeable Indicator ",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CWE",
"desc": "Transaction Code ",
"opt": 1,
"rep": 1,
"table": 132
},
{
"datatype": "CP",
"desc": "Transaction amount - unit",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Stocked Item Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CWE",
"desc": "Supply Risk Codes ",
"opt": 1,
"rep": 1,
"table": 871
},
{
"datatype": "XON",
"desc": "Approving Regulatory Agency ",
"opt": 1,
"rep": 0,
"table": 790
},
{
"datatype": "CNE",
"desc": "Latex Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CWE",
"desc": "Ruling Act",
"opt": 1,
"rep": 0,
"table": 793
},
{
"datatype": "CWE",
"desc": "Item Natural Account Code",
"opt": 1,
"rep": 1,
"table": 320
},
{
"datatype": "NM",
"desc": "Approved To Buy Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "MO",
"desc": "Approved To Buy Price ",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Taxable Item Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Freight Charge Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Item Set Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "EI",
"desc": "Item Set Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Track Department Usage Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Procedure Code ",
"opt": 1,
"rep": 1,
"table": 88
},
{
"datatype": "CNE",
"desc": "Procedure Code Modifier",
"opt": 1,
"rep": 0,
"table": 340
},
{
"datatype": "CWE",
"desc": "Special Handling Code",
"opt": 1,
"rep": 1,
"table": 376
}
]
},
"IVC": {
"desc": "Invoice Segment",
"fields": [
{
"datatype": "EI",
"desc": "Provider Invoice Number",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Payer Invoice Number",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Contract/Agreement Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Invoice Control",
"opt": 2,
"rep": 1,
"table": 553
},
{
"datatype": "CWE",
"desc": "Invoice Reason",
"opt": 2,
"rep": 1,
"table": 554
},
{
"datatype": "CWE",
"desc": "Invoice Type",
"opt": 2,
"rep": 1,
"table": 555
},
{
"datatype": "DTM",
"desc": "Invoice Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "CP",
"desc": "Invoice Amount",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Payment Terms",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Provider Organization",
"opt": 2,
"rep": 1
},
{
"datatype": "XON",
"desc": "Payer Organization",
"opt": 2,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Attention",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Last Invoice Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DTM",
"desc": "Invoice Booking Period",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Origin",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Invoice Fixed Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Special Costs",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Amount for Doctors Treatment",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Responsible Physician",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Cost Center",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Invoice Prepaid Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Total Invoice Amount without Prepaid Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Total-Amount of VAT",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "VAT-Rates applied",
"opt": 1,
"rep": 0,
"len": 5
},
{
"datatype": "CWE",
"desc": "Benefit Group",
"opt": 2,
"rep": 1,
"table": 556
},
{
"datatype": "ST",
"desc": "Provider Tax ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Payer Tax ID",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Provider Tax Status",
"opt": 1,
"rep": 1,
"table": 572
},
{
"datatype": "CWE",
"desc": "Payer Tax Status",
"opt": 1,
"rep": 1,
"table": 572
},
{
"datatype": "ST",
"desc": "Sales Tax ID",
"opt": 1,
"rep": 1
}
]
},
"IVT": {
"desc": "Material Location",
"fields": [
{
"datatype": "SI",
"desc": "Set Id - IVT",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "EI",
"desc": "Inventory Location Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Inventory Location Name",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Source Location Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Source Location Name",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Item Status",
"opt": 1,
"rep": 1,
"table": 625
},
{
"datatype": "EI",
"desc": "Bin Location Identifier ",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Order Packaging",
"opt": 1,
"rep": 1,
"table": 818
},
{
"datatype": "CWE",
"desc": "Issue Packaging",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Default Inventory Asset Account",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Patient Chargeable Indicator ",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CWE",
"desc": "Transaction Code",
"opt": 1,
"rep": 1,
"table": 132
},
{
"datatype": "CP",
"desc": "Transaction amount - unit",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Item Importance Code",
"opt": 1,
"rep": 1,
"table": 634
},
{
"datatype": "CNE",
"desc": "Stocked Item Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Consignment Item Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Reusable Item Indicator ",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CP",
"desc": "Reusable Cost",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Substitute Item Identifier",
"opt": 1,
"rep": 0
},
{
"datatype": "EI",
"desc": "Latex-Free Substitute Item Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Recommended Reorder Theory",
"opt": 1,
"rep": 1,
"table": 642
},
{
"datatype": "NM",
"desc": "Recommended Safety Stock Days",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Recommended Maximum Days Inventory",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Recommended Order Point",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Recommended Order Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Operating Room Par Level Indicator ",
"opt": 1,
"rep": 1,
"table": 532
}
]
},
"LAN": {
"desc": "Language Detail",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - LAN",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Language Code",
"opt": 2,
"rep": 1,
"table": 296
},
{
"datatype": "CWE",
"desc": "Language Ability Code",
"opt": 1,
"rep": 0,
"table": 403
},
{
"datatype": "CWE",
"desc": "Language Proficiency Code",
"opt": 1,
"rep": 1,
"table": 404
}
]
},
"LCC": {
"desc": "Location Charge Code",
"fields": [
{
"datatype": "PL",
"desc": "Primary Key Value - LCC",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Location Department",
"opt": 2,
"rep": 1,
"table": 264
},
{
"datatype": "CWE",
"desc": "Accommodation Type",
"opt": 1,
"rep": 0,
"table": 129
},
{
"datatype": "CWE",
"desc": "Charge Code",
"opt": 2,
"rep": 0,
"table": 132
}
]
},
"LCH": {
"desc": "Location Characteristic",
"fields": [
{
"datatype": "PL",
"desc": "Primary Key Value - LCH",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Segment Action Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "EI",
"desc": "Segment Unique Key",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Location Characteristic ID",
"opt": 2,
"rep": 1,
"table": 324
},
{
"datatype": "CWE",
"desc": "Location Characteristic Value - LCH",
"opt": 2,
"rep": 1
}
]
},
"LDP": {
"desc": "Location Department",
"fields": [
{
"datatype": "PL",
"desc": "Primary Key Value - LDP",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Location Department",
"opt": 2,
"rep": 1,
"table": 264
},
{
"datatype": "CWE",
"desc": "Location Service",
"opt": 1,
"rep": 0,
"table": 69
},
{
"datatype": "CWE",
"desc": "Specialty Type",
"opt": 1,
"rep": 0,
"table": 265
},
{
"datatype": "CWE",
"desc": "Valid Patient Classes",
"opt": 1,
"rep": 0,
"table": 4
},
{
"datatype": "ID",
"desc": "Active/Inactive Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 183
},
{
"datatype": "DTM",
"desc": "Activation Date - LDP",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Inactivation Date - LDP",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Inactivated Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "VH",
"desc": "Visiting Hours",
"opt": 1,
"rep": 0,
"table": 267
},
{
"datatype": "XTN",
"desc": "Contact Phone",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Location Cost Center",
"opt": 1,
"rep": 1,
"table": 462
}
]
},
"LOC": {
"desc": "Location Identification",
"fields": [
{
"datatype": "PL",
"desc": "Primary Key Value - LOC",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Location Description",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Location Type - LOC",
"opt": 2,
"rep": 0,
"table": 260
},
{
"datatype": "XON",
"desc": "Organization Name - LOC",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Location Address",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Location Phone",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "License Number",
"opt": 1,
"rep": 0,
"table": 461
},
{
"datatype": "CWE",
"desc": "Location Equipment",
"opt": 1,
"rep": 0,
"table": 261
},
{
"datatype": "CWE",
"desc": "Location Service Code",
"opt": 1,
"rep": 1,
"table": 442
}
]
},
"LRL": {
"desc": "Location Relationship",
"fields": [
{
"datatype": "PL",
"desc": "Primary Key Value - LRL",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Segment Action Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "EI",
"desc": "Segment Unique Key",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Location Relationship ID",
"opt": 2,
"rep": 1,
"table": 325
},
{
"datatype": "XON",
"desc": "Organizational Location Relationship Value",
"opt": 3,
"rep": 0
},
{
"datatype": "PL",
"desc": "Patient Location Relationship Value",
"opt": 3,
"rep": 1
}
]
},
"MFA": {
"desc": "Master File Acknowledgment",
"fields": [
{
"datatype": "ID",
"desc": "Record-Level Event Code",
"opt": 2,
"rep": 1,
"len": 3,
"table": 180
},
{
"datatype": "ST",
"desc": "MFN Control ID",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Event Completion Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "MFN Record Level Error Return",
"opt": 2,
"rep": 1,
"table": 181
},
{
"datatype": "ST",
"desc": "Primary Key Value - MFA",
"opt": 2,
"rep": 0
},
{
"datatype": "ID",
"desc": "Primary Key Value Type - MFA",
"opt": 2,
"rep": 0,
"len": 3,
"table": 355
}
]
},
"MFE": {
"desc": "Master File Entry",
"fields": [
{
"datatype": "ID",
"desc": "Record-Level Event Code",
"opt": 2,
"rep": 1,
"len": 3,
"table": 180
},
{
"datatype": "ST",
"desc": "MFN Control ID",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Primary Key Value - MFE",
"opt": 2,
"rep": 0
},
{
"datatype": "ID",
"desc": "Primary Key Value Type",
"opt": 2,
"rep": 0,
"len": 3,
"table": 355
},
{
"datatype": "DTM",
"desc": "Entered Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Entered By",
"opt": 1,
"rep": 1
}
]
},
"MFI": {
"desc": "Master File Identification",
"fields": [
{
"datatype": "CWE",
"desc": "Master File Identifier",
"opt": 2,
"rep": 1,
"table": 175
},
{
"datatype": "HD",
"desc": "Master File Application Identifier",
"opt": 1,
"rep": 0,
"table": 361
},
{
"datatype": "ID",
"desc": "File-Level Event Code",
"opt": 2,
"rep": 1,
"len": 3,
"table": 178
},
{
"datatype": "DTM",
"desc": "Entered Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Response Level Code",
"opt": 2,
"rep": 1,
"len": 2,
"table": 179
}
]
},
"MRG": {
"desc": "Merge Patient Information",
"fields": [
{
"datatype": "CX",
"desc": "Prior Patient Identifier List",
"opt": 2,
"rep": 0,
"table": 61
},
{
"datatype": "ST",
"desc": "Prior Alternate Patient ID",
"opt": 4,
"rep": 1
},
{
"datatype": "CX",
"desc": "Prior Patient Account Number",
"opt": 1,
"rep": 1,
"table": 61
},
{
"datatype": "ST",
"desc": "Prior Patient ID",
"opt": 4,
"rep": 1
},
{
"datatype": "CX",
"desc": "Prior Visit Number",
"opt": 1,
"rep": 1,
"table": 61
},
{
"datatype": "CX",
"desc": "Prior Alternate Visit ID",
"opt": 1,
"rep": 1,
"table": 61
},
{
"datatype": "XPN",
"desc": "Prior Patient Name",
"opt": 1,
"rep": 0,
"table": 200
}
]
},
"MSA": {
"desc": "Message Acknowledgment",
"fields": [
{
"datatype": "ID",
"desc": "Acknowledgment Code",
"opt": 2,
"rep": 1,
"len": 2,
"table": 8
},
{
"datatype": "ST",
"desc": "Message Control ID",
"opt": 2,
"rep": 1,
"len": 199
},
{
"datatype": "ST",
"desc": "Text Message",
"opt": 4,
"rep": 1
},
{
"datatype": "NM",
"desc": "Expected Sequence Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Delayed Acknowledgment Type",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Error Condition",
"opt": 4,
"rep": 1
},
{
"datatype": "NM",
"desc": "Message Waiting Number ",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": " Message Waiting Priority ",
"opt": 1,
"rep": 1,
"len": 1,
"table": 520
}
]
},
"MSH": {
"desc": "Message Header",
"fields": [
{
"datatype": "ST",
"desc": "Field Separator",
"opt": 2,
"rep": 1,
"len": 1
},
{
"datatype": "ST",
"desc": "Encoding Characters",
"opt": 2,
"rep": 1,
"len": 5
},
{
"datatype": "HD",
"desc": "Sending Application",
"opt": 1,
"rep": 1,
"table": 361
},
{
"datatype": "HD",
"desc": "Sending Facility",
"opt": 1,
"rep": 1,
"table": 362
},
{
"datatype": "HD",
"desc": "Receiving Application",
"opt": 1,
"rep": 1,
"table": 361
},
{
"datatype": "HD",
"desc": "Receiving Facility",
"opt": 1,
"rep": 1,
"table": 362
},
{
"datatype": "DTM",
"desc": "Date/Time of Message",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Security",
"opt": 1,
"rep": 1
},
{
"datatype": "MSG",
"desc": "Message Type",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Message Control ID",
"opt": 2,
"rep": 1,
"len": 199
},
{
"datatype": "PT",
"desc": "Processing ID",
"opt": 2,
"rep": 1
},
{
"datatype": "VID",
"desc": "Version ID",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sequence Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Continuation Pointer",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Accept Acknowledgment Type",
"opt": 1,
"rep": 1,
"len": 2,
"table": 155
},
{
"datatype": "ID",
"desc": "Application Acknowledgment Type",
"opt": 1,
"rep": 1,
"len": 2,
"table": 155
},
{
"datatype": "ID",
"desc": "Country Code",
"opt": 1,
"rep": 1,
"len": 3,
"table": 399
},
{
"datatype": "ID",
"desc": "Character Set",
"opt": 1,
"rep": 0,
"len": 15,
"table": 211
},
{
"datatype": "CWE",
"desc": "Principal Language Of Message",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Alternate Character Set Handling Scheme",
"opt": 1,
"rep": 1,
"len": 13,
"table": 356
},
{
"datatype": "EI",
"desc": "Message Profile Identifier",
"opt": 1,
"rep": 0
},
{
"datatype": "XON",
"desc": "Sending Responsible Organization",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Receiving Responsible Organization",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Sending Network Address",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Receiving Network Address",
"opt": 1,
"rep": 1
}
]
},
"NCK": {
"desc": "System Clock",
"fields": [
{
"datatype": "DTM",
"desc": "System Date/Time",
"opt": 2,
"rep": 1,
"len": 24
}
]
},
"NDS": {
"desc": "Notification Detail",
"fields": [
{
"datatype": "NM",
"desc": "Notification Reference Number",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Notification Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Notification Alert Severity",
"opt": 2,
"rep": 1,
"table": 367
},
{
"datatype": "CWE",
"desc": "Notification Code",
"opt": 2,
"rep": 1
}
]
},
"NK1": {
"desc": "Next of Kin / Associated Parties",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - NK1",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "XPN",
"desc": "Name",
"opt": 1,
"rep": 0,
"table": 200
},
{
"datatype": "CWE",
"desc": "Relationship",
"opt": 1,
"rep": 1,
"table": 63
},
{
"datatype": "XAD",
"desc": "Address",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Business Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Contact Role",
"opt": 1,
"rep": 1,
"table": 131
},
{
"datatype": "DT",
"desc": "Start Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "End Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Next of Kin / Associated Parties Job Title",
"opt": 1,
"rep": 1
},
{
"datatype": "JCC",
"desc": "Next of Kin / Associated Parties Job Code/Class",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Next of Kin / Associated Parties Employee Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Organization Name - NK1",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Marital Status",
"opt": 1,
"rep": 1,
"table": 2
},
{
"datatype": "CWE",
"desc": "Administrative Sex",
"opt": 1,
"rep": 1,
"table": 1
},
{
"datatype": "DTM",
"desc": "Date/Time of Birth",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Living Dependency",
"opt": 1,
"rep": 0,
"table": 223
},
{
"datatype": "CWE",
"desc": "Ambulatory Status",
"opt": 1,
"rep": 0,
"table": 9
},
{
"datatype": "CWE",
"desc": "Citizenship",
"opt": 1,
"rep": 0,
"table": 171
},
{
"datatype": "CWE",
"desc": "Primary Language",
"opt": 1,
"rep": 1,
"table": 296
},
{
"datatype": "CWE",
"desc": "Living Arrangement",
"opt": 1,
"rep": 1,
"table": 220
},
{
"datatype": "CWE",
"desc": "Publicity Code",
"opt": 1,
"rep": 1,
"table": 215
},
{
"datatype": "ID",
"desc": "Protection Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Student Indicator",
"opt": 1,
"rep": 1,
"table": 231
},
{
"datatype": "CWE",
"desc": "Religion",
"opt": 1,
"rep": 1,
"table": 6
},
{
"datatype": "XPN",
"desc": "Mother's Maiden Name",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Nationality",
"opt": 1,
"rep": 1,
"table": 212
},
{
"datatype": "CWE",
"desc": "Ethnic Group",
"opt": 1,
"rep": 0,
"table": 189
},
{
"datatype": "CWE",
"desc": "Contact Reason",
"opt": 1,
"rep": 0,
"table": 222
},
{
"datatype": "XPN",
"desc": "Contact Person's Name",
"opt": 1,
"rep": 0,
"table": 200
},
{
"datatype": "XTN",
"desc": "Contact Person's Telephone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Contact Person's Address",
"opt": 1,
"rep": 0
},
{
"datatype": "CX",
"desc": "Next of Kin/Associated Party's Identifiers",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Job Status",
"opt": 1,
"rep": 1,
"table": 311
},
{
"datatype": "CWE",
"desc": "Race",
"opt": 1,
"rep": 0,
"table": 5
},
{
"datatype": "CWE",
"desc": "Handicap",
"opt": 1,
"rep": 1,
"table": 295
},
{
"datatype": "ST",
"desc": "Contact Person Social Security Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Next of Kin Birth Place",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "VIP Indicator",
"opt": 1,
"rep": 1,
"table": 99
},
{
"datatype": "XTN",
"desc": "Next of Kin Telecommunication Information",
"opt": 1,
"rep": 1
},
{
"datatype": "XTN",
"desc": "Contact Person's Telecommunication Information",
"opt": 1,
"rep": 1
}
]
},
"NPU": {
"desc": "Bed Status Update",
"fields": [
{
"datatype": "PL",
"desc": "Bed Location",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Bed Status",
"opt": 1,
"rep": 1,
"table": 116
}
]
},
"NSC": {
"desc": "Application Status Change",
"fields": [
{
"datatype": "CWE",
"desc": "Application Change Type",
"opt": 2,
"rep": 1,
"table": 409
},
{
"datatype": "ST",
"desc": "Current CPU",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Current Fileserver",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Current Application",
"opt": 1,
"rep": 1,
"table": 361
},
{
"datatype": "HD",
"desc": "Current Facility",
"opt": 1,
"rep": 1,
"table": 362
},
{
"datatype": "ST",
"desc": "New CPU",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "New Fileserver",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "New Application",
"opt": 1,
"rep": 1,
"table": 361
},
{
"datatype": "HD",
"desc": "New Facility",
"opt": 1,
"rep": 1,
"table": 362
}
]
},
"NST": {
"desc": "Application control level statistics",
"fields": [
{
"datatype": "ID",
"desc": "Statistics Available",
"opt": 2,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ST",
"desc": "Source Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Source Type",
"opt": 1,
"rep": 1,
"table": 332
},
{
"datatype": "DTM",
"desc": "Statistics Start",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Statistics End",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Receive Character Count",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Send Character Count",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Messages Received",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Messages Sent",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Checksum Errors Received",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Length Errors Received",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Other Errors Received",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Connect Timeouts",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Receive Timeouts",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Application control-level Errors",
"opt": 1,
"rep": 1
}
]
},
"NTE": {
"desc": "Notes and Comments",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - NTE",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Source of Comment",
"opt": 1,
"rep": 1,
"len": 1,
"table": 105
},
{
"datatype": "FT",
"desc": "Comment",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Comment Type",
"opt": 1,
"rep": 1,
"table": 364
},
{
"datatype": "XCN",
"desc": "Entered By",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Entered Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective Start Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
}
]
},
"OBR": {
"desc": "Observation Request",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - OBR",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "EI",
"desc": "Placer Order Number",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Filler Order Number",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Universal Service Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Priority",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Requested Date/Time",
"opt": 4,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Observation Date/Time #",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Observation End Date/Time #",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Collection Volume *",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Collector Identifier *",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Specimen Action Code *",
"opt": 1,
"rep": 1,
"len": 1,
"table": 65
},
{
"datatype": "CWE",
"desc": "Danger Code",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Relevant Clinical Information",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Specimen Received Date/Time *",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Specimen Source",
"opt": 4,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Ordering Provider",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Order Callback Phone Number",
"opt": 1,
"rep": 2
},
{
"datatype": "ST",
"desc": "Placer Field 1",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Placer Field 2",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Filler Field 1 +",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Filler Field 2 +",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Results Rpt/Status Chng - Date/Time +",
"opt": 3,
"rep": 1
},
{
"datatype": "MOC",
"desc": "Charge to Practice +",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Diagnostic Serv Sect ID",
"opt": 1,
"rep": 1,
"len": 3,
"table": 74
},
{
"datatype": "ID",
"desc": "Result Status +",
"opt": 3,
"rep": 1,
"len": 1,
"table": 123
},
{
"datatype": "PRL",
"desc": "Parent Result +",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Quantity/Timing",
"opt": 4,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Result Copies To",
"opt": 1,
"rep": 0
},
{
"datatype": "EIP",
"desc": "Parent Result Observation Identifier ",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Transportation Mode",
"opt": 1,
"rep": 1,
"len": 4,
"table": 124
},
{
"datatype": "CWE",
"desc": "Reason for Study",
"opt": 1,
"rep": 0
},
{
"datatype": "NDL",
"desc": "Principal Result Interpreter +",
"opt": 1,
"rep": 1
},
{
"datatype": "NDL",
"desc": "Assistant Result Interpreter + ",
"opt": 1,
"rep": 0
},
{
"datatype": "NDL",
"desc": "Technician +",
"opt": 1,
"rep": 0
},
{
"datatype": "NDL",
"desc": "Transcriptionist +",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Scheduled Date/Time +",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number of Sample Containers *",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Transport Logistics of Collected Sample *",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Collector's Comment *",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Transport Arrangement Responsibility",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Transport Arranged",
"opt": 1,
"rep": 1,
"len": 1,
"table": 224
},
{
"datatype": "ID",
"desc": "Escort Required",
"opt": 1,
"rep": 1,
"len": 1,
"table": 225
},
{
"datatype": "CWE",
"desc": "Planned Patient Transport Comment",
"opt": 1,
"rep": 0
},
{
"datatype": "CNE",
"desc": "Procedure Code",
"opt": 1,
"rep": 1,
"table": 88
},
{
"datatype": "CNE",
"desc": "Procedure Code Modifier",
"opt": 1,
"rep": 0,
"table": 340
},
{
"datatype": "CWE",
"desc": "Placer Supplemental Service Information",
"opt": 1,
"rep": 0,
"table": 411
},
{
"datatype": "CWE",
"desc": "Filler Supplemental Service Information",
"opt": 1,
"rep": 0,
"table": 411
},
{
"datatype": "CWE",
"desc": "Medically Necessary Duplicate Procedure Reason",
"opt": 3,
"rep": 1,
"table": 476
},
{
"datatype": "CWE",
"desc": "Result Handling",
"opt": 1,
"rep": 1,
"table": 507
},
{
"datatype": "CWE",
"desc": "Parent Universal Service Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Observation Group ID",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Parent Observation Group ID",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Alternate Placer Order Number",
"opt": 1,
"rep": 0
},
{
"datatype": "EIP",
"desc": "Parent Order",
"opt": 1,
"rep": 1
}
]
},
"OBX": {
"desc": "Observation/Result",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - OBX",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Value Type",
"opt": 3,
"rep": 1,
"len": 3,
"table": 125
},
{
"datatype": "CWE",
"desc": "Observation Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Observation Sub-ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Observation Value",
"opt": 3,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Units",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "References Range",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Interpretation Codes",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Probability",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Nature of Abnormal Test",
"opt": 1,
"rep": 0,
"len": 2,
"table": 80
},
{
"datatype": "ID",
"desc": "Observation Result Status",
"opt": 2,
"rep": 1,
"len": 1,
"table": 85
},
{
"datatype": "DTM",
"desc": "Effective Date of Reference Range",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "User Defined Access Checks",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/Time of the Observation",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Producer's ID",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Responsible Observer",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Observation Method",
"opt": 1,
"rep": 0
},
{
"datatype": "EI",
"desc": "Equipment Instance Identifier",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Date/Time of the Analysis",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Observation Site",
"opt": 1,
"rep": 0,
"table": 163
},
{
"datatype": "EI",
"desc": "Observation Instance Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Mood Code",
"opt": 3,
"rep": 1,
"table": 725
},
{
"datatype": "XON",
"desc": "Performing Organization Name",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Performing Organization Address",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Performing Organization Medical Director",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Patient Results Release Category",
"opt": 1,
"rep": 1,
"len": 10,
"table": 909
}
]
},
"ODS": {
"desc": "Dietary Orders, Supplements, and Preferences",
"fields": [
{
"datatype": "ID",
"desc": "Type ",
"opt": 2,
"rep": 1,
"len": 1,
"table": 159
},
{
"datatype": "CWE",
"desc": "Service Period",
"opt": 1,
"rep": 10
},
{
"datatype": "CWE",
"desc": "Diet, Supplement, or Preference Code",
"opt": 2,
"rep": 20
},
{
"datatype": "ST",
"desc": "Text Instruction",
"opt": 1,
"rep": 2
}
]
},
"ODT": {
"desc": "Diet Tray Instructions",
"fields": [
{
"datatype": "CWE",
"desc": "Tray Type",
"opt": 2,
"rep": 1,
"table": 160
},
{
"datatype": "CWE",
"desc": "Service Period",
"opt": 1,
"rep": 10
},
{
"datatype": "ST",
"desc": "Text Instruction",
"opt": 1,
"rep": 1
}
]
},
"OM1": {
"desc": "General Segment",
"fields": [
{
"datatype": "NM",
"desc": "Sequence Number - Test/Observation Master File",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Producer's Service/Test/Observation ID",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Permitted Data Types",
"opt": 1,
"rep": 0,
"len": 3,
"table": 125
},
{
"datatype": "ID",
"desc": "Specimen Required",
"opt": 2,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Producer ID",
"opt": 2,
"rep": 1
},
{
"datatype": "TX",
"desc": "Observation Description",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Other Service/Test/Observation IDs for the Observation",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Other Names",
"opt": 2,
"rep": 0
},
{
"datatype": "ST",
"desc": "Preferred Report Name for the Observation",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Preferred Short Name or Mnemonic for the Observation",
"opt": 1,
"rep": 1,
"len": 8
},
{
"datatype": "ST",
"desc": "Preferred Long Name for the Observation",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Orderability",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Identity of Instrument Used to Perform this Study",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Coded Representation of Method",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Portable Device Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Observation Producing Department/Section",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Telephone Number of Section",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Nature of Service/Test/Observation",
"opt": 2,
"rep": 1,
"len": 1,
"table": 174
},
{
"datatype": "CWE",
"desc": "Report Subheader",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Report Display Order",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/Time Stamp for Any Change in Definition for the Observation",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective Date/Time of Change",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Typical Turn-Around Time",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Processing Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Processing Priority",
"opt": 1,
"rep": 0,
"len": 1,
"table": 168
},
{
"datatype": "ID",
"desc": "Reporting Priority",
"opt": 1,
"rep": 1,
"len": 1,
"table": 169
},
{
"datatype": "CWE",
"desc": "Outside Site(s) Where Observation May Be Performed",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Address of Outside Site(s)",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Phone Number of Outside Site",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Confidentiality Code",
"opt": 1,
"rep": 1,
"table": 177
},
{
"datatype": "CWE",
"desc": "Observations Required to Interpret this Observation",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Interpretation of Observations",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Contraindications to Observations",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Reflex Tests/Observations",
"opt": 1,
"rep": 0
},
{
"datatype": "TX",
"desc": "Rules that Trigger Reflex Testing",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Fixed Canned Message",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Patient Preparation",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Procedure Medication",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Factors that may Affect the Observation",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Service/Test/Observation Performance Schedule",
"opt": 1,
"rep": 0
},
{
"datatype": "TX",
"desc": "Description of Test Methods",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Kind of Quantity Observed",
"opt": 1,
"rep": 1,
"table": 254
},
{
"datatype": "CWE",
"desc": "Point Versus Interval",
"opt": 1,
"rep": 1,
"table": 255
},
{
"datatype": "TX",
"desc": "Challenge Information",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Relationship Modifier",
"opt": 1,
"rep": 1,
"table": 258
},
{
"datatype": "CWE",
"desc": "Target Anatomic Site Of Test",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Modality of Imaging Measurement",
"opt": 1,
"rep": 1,
"table": 910
}
]
},
"OM2": {
"desc": "Numeric Observation",
"fields": [
{
"datatype": "NM",
"desc": "Sequence Number - Test/Observation Master File",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Units of Measure",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Range of Decimal Precision",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Corresponding SI Units of Measure",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "SI Conversion Factor",
"opt": 1,
"rep": 1
},
{
"datatype": "RFR",
"desc": "Reference (Normal) Range for Ordinal and Continuous Observations",
"opt": 1,
"rep": 0
},
{
"datatype": "RFR",
"desc": "Critical Range for Ordinal and Continuous Observations",
"opt": 1,
"rep": 0
},
{
"datatype": "RFR",
"desc": "Absolute Range for Ordinal and Continuous Observations",
"opt": 1,
"rep": 1
},
{
"datatype": "DLT",
"desc": "Delta Check Criteria",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Minimum Meaningful Increments",
"opt": 1,
"rep": 1
}
]
},
"OM3": {
"desc": "Categorical Service/Test/Observation",
"fields": [
{
"datatype": "NM",
"desc": "Sequence Number - Test/Observation Master File",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Preferred Coding System",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Valid Coded \"Answers\"",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Normal Text/Codes for Categorical Observations",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Abnormal Text/Codes for Categorical Observations",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Critical Text/Codes for Categorical Observations",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Value Type",
"opt": 1,
"rep": 1,
"len": 3,
"table": 125
}
]
},
"OM4": {
"desc": "Observations that Require Specimens",
"fields": [
{
"datatype": "NM",
"desc": "Sequence Number - Test/Observation Master File",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Derived Specimen",
"opt": 1,
"rep": 1,
"len": 1,
"table": 170
},
{
"datatype": "TX",
"desc": "Container Description",
"opt": 1,
"rep": 1,
"len": 60
},
{
"datatype": "NM",
"desc": "Container Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Container Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Specimen",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Additive",
"opt": 1,
"rep": 1,
"table": 371
},
{
"datatype": "TX",
"desc": "Preparation",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Special Handling Requirements",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Normal Collection Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Minimum Collection Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Specimen Requirements",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Specimen Priorities",
"opt": 1,
"rep": 0,
"len": 1,
"table": 27
},
{
"datatype": "CQ",
"desc": "Specimen Retention Time",
"opt": 1,
"rep": 1
}
]
},
"OM5": {
"desc": "Observation Batteries (Sets)",
"fields": [
{
"datatype": "NM",
"desc": "Sequence Number - Test/Observation Master File",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Test/Observations Included Within an Ordered Test Battery",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Observation ID Suffixes",
"opt": 1,
"rep": 1
}
]
},
"OM6": {
"desc": "Observations that are Calculated from Other Observations",
"fields": [
{
"datatype": "NM",
"desc": "Sequence Number - Test/Observation Master File",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Derivation Rule",
"opt": 1,
"rep": 1
}
]
},
"OM7": {
"desc": "Additional Basic Attributes",
"fields": [
{
"datatype": "NM",
"desc": "Sequence Number - Test/Observation Master File",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Universal Service Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Category Identifier",
"opt": 1,
"rep": 0,
"table": 412
},
{
"datatype": "TX",
"desc": "Category Description",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Category Synonym",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Effective Test/Service Start Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective Test/Service End Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Test/Service Default Duration Quantity ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Test/Service Default Duration Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Test/Service Default Frequency ",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Consent Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Consent Identifier",
"opt": 1,
"rep": 1,
"table": 413
},
{
"datatype": "DTM",
"desc": "Consent Effective Start Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Consent Effective End Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Consent Interval Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Consent Interval Units",
"opt": 3,
"rep": 1,
"table": 414
},
{
"datatype": "NM",
"desc": "Consent Waiting Period Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Consent Waiting Period Units",
"opt": 3,
"rep": 1,
"table": 414
},
{
"datatype": "DTM",
"desc": "Effective Date/Time of Change",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Entered By",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "Orderable-at Location",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Formulary Status",
"opt": 1,
"rep": 1,
"table": 473
},
{
"datatype": "ID",
"desc": "Special Order Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Primary Key Value - CDM",
"opt": 1,
"rep": 0
}
]
},
"ORC": {
"desc": "Common Order",
"fields": [
{
"datatype": "ID",
"desc": "Order Control",
"opt": 2,
"rep": 1,
"len": 2,
"table": 119
},
{
"datatype": "EI",
"desc": "Placer Order Number",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Filler Order Number",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Placer Group Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Order Status",
"opt": 1,
"rep": 1,
"len": 2,
"table": 38
},
{
"datatype": "ID",
"desc": "Response Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 121
},
{
"datatype": "ST",
"desc": "Quantity/Timing",
"opt": 4,
"rep": 0
},
{
"datatype": "EIP",
"desc": "Parent Order",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/Time of Transaction",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Entered By",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Verified By",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Ordering Provider",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Enterer's Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XTN",
"desc": "Call Back Phone Number",
"opt": 1,
"rep": 2
},
{
"datatype": "DTM",
"desc": "Order Effective Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Order Control Code Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Entering Organization",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Entering Device",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Action By",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Advanced Beneficiary Notice Code",
"opt": 1,
"rep": 1,
"table": 339
},
{
"datatype": "XON",
"desc": "Ordering Facility Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Ordering Facility Address",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Ordering Facility Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Ordering Provider Address",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Order Status Modifier",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Advanced Beneficiary Notice Override Reason",
"opt": 3,
"rep": 1,
"table": 552
},
{
"datatype": "DTM",
"desc": "Filler's Expected Availability Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Confidentiality Code",
"opt": 1,
"rep": 1,
"table": 177
},
{
"datatype": "CWE",
"desc": "Order Type",
"opt": 1,
"rep": 1,
"table": 482
},
{
"datatype": "CNE",
"desc": "Enterer Authorization Mode",
"opt": 1,
"rep": 1,
"table": 483
},
{
"datatype": "CWE",
"desc": "Parent Universal Service Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Advanced Beneficiary Notice Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Alternate Placer Order Number",
"opt": 1,
"rep": 0
}
]
},
"ORG": {
"desc": "Practitioner Organization Unit s",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - ORG",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Organization Unit Code",
"opt": 1,
"rep": 1,
"table": 405
},
{
"datatype": "CWE",
"desc": "Organization Unit Type Code",
"opt": 1,
"rep": 1,
"table": 474
},
{
"datatype": "ID",
"desc": "Primary Org Unit Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CX",
"desc": "Practitioner Org Unit Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Health Care Provider Type Code",
"opt": 1,
"rep": 1,
"table": 452
},
{
"datatype": "CWE",
"desc": "Health Care Provider Classification Code",
"opt": 1,
"rep": 1,
"table": 453
},
{
"datatype": "CWE",
"desc": "Health Care Provider Area of Specialization Code",
"opt": 1,
"rep": 1,
"table": 454
},
{
"datatype": "DR",
"desc": "Effective Date Range",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Employment Status Code",
"opt": 1,
"rep": 1,
"table": 66
},
{
"datatype": "ID",
"desc": "Board Approval Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Primary Care Physician Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Cost Center Code",
"opt": 1,
"rep": 0,
"table": 539
}
]
},
"OVR": {
"desc": "Override Segment",
"fields": [
{
"datatype": "CWE",
"desc": "Business Rule Override Type",
"opt": 1,
"rep": 1,
"table": 518
},
{
"datatype": "CWE",
"desc": "Business Rule Override Code",
"opt": 1,
"rep": 1,
"table": 521
},
{
"datatype": "TX",
"desc": "Override Comments",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Override Entered By",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Override Authorized By",
"opt": 1,
"rep": 1
}
]
},
"PAC": {
"desc": "Shipment Package",
"fields": [
{
"datatype": "SI",
"desc": "Set Id - PAC",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "EI",
"desc": "Package ID",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Parent Package ID",
"opt": 1,
"rep": 1
},
{
"datatype": "NA",
"desc": "Position in Parent Package",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Package Type",
"opt": 2,
"rep": 1,
"table": 908
},
{
"datatype": "CWE",
"desc": "Package Condition",
"opt": 1,
"rep": 0,
"table": 544
},
{
"datatype": "CWE",
"desc": "Package Handling Code",
"opt": 1,
"rep": 0,
"table": 376
},
{
"datatype": "CWE",
"desc": "Package Risk Code",
"opt": 1,
"rep": 0,
"table": 489
}
]
},
"PCE": {
"desc": "Patient Charge Cost Center Exceptions",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - PCE",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CX",
"desc": "Cost Center Account Number",
"opt": 1,
"rep": 1,
"table": 319
},
{
"datatype": "CWE",
"desc": "Transaction Code",
"opt": 1,
"rep": 1,
"table": 132
},
{
"datatype": "CP",
"desc": "Transaction Amount - Unit",
"opt": 1,
"rep": 1
}
]
},
"PCR": {
"desc": "Possible Causal Relationship",
"fields": [
{
"datatype": "CWE",
"desc": "Implicated Product",
"opt": 2,
"rep": 1
},
{
"datatype": "IS",
"desc": "Generic Product",
"opt": 1,
"rep": 1,
"table": 249
},
{
"datatype": "CWE",
"desc": "Product Class",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Total Duration Of Therapy",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Product Manufacture Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Product Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Product Implantation Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Product Explantation Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Single Use Device",
"opt": 1,
"rep": 1,
"table": 244
},
{
"datatype": "CWE",
"desc": "Indication For Product Use",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Product Problem",
"opt": 1,
"rep": 1,
"table": 245
},
{
"datatype": "ST",
"desc": "Product Serial/Lot Number",
"opt": 1,
"rep": 3
},
{
"datatype": "CWE",
"desc": "Product Available For Inspection",
"opt": 1,
"rep": 1,
"table": 246
},
{
"datatype": "CWE",
"desc": "Product Evaluation Performed",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Product Evaluation Status",
"opt": 1,
"rep": 1,
"table": 247
},
{
"datatype": "CWE",
"desc": "Product Evaluation Results",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Evaluated Product Source",
"opt": 1,
"rep": 1,
"len": 1,
"table": 248
},
{
"datatype": "DTM",
"desc": "Date Product Returned To Manufacturer",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Device Operator Qualifications",
"opt": 1,
"rep": 1,
"len": 1,
"table": 242
},
{
"datatype": "ID",
"desc": "Relatedness Assessment",
"opt": 1,
"rep": 1,
"len": 1,
"table": 250
},
{
"datatype": "ID",
"desc": "Action Taken In Response To The Event",
"opt": 1,
"rep": 6,
"len": 2,
"table": 251
},
{
"datatype": "ID",
"desc": "Event Causality Observations",
"opt": 1,
"rep": 6,
"len": 2,
"table": 252
},
{
"datatype": "ID",
"desc": "Indirect Exposure Mechanism",
"opt": 1,
"rep": 3,
"len": 1,
"table": 253
}
]
},
"PD1": {
"desc": "Patient Additional Demographic",
"fields": [
{
"datatype": "CWE",
"desc": "Living Dependency",
"opt": 1,
"rep": 0,
"table": 223
},
{
"datatype": "CWE",
"desc": "Living Arrangement",
"opt": 1,
"rep": 1,
"table": 220
},
{
"datatype": "XON",
"desc": "Patient Primary Facility",
"opt": 1,
"rep": 0,
"table": 204
},
{
"datatype": "ST",
"desc": "Patient Primary Care Provider Name & ID No.",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Student Indicator",
"opt": 1,
"rep": 1,
"table": 231
},
{
"datatype": "CWE",
"desc": "Handicap",
"opt": 1,
"rep": 1,
"table": 295
},
{
"datatype": "CWE",
"desc": "Living Will Code",
"opt": 1,
"rep": 1,
"table": 315
},
{
"datatype": "CWE",
"desc": "Organ Donor Code",
"opt": 1,
"rep": 1,
"table": 316
},
{
"datatype": "ID",
"desc": "Separate Bill",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CX",
"desc": "Duplicate Patient",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Publicity Code",
"opt": 1,
"rep": 1,
"table": 215
},
{
"datatype": "ID",
"desc": "Protection Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DT",
"desc": "Protection Indicator Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Place of Worship",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Advance Directive Code",
"opt": 3,
"rep": 0,
"table": 435
},
{
"datatype": "CWE",
"desc": "Immunization Registry Status",
"opt": 1,
"rep": 1,
"table": 441
},
{
"datatype": "DT",
"desc": "Immunization Registry Status Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Publicity Code Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Military Branch",
"opt": 1,
"rep": 1,
"table": 140
},
{
"datatype": "CWE",
"desc": "Military Rank/Grade",
"opt": 1,
"rep": 1,
"table": 141
},
{
"datatype": "CWE",
"desc": "Military Status",
"opt": 1,
"rep": 1,
"table": 142
},
{
"datatype": "DT",
"desc": "Advance Directive Last Verified Date",
"opt": 1,
"rep": 1
}
]
},
"PDA": {
"desc": "Patient Death and Autopsy",
"fields": [
{
"datatype": "CWE",
"desc": "Death Cause Code",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Death Location",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Death Certified Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DTM",
"desc": "Death Certificate Signed Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Death Certified By",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Autopsy Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DR",
"desc": "Autopsy Start and End Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Autopsy Performed By",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Coroner Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
}
]
},
"PEO": {
"desc": "Product Experience Observation",
"fields": [
{
"datatype": "CWE",
"desc": "Event Identifiers Used",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Event Symptom/Diagnosis Code",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Event Onset Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Event Exacerbation Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Event Improved Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Event Ended Data/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Event Location Occurred Address",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Event Qualification",
"opt": 1,
"rep": 0,
"len": 1,
"table": 237
},
{
"datatype": "ID",
"desc": "Event Serious",
"opt": 1,
"rep": 1,
"len": 1,
"table": 238
},
{
"datatype": "ID",
"desc": "Event Expected",
"opt": 1,
"rep": 1,
"len": 1,
"table": 239
},
{
"datatype": "ID",
"desc": "Event Outcome",
"opt": 1,
"rep": 0,
"len": 1,
"table": 240
},
{
"datatype": "ID",
"desc": "Patient Outcome",
"opt": 1,
"rep": 1,
"len": 1,
"table": 241
},
{
"datatype": "FT",
"desc": "Event Description from Others",
"opt": 1,
"rep": 0
},
{
"datatype": "FT",
"desc": "Event Description from Original Reporter",
"opt": 1,
"rep": 0
},
{
"datatype": "FT",
"desc": "Event Description from Patient",
"opt": 1,
"rep": 0
},
{
"datatype": "FT",
"desc": "Event Description from Practitioner",
"opt": 1,
"rep": 0
},
{
"datatype": "FT",
"desc": "Event Description from Autopsy",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Cause Of Death",
"opt": 1,
"rep": 0
},
{
"datatype": "XPN",
"desc": "Primary Observer Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Primary Observer Address",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Primary Observer Telephone",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Primary Observer's Qualification",
"opt": 1,
"rep": 1,
"len": 1,
"table": 242
},
{
"datatype": "ID",
"desc": "Confirmation Provided By",
"opt": 1,
"rep": 1,
"len": 1,
"table": 242
},
{
"datatype": "DTM",
"desc": "Primary Observer Aware Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Primary Observer's identity May Be Divulged",
"opt": 1,
"rep": 1,
"len": 2,
"table": 243
}
]
},
"PES": {
"desc": "Product Experience Sender",
"fields": [
{
"datatype": "XON",
"desc": "Sender Organization Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Sender Individual Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Sender Address",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Sender Telephone",
"opt": 1,
"rep": 0
},
{
"datatype": "EI",
"desc": "Sender Event Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sender Sequence Number",
"opt": 1,
"rep": 1
},
{
"datatype": "FT",
"desc": "Sender Event Description",
"opt": 1,
"rep": 0
},
{
"datatype": "FT",
"desc": "Sender Comment",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Sender Aware Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Event Report Date",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Event Report Timing/Type",
"opt": 1,
"rep": 2,
"len": 3,
"table": 234
},
{
"datatype": "ID",
"desc": "Event Report Source",
"opt": 1,
"rep": 1,
"len": 1,
"table": 235
},
{
"datatype": "ID",
"desc": "Event Reported To",
"opt": 1,
"rep": 0,
"len": 1,
"table": 236
}
]
},
"PID": {
"desc": "Patient Identification",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - PID",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "ST",
"desc": "Patient ID",
"opt": 4,
"rep": 1
},
{
"datatype": "CX",
"desc": "Patient Identifier List",
"opt": 2,
"rep": 0
},
{
"datatype": "ST",
"desc": "Alternate Patient ID - PID",
"opt": 4,
"rep": 1
},
{
"datatype": "XPN",
"desc": "Patient Name",
"opt": 2,
"rep": 0,
"table": 200
},
{
"datatype": "XPN",
"desc": "Mother's Maiden Name",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Date/Time of Birth",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administrative Sex",
"opt": 1,
"rep": 1,
"table": 1
},
{
"datatype": "ST",
"desc": "Patient Alias",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Race",
"opt": 1,
"rep": 0,
"table": 5
},
{
"datatype": "XAD",
"desc": "Patient Address",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "County Code",
"opt": 4,
"rep": 1
},
{
"datatype": "XTN",
"desc": "Phone Number - Home",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Phone Number - Business",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Primary Language",
"opt": 1,
"rep": 1,
"table": 296
},
{
"datatype": "CWE",
"desc": "Marital Status",
"opt": 1,
"rep": 1,
"table": 2
},
{
"datatype": "CWE",
"desc": "Religion",
"opt": 1,
"rep": 1,
"table": 6
},
{
"datatype": "CX",
"desc": "Patient Account Number",
"opt": 1,
"rep": 1,
"table": 61
},
{
"datatype": "ST",
"desc": "SSN Number - Patient",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Driver's License Number - Patient",
"opt": 4,
"rep": 1
},
{
"datatype": "CX",
"desc": "Mother's Identifier",
"opt": 1,
"rep": 0,
"table": 61
},
{
"datatype": "CWE",
"desc": "Ethnic Group",
"opt": 1,
"rep": 0,
"table": 189
},
{
"datatype": "ST",
"desc": "Birth Place",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Multiple Birth Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "NM",
"desc": "Birth Order",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Citizenship",
"opt": 1,
"rep": 0,
"table": 171
},
{
"datatype": "CWE",
"desc": "Veterans Military Status",
"opt": 1,
"rep": 1,
"table": 172
},
{
"datatype": "ST",
"desc": "Nationality ",
"opt": 4,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Patient Death Date and Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Patient Death Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Identity Unknown Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Identity Reliability Code",
"opt": 1,
"rep": 0,
"table": 445
},
{
"datatype": "DTM",
"desc": "Last Update Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Last Update Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Species Code",
"opt": 3,
"rep": 1,
"table": 446
},
{
"datatype": "CWE",
"desc": "Breed Code",
"opt": 3,
"rep": 1,
"table": 447
},
{
"datatype": "ST",
"desc": "Strain",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Production Class Code",
"opt": 1,
"rep": 2,
"table": 429
},
{
"datatype": "CWE",
"desc": "Tribal Citizenship",
"opt": 1,
"rep": 0,
"table": 171
},
{
"datatype": "XTN",
"desc": "Patient Telecommunication Information",
"opt": 1,
"rep": 0
}
]
},
"PKG": {
"desc": "Item Packaging",
"fields": [
{
"datatype": "SI",
"desc": "Set Id - PKG",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Packaging Units",
"opt": 1,
"rep": 1,
"table": 818
},
{
"datatype": "CNE",
"desc": "Default Order Unit Of Measure Indicator",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "NM",
"desc": "Package Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Price",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Future Item Price",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Future Item Price Effective Date",
"opt": 1,
"rep": 1
}
]
},
"PMT": {
"desc": "Payment Information",
"fields": [
{
"datatype": "EI",
"desc": "Payment/Remittance Advice Number",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Payment/Remittance Effective Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Payment/Remittance Expiration Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Payment Method",
"opt": 2,
"rep": 1,
"table": 570
},
{
"datatype": "DTM",
"desc": "Payment/Remittance Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "CP",
"desc": "Payment/Remittance Amount",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Check Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Payee Bank Identification",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Payee Transit Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Payee Bank Account ID",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Payment Organization",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "ESR-Code-Line",
"opt": 1,
"rep": 1
}
]
},
"PR1": {
"desc": "Procedures",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - PR1",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ST",
"desc": "Procedure Coding Method",
"opt": 4,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Procedure Code",
"opt": 2,
"rep": 1,
"table": 88
},
{
"datatype": "ST",
"desc": "Procedure Description",
"opt": 4,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Procedure Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Procedure Functional Type",
"opt": 1,
"rep": 1,
"table": 230
},
{
"datatype": "NM",
"desc": "Procedure Minutes",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Anesthesiologist",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Anesthesia Code",
"opt": 1,
"rep": 1,
"table": 19
},
{
"datatype": "NM",
"desc": "Anesthesia Minutes",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Surgeon",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Procedure Practitioner ",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Consent Code",
"opt": 1,
"rep": 1,
"table": 59
},
{
"datatype": "NM",
"desc": "Procedure Priority",
"opt": 1,
"rep": 1,
"len": 2,
"table": 418
},
{
"datatype": "CWE",
"desc": "Associated Diagnosis Code",
"opt": 1,
"rep": 1,
"table": 51
},
{
"datatype": "CNE",
"desc": "Procedure Code Modifier",
"opt": 1,
"rep": 0,
"table": 340
},
{
"datatype": "CWE",
"desc": "Procedure DRG Type",
"opt": 1,
"rep": 1,
"table": 416
},
{
"datatype": "CWE",
"desc": "Tissue Type Code",
"opt": 1,
"rep": 0,
"table": 417
},
{
"datatype": "EI",
"desc": "Procedure Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Procedure Action Code",
"opt": 3,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "CWE",
"desc": "DRG Procedure Determination Status ",
"opt": 1,
"rep": 1,
"table": 761
},
{
"datatype": "CWE",
"desc": "DRG Procedure Relevance",
"opt": 1,
"rep": 1,
"table": 763
},
{
"datatype": "PL",
"desc": "Treating Organizational Unit",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Respiratory Within Surgery",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "EI",
"desc": "Parent Procedure ID",
"opt": 1,
"rep": 1
}
]
},
"PRA": {
"desc": "Practitioner Detail",
"fields": [
{
"datatype": "CWE",
"desc": "Primary Key Value - PRA",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Practitioner Group",
"opt": 1,
"rep": 0,
"table": 358
},
{
"datatype": "CWE",
"desc": "Practitioner Category",
"opt": 1,
"rep": 0,
"table": 186
},
{
"datatype": "ID",
"desc": "Provider Billing",
"opt": 1,
"rep": 1,
"len": 1,
"table": 187
},
{
"datatype": "SPD",
"desc": "Specialty",
"opt": 1,
"rep": 0,
"table": 337
},
{
"datatype": "PLN",
"desc": "Practitioner ID Numbers",
"opt": 1,
"rep": 0,
"table": 338
},
{
"datatype": "PIP",
"desc": "Privileges",
"opt": 1,
"rep": 0
},
{
"datatype": "DT",
"desc": "Date Entered Practice",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Institution ",
"opt": 1,
"rep": 1,
"table": 537
},
{
"datatype": "DT",
"desc": "Date Left Practice",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Government Reimbursement Billing Eligibility",
"opt": 1,
"rep": 0,
"table": 401
},
{
"datatype": "SI",
"desc": "Set ID - PRA",
"opt": 3,
"rep": 1,
"len": 4
}
]
},
"PRB": {
"desc": "Problem Details",
"fields": [
{
"datatype": "ID",
"desc": "Action Code",
"opt": 2,
"rep": 1,
"len": 2,
"table": 287
},
{
"datatype": "DTM",
"desc": "Action Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Problem ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Problem Instance ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Episode of Care ID",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Problem List Priority",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Problem Established Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Anticipated Problem Resolution Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Actual Problem Resolution Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Problem Classification",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Problem Management Discipline",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Problem Persistence",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Problem Confirmation Status",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Problem Life Cycle Status",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Problem Life Cycle Status Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Problem Date of Onset",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Problem Onset Text",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Problem Ranking",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Certainty of Problem",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Probability of Problem (0-1)",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Individual Awareness of Problem",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Problem Prognosis",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Individual Awareness of Prognosis",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Family/Significant Other Awareness of Problem/Prognosis",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Security/Sensitivity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Problem Severity",
"opt": 1,
"rep": 1,
"table": 836
},
{
"datatype": "CWE",
"desc": "Problem Perspective",
"opt": 1,
"rep": 1,
"table": 838
},
{
"datatype": "CNE",
"desc": "Mood Code",
"opt": 3,
"rep": 1,
"table": 725
}
]
},
"PRC": {
"desc": "Pricing",
"fields": [
{
"datatype": "CWE",
"desc": "Primary Key Value - PRC",
"opt": 2,
"rep": 1,
"table": 132
},
{
"datatype": "CWE",
"desc": "Facility ID - PRC",
"opt": 1,
"rep": 0,
"table": 464
},
{
"datatype": "CWE",
"desc": "Department",
"opt": 1,
"rep": 0,
"table": 184
},
{
"datatype": "CWE",
"desc": "Valid Patient Classes",
"opt": 1,
"rep": 0,
"table": 4
},
{
"datatype": "CP",
"desc": "Price",
"opt": 3,
"rep": 0
},
{
"datatype": "ST",
"desc": "Formula",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Minimum Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Maximum Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "MO",
"desc": "Minimum Price",
"opt": 1,
"rep": 1
},
{
"datatype": "MO",
"desc": "Maximum Price",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective Start Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective End Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Price Override Flag",
"opt": 1,
"rep": 1,
"table": 268
},
{
"datatype": "CWE",
"desc": "Billing Category",
"opt": 1,
"rep": 0,
"table": 293
},
{
"datatype": "ID",
"desc": "Chargeable Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Active/Inactive Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 183
},
{
"datatype": "MO",
"desc": "Cost",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Charge on Indicator",
"opt": 1,
"rep": 1,
"table": 269
}
]
},
"PRD": {
"desc": "Provider Data",
"fields": [
{
"datatype": "CWE",
"desc": "Provider Role",
"opt": 2,
"rep": 0,
"table": 286
},
{
"datatype": "XPN",
"desc": "Provider Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Provider Address",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Provider Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XTN",
"desc": "Provider Communication Information",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Preferred Method of Contact ",
"opt": 1,
"rep": 1,
"table": 185
},
{
"datatype": "PLN",
"desc": "Provider Identifiers",
"opt": 1,
"rep": 0,
"table": 338
},
{
"datatype": "DTM",
"desc": "Effective Start Date of Provider Role",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective End Date of Provider Role",
"opt": 1,
"rep": 0
},
{
"datatype": "XON",
"desc": "Provider Organization Name and Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Provider Organization Address",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Provider Organization Location Information",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Provider Organization Communication Information",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Provider Organization Method of Contact",
"opt": 1,
"rep": 1,
"table": 185
}
]
},
"PRT": {
"desc": "Participation Information",
"fields": [
{
"datatype": "EI",
"desc": "Participation Instance ID",
"opt": 3,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Action Code",
"opt": 2,
"rep": 1,
"len": 2,
"table": 287
},
{
"datatype": "CWE",
"desc": "Action Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Participation ",
"opt": 2,
"rep": 1,
"table": 912
},
{
"datatype": "XCN",
"desc": "Participation Person",
"opt": 3,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Participation Person Provider Type",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Participant Organization Unit Type",
"opt": 3,
"rep": 1,
"table": 406
},
{
"datatype": "XON",
"desc": "Participation Organization",
"opt": 3,
"rep": 0
},
{
"datatype": "PL",
"desc": "Participant Location",
"opt": 3,
"rep": 0
},
{
"datatype": "EI",
"desc": "Participation Device",
"opt": 3,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Participation Begin Date/Time (arrival time)",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Participation End Date/Time (departure time)",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Participation Qualitative Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Participation Address",
"opt": 3,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Participant Telecommunication Address",
"opt": 1,
"rep": 0
}
]
},
"PSG": {
"desc": "Product/Service Group",
"fields": [
{
"datatype": "EI",
"desc": "Provider Product/Service Group Number",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Payer Product/Service Group Number",
"opt": 1,
"rep": 1
},
{
"datatype": "SI",
"desc": "Product/Service Group Sequence Number",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Adjudicate as Group",
"opt": 2,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CP",
"desc": "Product/Service Group Billed Amount",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Product/Service Group Description",
"opt": 2,
"rep": 1
}
]
},
"PSL": {
"desc": "Product/Service Line Item",
"fields": [
{
"datatype": "EI",
"desc": "Provider Product/Service Line Item Number",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Payer Product/Service Line Item Number",
"opt": 1,
"rep": 1
},
{
"datatype": "SI",
"desc": "Product/Service Line Item Sequence Number",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "EI",
"desc": "Provider Tracking ID",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Payer Tracking ID",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Product/Service Line Item Status",
"opt": 2,
"rep": 1,
"table": 559
},
{
"datatype": "CWE",
"desc": "Product/Service Code",
"opt": 2,
"rep": 1,
"table": 879
},
{
"datatype": "CWE",
"desc": "Product/Service Code Modifier",
"opt": 1,
"rep": 5,
"table": 880
},
{
"datatype": "ST",
"desc": "Product/Service Code Description",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Product/Service Effective Date",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Product/Service Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Product/Service Quantity",
"opt": 3,
"rep": 1,
"table": 560
},
{
"datatype": "CP",
"desc": "Product/Service Unit Cost",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number of Items per Unit",
"opt": 3,
"rep": 1
},
{
"datatype": "CP",
"desc": "Product/Service Gross Amount",
"opt": 3,
"rep": 1
},
{
"datatype": "CP",
"desc": "Product/Service Billed Amount",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Product/Service Clarification Code Type",
"opt": 1,
"rep": 20,
"table": 561
},
{
"datatype": "ST",
"desc": "Product/Service Clarification Code Value",
"opt": 1,
"rep": 20
},
{
"datatype": "EI",
"desc": "Health Document Reference Identifier",
"opt": 1,
"rep": 5
},
{
"datatype": "CWE",
"desc": "Processing Consideration Code",
"opt": 1,
"rep": 20,
"table": 562
},
{
"datatype": "ID",
"desc": "Restricted Disclosure Indicator",
"opt": 2,
"rep": 1,
"len": 4,
"table": 532
},
{
"datatype": "CWE",
"desc": "Related Product/Service Code Indicator",
"opt": 1,
"rep": 1,
"table": 879
},
{
"datatype": "CP",
"desc": "Product/Service Amount for Physician",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Product/Service Cost Factor",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Cost Center",
"opt": 1,
"rep": 1
},
{
"datatype": "DR",
"desc": "Billing Period",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Days without Billing",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Session-No",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "XCN",
"desc": "Executing Physician ID",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Responsible Physician ID",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Role Executing Physician",
"opt": 1,
"rep": 1,
"table": 881
},
{
"datatype": "CWE",
"desc": "Medical Role Executing Physician",
"opt": 1,
"rep": 1,
"table": 882
},
{
"datatype": "CWE",
"desc": "Side of body ",
"opt": 1,
"rep": 1,
"table": 894
},
{
"datatype": "NM",
"desc": "Number of TP's PP",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "TP-Value PP",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Internal Scaling Factor PP",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "External Scaling Factor PP",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Amount PP",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number of TP's Technical Part",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "TP-Value Technical Part",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Internal Scaling Factor Technical Part",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "External Scaling Factor Technical Part",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Amount Technical Part",
"opt": 1,
"rep": 1
},
{
"datatype": "CP",
"desc": "Total Amount Professional Part + Technical Part",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "VAT-Rate",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Main-Service",
"opt": 1,
"rep": 1,
"len": 20
},
{
"datatype": "ID",
"desc": "Validation",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ST",
"desc": "Comment",
"opt": 1,
"rep": 1
}
]
},
"PSS": {
"desc": "Product/Service Section",
"fields": [
{
"datatype": "EI",
"desc": "Provider Product/Service Section Number",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Payer Product/Service Section Number",
"opt": 1,
"rep": 1
},
{
"datatype": "SI",
"desc": "Product/Service Section Sequence Number",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CP",
"desc": "Billed Amount",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Section Description or Heading",
"opt": 2,
"rep": 1
}
]
},
"PTH": {
"desc": "Pathway",
"fields": [
{
"datatype": "ID",
"desc": "Action Code",
"opt": 2,
"rep": 1,
"len": 2,
"table": 287
},
{
"datatype": "CWE",
"desc": "Pathway ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Pathway Instance ID",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Pathway Established Date/Time ",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Pathway Life Cycle Status",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Change Pathway Life Cycle Status Date/Time",
"opt": 3,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Mood Code",
"opt": 3,
"rep": 1,
"table": 725
}
]
},
"PV1": {
"desc": "Patient Visit",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - PV1",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Patient Class",
"opt": 2,
"rep": 1,
"table": 4
},
{
"datatype": "PL",
"desc": "Assigned Patient Location",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Admission Type",
"opt": 1,
"rep": 1,
"table": 7
},
{
"datatype": "CX",
"desc": "Preadmit Number",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "Prior Patient Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Attending Doctor",
"opt": 1,
"rep": 0,
"table": 10
},
{
"datatype": "XCN",
"desc": "Referring Doctor",
"opt": 1,
"rep": 0,
"table": 10
},
{
"datatype": "XCN",
"desc": "Consulting Doctor",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Hospital Service",
"opt": 1,
"rep": 1,
"table": 69
},
{
"datatype": "PL",
"desc": "Temporary Location",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Preadmit Test Indicator",
"opt": 1,
"rep": 1,
"table": 87
},
{
"datatype": "CWE",
"desc": "Re-admission Indicator",
"opt": 1,
"rep": 1,
"table": 92
},
{
"datatype": "CWE",
"desc": "Admit Source",
"opt": 1,
"rep": 1,
"table": 23
},
{
"datatype": "CWE",
"desc": "Ambulatory Status",
"opt": 1,
"rep": 0,
"table": 9
},
{
"datatype": "CWE",
"desc": "VIP Indicator",
"opt": 1,
"rep": 1,
"table": 99
},
{
"datatype": "XCN",
"desc": "Admitting Doctor",
"opt": 1,
"rep": 0,
"table": 10
},
{
"datatype": "CWE",
"desc": "Patient Type",
"opt": 1,
"rep": 1,
"table": 18
},
{
"datatype": "CX",
"desc": "Visit Number",
"opt": 1,
"rep": 1
},
{
"datatype": "FC",
"desc": "Financial Class",
"opt": 1,
"rep": 0,
"table": 64
},
{
"datatype": "CWE",
"desc": "Charge Price Indicator",
"opt": 1,
"rep": 1,
"table": 32
},
{
"datatype": "CWE",
"desc": "Courtesy Code",
"opt": 1,
"rep": 1,
"table": 45
},
{
"datatype": "CWE",
"desc": "Credit Rating",
"opt": 1,
"rep": 1,
"table": 46
},
{
"datatype": "CWE",
"desc": "Contract Code",
"opt": 1,
"rep": 0,
"table": 44
},
{
"datatype": "DT",
"desc": "Contract Effective Date",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Contract Amount",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Contract Period",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Interest Code",
"opt": 1,
"rep": 1,
"table": 73
},
{
"datatype": "CWE",
"desc": "Transfer to Bad Debt Code",
"opt": 1,
"rep": 1,
"table": 110
},
{
"datatype": "DT",
"desc": "Transfer to Bad Debt Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Bad Debt Agency Code",
"opt": 1,
"rep": 1,
"table": 21
},
{
"datatype": "NM",
"desc": "Bad Debt Transfer Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Bad Debt Recovery Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Delete Account Indicator",
"opt": 1,
"rep": 1,
"table": 111
},
{
"datatype": "DT",
"desc": "Delete Account Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Discharge Disposition",
"opt": 1,
"rep": 1,
"table": 112
},
{
"datatype": "DLD",
"desc": "Discharged to Location",
"opt": 1,
"rep": 1,
"table": 113
},
{
"datatype": "CWE",
"desc": "Diet Type",
"opt": 1,
"rep": 1,
"table": 114
},
{
"datatype": "CWE",
"desc": "Servicing Facility",
"opt": 1,
"rep": 1,
"table": 115
},
{
"datatype": "ST",
"desc": "Bed Status",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Account Status",
"opt": 1,
"rep": 1,
"table": 117
},
{
"datatype": "PL",
"desc": "Pending Location",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "Prior Temporary Location",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Admit Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Discharge Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Current Patient Balance",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Total Charges",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Total Adjustments",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Total Payments",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Alternate Visit ID",
"opt": 1,
"rep": 1,
"table": 203
},
{
"datatype": "CWE",
"desc": "Visit Indicator",
"opt": 1,
"rep": 1,
"table": 326
},
{
"datatype": "ST",
"desc": "Other Healthcare Provider",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Service Episode Description",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Service Episode Identifier",
"opt": 1,
"rep": 1
}
]
},
"PV2": {
"desc": "Patient Visit - Additional Information",
"fields": [
{
"datatype": "PL",
"desc": "Prior Pending Location",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Accommodation Code",
"opt": 1,
"rep": 1,
"table": 129
},
{
"datatype": "CWE",
"desc": "Admit Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Transfer Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Patient Valuables",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Patient Valuables Location",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Visit User Code",
"opt": 1,
"rep": 0,
"table": 130
},
{
"datatype": "DTM",
"desc": "Expected Admit Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expected Discharge Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Estimated Length of Inpatient Stay",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Actual Length of Inpatient Stay",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Visit Description",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Referral Source Code",
"opt": 1,
"rep": 0
},
{
"datatype": "DT",
"desc": "Previous Service Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Employment Illness Related Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Purge Status Code",
"opt": 1,
"rep": 1,
"table": 213
},
{
"datatype": "DT",
"desc": "Purge Status Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Special Program Code",
"opt": 1,
"rep": 1,
"table": 214
},
{
"datatype": "ID",
"desc": "Retention Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "NM",
"desc": "Expected Number of Insurance Plans",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Visit Publicity Code",
"opt": 1,
"rep": 1,
"table": 215
},
{
"datatype": "ID",
"desc": "Visit Protection Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "XON",
"desc": "Clinic Organization Name",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Patient Status Code",
"opt": 1,
"rep": 1,
"table": 216
},
{
"datatype": "CWE",
"desc": "Visit Priority Code",
"opt": 1,
"rep": 1,
"table": 217
},
{
"datatype": "DT",
"desc": "Previous Treatment Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Expected Discharge Disposition",
"opt": 1,
"rep": 1,
"table": 112
},
{
"datatype": "DT",
"desc": "Signature on File Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "First Similar Illness Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Patient Charge Adjustment Code",
"opt": 1,
"rep": 1,
"table": 218
},
{
"datatype": "CWE",
"desc": "Recurring Service Code",
"opt": 1,
"rep": 1,
"table": 219
},
{
"datatype": "ID",
"desc": "Billing Media Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DTM",
"desc": "Expected Surgery Date and Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Military Partnership Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Military Non-Availability Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Newborn Baby Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Baby Detained Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Mode of Arrival Code",
"opt": 1,
"rep": 1,
"table": 430
},
{
"datatype": "CWE",
"desc": "Recreational Drug Use Code",
"opt": 1,
"rep": 0,
"table": 431
},
{
"datatype": "CWE",
"desc": "Admission Level of Care Code",
"opt": 1,
"rep": 1,
"table": 432
},
{
"datatype": "CWE",
"desc": "Precaution Code",
"opt": 1,
"rep": 0,
"table": 433
},
{
"datatype": "CWE",
"desc": "Patient Condition Code",
"opt": 1,
"rep": 1,
"table": 434
},
{
"datatype": "CWE",
"desc": "Living Will Code",
"opt": 1,
"rep": 1,
"table": 315
},
{
"datatype": "CWE",
"desc": "Organ Donor Code",
"opt": 1,
"rep": 1,
"table": 316
},
{
"datatype": "CWE",
"desc": "Advance Directive Code",
"opt": 3,
"rep": 0,
"table": 435
},
{
"datatype": "DT",
"desc": "Patient Status Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expected LOA Return Date/Time",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expected Pre-admission Testing Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Notify Clergy Code",
"opt": 1,
"rep": 0,
"table": 534
},
{
"datatype": "DT",
"desc": "Advance Directive Last Verified Date",
"opt": 1,
"rep": 1
}
]
},
"PYE": {
"desc": "Payee Information",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - PYE",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Payee Type",
"opt": 2,
"rep": 1,
"table": 557
},
{
"datatype": "CWE",
"desc": "Payee Relationship to Invoice (Patient)",
"opt": 3,
"rep": 1,
"table": 558
},
{
"datatype": "XON",
"desc": "Payee Identification List",
"opt": 3,
"rep": 5
},
{
"datatype": "XPN",
"desc": "Payee Person Name",
"opt": 3,
"rep": 4
},
{
"datatype": "XAD",
"desc": "Payee Address",
"opt": 3,
"rep": 4
},
{
"datatype": "CWE",
"desc": "Payment Method",
"opt": 1,
"rep": 1,
"table": 570
}
]
},
"QAK": {
"desc": "Query Acknowledgment",
"fields": [
{
"datatype": "ST",
"desc": "Query Tag",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Query Response Status",
"opt": 1,
"rep": 1,
"len": 2,
"table": 208
},
{
"datatype": "CWE",
"desc": "Message Query Name",
"opt": 1,
"rep": 1,
"table": 471
},
{
"datatype": "NM",
"desc": "Hit Count Total",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "This payload",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Hits remaining",
"opt": 1,
"rep": 1
}
]
},
"QID": {
"desc": "Query Identification",
"fields": [
{
"datatype": "ST",
"desc": "Query Tag",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Message Query Name",
"opt": 2,
"rep": 1,
"table": 471
}
]
},
"QPD": {
"desc": "Query Parameter Definition",
"fields": [
{
"datatype": "CWE",
"desc": "Message Query Name ",
"opt": 2,
"rep": 1,
"table": 471
},
{
"datatype": "ST",
"desc": "Query Tag",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "User Parameters (in successive fields) ",
"opt": 1,
"rep": 1
}
]
},
"QRD": {
"desc": "Original-Style Query Definition",
"fields": [
{
"datatype": "DTM",
"desc": "Query Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Query Format Code",
"opt": 2,
"rep": 1,
"table": 106
},
{
"datatype": "ID",
"desc": "Query Priority",
"opt": 2,
"rep": 1,
"table": 91
},
{
"datatype": "ST",
"desc": "Query ID",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Deferred Response Type",
"opt": 1,
"rep": 1,
"table": 107
},
{
"datatype": "DTM",
"desc": "Deferred Response Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Quantity Limited Request",
"opt": 2,
"rep": 1,
"table": 126
},
{
"datatype": "XCN",
"desc": "Who Subject Filter",
"opt": 2,
"rep": 0
},
{
"datatype": "CWE",
"desc": "What Subject Filter",
"opt": 2,
"rep": 0,
"table": 48
},
{
"datatype": "CWE",
"desc": "What Department Data Code",
"opt": 2,
"rep": 0
},
{
"datatype": "VR",
"desc": "What Data Code Value Qual.",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Query Results Level",
"opt": 1,
"rep": 1,
"table": 108
}
]
},
"QRF": {
"desc": "Original style query filter",
"fields": [
{
"datatype": "ST",
"desc": "Where Subject Filter",
"opt": 2,
"rep": 0
},
{
"datatype": "DTM",
"desc": "When Data Start Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "When Data End Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "What User Qualifier",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Other QRY Subject Filter",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Which Date/Time Qualifier",
"opt": 1,
"rep": 0,
"table": 156
},
{
"datatype": "ID",
"desc": "Which Date/Time Status Qualifier",
"opt": 1,
"rep": 0,
"table": 157
},
{
"datatype": "ID",
"desc": "Date/Time Selection Qualifier",
"opt": 1,
"rep": 0,
"table": 158
},
{
"datatype": "TQ",
"desc": "When Quantity/Timing Qualifier",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Search Confidence Threshold",
"opt": 1,
"rep": 1
}
]
},
"QRI": {
"desc": "Query Response Instance",
"fields": [
{
"datatype": "NM",
"desc": "Candidate Confidence",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Match Reason Code",
"opt": 1,
"rep": 0,
"len": 2,
"table": 392
},
{
"datatype": "CWE",
"desc": "Algorithm Descriptor",
"opt": 1,
"rep": 1,
"table": 393
}
]
},
"RCP": {
"desc": "Response Control Parameter",
"fields": [
{
"datatype": "ID",
"desc": "Query Priority",
"opt": 1,
"rep": 1,
"len": 1,
"table": 91
},
{
"datatype": "CQ",
"desc": "Quantity Limited Request",
"opt": 1,
"rep": 1,
"table": 126
},
{
"datatype": "CNE",
"desc": "Response Modality",
"opt": 1,
"rep": 1,
"table": 394
},
{
"datatype": "DTM",
"desc": "Execution and Delivery Time",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Modify Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 395
},
{
"datatype": "SRT",
"desc": "Sort-by Field",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Segment group inclusion ",
"opt": 1,
"rep": 0,
"len": 256,
"table": 391
}
]
},
"RDF": {
"desc": "Table Row Definition",
"fields": [
{
"datatype": "NM",
"desc": "Number of Columns per Row",
"opt": 2,
"rep": 1
},
{
"datatype": "RCD",
"desc": "Column Description",
"opt": 2,
"rep": 0,
"table": 440
}
]
},
"RDT": {
"desc": "Table Row Data",
"fields": [
{
"datatype": "ST",
"desc": "Column Value",
"opt": 2,
"rep": 1
}
]
},
"REL": {
"desc": "Clinical Relationship Segment",
"fields": [
{
"datatype": "SI",
"desc": "Set ID -REL",
"opt": 3,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Relationship Type",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "This Relationship Instance Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Source Information Instance Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Target Information Instance Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Asserting Entity Instance ID",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Asserting Person",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Asserting Organization",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Assertor Address",
"opt": 1,
"rep": 1
},
{
"datatype": "XTN",
"desc": "Assertor Contact",
"opt": 1,
"rep": 1
},
{
"datatype": "DR",
"desc": "Assertion Date Range",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Negation Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Certainty of Relationship",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Priority No",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Priority Sequence No (rel preference for consideration)",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Separability Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
}
]
},
"RF1": {
"desc": "Referral Information",
"fields": [
{
"datatype": "CWE",
"desc": "Referral Status",
"opt": 1,
"rep": 1,
"table": 283
},
{
"datatype": "CWE",
"desc": "Referral Priority",
"opt": 1,
"rep": 1,
"table": 280
},
{
"datatype": "CWE",
"desc": "Referral Type",
"opt": 1,
"rep": 1,
"table": 281
},
{
"datatype": "CWE",
"desc": "Referral Disposition",
"opt": 1,
"rep": 0,
"table": 282
},
{
"datatype": "CWE",
"desc": "Referral Category",
"opt": 1,
"rep": 1,
"table": 284
},
{
"datatype": "EI",
"desc": "Originating Referral Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Process Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Referral Reason",
"opt": 1,
"rep": 0,
"table": 336
},
{
"datatype": "EI",
"desc": "External Referral Identifier",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Referral Documentation Completion Status ",
"opt": 1,
"rep": 1,
"table": 865
}
]
},
"RFI": {
"desc": "Request for Information",
"fields": [
{
"datatype": "DTM",
"desc": "Request Date",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Response Due Date",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Patient Consent",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DTM",
"desc": "Date Additional Information Was Submitted",
"opt": 1,
"rep": 1
}
]
},
"RGS": {
"desc": "Resource Group",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - RGS",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Segment Action Code",
"opt": 3,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "CWE",
"desc": "Resource Group ID",
"opt": 1,
"rep": 1
}
]
},
"RMI": {
"desc": "Risk Management Incident",
"fields": [
{
"datatype": "CWE",
"desc": "Risk Management Incident Code",
"opt": 1,
"rep": 1,
"table": 427
},
{
"datatype": "DTM",
"desc": "Date/Time Incident",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Incident Type Code",
"opt": 1,
"rep": 1,
"table": 428
}
]
},
"ROL": {
"desc": "Role",
"fields": [
{
"datatype": "EI",
"desc": "Role Instance ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Action Code",
"opt": 2,
"rep": 1,
"len": 2,
"table": 287
},
{
"datatype": "CWE",
"desc": "Role-ROL",
"opt": 2,
"rep": 1,
"table": 443
},
{
"datatype": "XCN",
"desc": "Role Person",
"opt": 2,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Role Begin Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Role End Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Role Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Role Action Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Provider Type",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Organization Unit Type",
"opt": 1,
"rep": 1,
"table": 406
},
{
"datatype": "XAD",
"desc": "Office/Home Address/Birthplace",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Phone ",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Person's Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XON",
"desc": "Organization",
"opt": 1,
"rep": 1
}
]
},
"RQ1": {
"desc": "Requisition Detail-1",
"fields": [
{
"datatype": "ST",
"desc": "Anticipated Price",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Manufacturer Identifier",
"opt": 3,
"rep": 1,
"table": 385
},
{
"datatype": "ST",
"desc": "Manufacturer's Catalog",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Vendor ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Vendor Catalog",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Taxable",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Substitute Allowed",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
}
]
},
"RQD": {
"desc": "Requisition Detail",
"fields": [
{
"datatype": "SI",
"desc": "Requisition Line Number",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Item Code - Internal",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Item Code - External",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Hospital Item Code",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Requisition Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Requisition Unit of Measure",
"opt": 1,
"rep": 1
},
{
"datatype": "CX",
"desc": "Cost Center Account Number",
"opt": 1,
"rep": 1,
"table": 319
},
{
"datatype": "CWE",
"desc": "Item Natural Account Code",
"opt": 1,
"rep": 1,
"table": 320
},
{
"datatype": "CWE",
"desc": "Deliver To ID",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Date Needed",
"opt": 1,
"rep": 1
}
]
},
"RXA": {
"desc": "Pharmacy/Treatment Administration",
"fields": [
{
"datatype": "NM",
"desc": "Give Sub-ID Counter",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Administration Sub-ID Counter",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/Time Start of Administration",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/Time End of Administration",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administered Code",
"opt": 2,
"rep": 1,
"table": 292
},
{
"datatype": "NM",
"desc": "Administered Amount",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administered Units",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administered Dosage Form",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administration Notes",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Administering Provider",
"opt": 1,
"rep": 0
},
{
"datatype": "LA2",
"desc": "Administered-at Location",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Administered Per (Time Unit)",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Administered Strength",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administered Strength Units",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Substance Lot Number",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Substance Expiration Date",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Substance Manufacturer Name",
"opt": 1,
"rep": 0,
"table": 227
},
{
"datatype": "CWE",
"desc": "Substance/Treatment Refusal Reason",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Indication",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Completion Status",
"opt": 1,
"rep": 1,
"len": 2,
"table": 322
},
{
"datatype": "ID",
"desc": "Action Code - RXA",
"opt": 1,
"rep": 1,
"len": 1,
"table": 206
},
{
"datatype": "DTM",
"desc": "System Entry Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Administered Drug Strength Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administered Drug Strength Volume Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administered Barcode Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Pharmacy Order Type",
"opt": 1,
"rep": 1,
"len": 1,
"table": 480
},
{
"datatype": "PL",
"desc": "Administer-at",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Administered-at Address",
"opt": 1,
"rep": 1
}
]
},
"RXC": {
"desc": "Pharmacy/Treatment Component Order",
"fields": [
{
"datatype": "ID",
"desc": "RX Component Type",
"opt": 2,
"rep": 1,
"len": 1,
"table": 166
},
{
"datatype": "CWE",
"desc": "Component Code",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Component Amount",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Component Units",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Component Strength",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Component Strength Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Supplementary Code",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Component Drug Strength Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Component Drug Strength Volume Units",
"opt": 1,
"rep": 1
}
]
},
"RXD": {
"desc": "Pharmacy/Treatment Dispense",
"fields": [
{
"datatype": "NM",
"desc": "Dispense Sub-ID Counter",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Dispense/Give Code",
"opt": 2,
"rep": 1,
"table": 292
},
{
"datatype": "DTM",
"desc": "Date/Time Dispensed",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Actual Dispense Amount",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Actual Dispense Units",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Actual Dosage Form",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Prescription Number",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number of Refills Remaining",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Dispense Notes",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Dispensing Provider",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Substitution Status",
"opt": 1,
"rep": 1,
"len": 1,
"table": 167
},
{
"datatype": "CQ",
"desc": "Total Daily Dose",
"opt": 1,
"rep": 1
},
{
"datatype": "LA2",
"desc": "Dispense-to Location",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Needs Human Review",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Pharmacy/Treatment Supplier's Special Dispensing Instructions",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Actual Strength",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Actual Strength Unit",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Substance Lot Number",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Substance Expiration Date",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Substance Manufacturer Name",
"opt": 1,
"rep": 0,
"table": 227
},
{
"datatype": "CWE",
"desc": "Indication",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Dispense Package Size",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Dispense Package Size Unit",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Dispense Package Method",
"opt": 1,
"rep": 1,
"len": 2,
"table": 321
},
{
"datatype": "CWE",
"desc": "Supplementary Code",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Initiating Location",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Packaging/Assembly Location",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Actual Drug Strength Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Actual Drug Strength Volume Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Dispense to Pharmacy",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Dispense to Pharmacy Address",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Pharmacy Order Type",
"opt": 1,
"rep": 1,
"len": 1,
"table": 480
},
{
"datatype": "CWE",
"desc": "Dispense Type",
"opt": 1,
"rep": 1,
"table": 484
},
{
"datatype": "XTN",
"desc": "Pharmacy Phone Number",
"opt": 1,
"rep": 0
}
]
},
"RXE": {
"desc": "Pharmacy/Treatment Encoded Order",
"fields": [
{
"datatype": "ST",
"desc": "Quantity/Timing",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Code",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Give Amount - Minimum",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Give Amount - Maximum",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Units",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Dosage Form",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Provider's Administration Instructions",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Deliver-to Location",
"opt": 4,
"rep": 1
},
{
"datatype": "ID",
"desc": "Substitution Status",
"opt": 1,
"rep": 1,
"len": 1,
"table": 167
},
{
"datatype": "NM",
"desc": "Dispense Amount",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Dispense Units",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number of Refills",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Ordering Provider's DEA Number",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Pharmacist/Treatment Supplier's Verifier ID",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Prescription Number",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number of Refills Remaining",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number of Refills/Doses Dispensed",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "D/T of Most Recent Refill or Dose Dispensed",
"opt": 3,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Total Daily Dose",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Needs Human Review",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Pharmacy/Treatment Supplier's Special Dispensing Instructions",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Give Per (Time Unit)",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Give Rate Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Rate Units",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Give Strength",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Strength Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Indication",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Dispense Package Size",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Dispense Package Size Unit",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Dispense Package Method",
"opt": 1,
"rep": 1,
"len": 2,
"table": 321
},
{
"datatype": "CWE",
"desc": "Supplementary Code",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Original Order Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Give Drug Strength Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Drug Strength Volume Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Controlled Substance Schedule",
"opt": 1,
"rep": 1,
"table": 477
},
{
"datatype": "ID",
"desc": "Formulary Status",
"opt": 1,
"rep": 1,
"len": 1,
"table": 478
},
{
"datatype": "CWE",
"desc": "Pharmaceutical Substance Alternative",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Pharmacy of Most Recent Fill",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Initial Dispense Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Dispensing Pharmacy",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Dispensing Pharmacy Address",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "Deliver-to Patient Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Deliver-to Address",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Pharmacy Order Type",
"opt": 1,
"rep": 1,
"len": 1,
"table": 480
},
{
"datatype": "XTN",
"desc": "Pharmacy Phone Number",
"opt": 1,
"rep": 0
}
]
},
"RXG": {
"desc": "Pharmacy/Treatment Give",
"fields": [
{
"datatype": "NM",
"desc": "Give Sub-ID Counter",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Dispense Sub-ID Counter",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Quantity/Timing",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Code",
"opt": 2,
"rep": 1,
"table": 292
},
{
"datatype": "NM",
"desc": "Give Amount - Minimum",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Give Amount - Maximum",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Units",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Dosage Form",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administration Notes",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "Substitution Status",
"opt": 1,
"rep": 1,
"len": 1,
"table": 167
},
{
"datatype": "LA2",
"desc": "Dispense-To Location",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Needs Human Review",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Pharmacy/Treatment Supplier's Special Administration Instructions",
"opt": 1,
"rep": 0,
"len": 250
},
{
"datatype": "ST",
"desc": "Give Per (Time Unit)",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Give Rate Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Rate Units",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Give Strength",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Strength Units",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Substance Lot Number",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Substance Expiration Date",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Substance Manufacturer Name",
"opt": 1,
"rep": 0,
"table": 227
},
{
"datatype": "CWE",
"desc": "Indication",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Give Drug Strength Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Drug Strength Volume Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Give Barcode Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Pharmacy Order Type",
"opt": 1,
"rep": 1,
"len": 1,
"table": 480
},
{
"datatype": "CWE",
"desc": "Dispense to Pharmacy",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Dispense to Pharmacy Address",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "Deliver-to Patient Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Deliver-to Address",
"opt": 1,
"rep": 1
}
]
},
"RXO": {
"desc": "Pharmacy/Treatment Order",
"fields": [
{
"datatype": "CWE",
"desc": "Requested Give Code",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Requested Give Amount - Minimum",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Requested Give Amount - Maximum",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Requested Give Units",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Requested Dosage Form",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Provider's Pharmacy/Treatment Instructions",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Provider's Administration Instructions",
"opt": 1,
"rep": 0
},
{
"datatype": "LA1",
"desc": "Deliver-To Location",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Allow Substitutions",
"opt": 1,
"rep": 1,
"len": 1,
"table": 161
},
{
"datatype": "CWE",
"desc": "Requested Dispense Code",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Requested Dispense Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Requested Dispense Units",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number Of Refills",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Ordering Provider's DEA Number",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Pharmacist/Treatment Supplier's Verifier ID",
"opt": 3,
"rep": 0
},
{
"datatype": "ID",
"desc": "Needs Human Review",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ST",
"desc": "Requested Give Per (Time Unit)",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Requested Give Strength",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Requested Give Strength Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Indication",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Requested Give Rate Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Requested Give Rate Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Total Daily Dose",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Supplementary Code",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Requested Drug Strength Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Requested Drug Strength Volume Units",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Pharmacy Order Type",
"opt": 1,
"rep": 1,
"len": 1,
"table": 480
},
{
"datatype": "NM",
"desc": "Dispensing Interval",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Medication Instance Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Segment Instance Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Mood Code",
"opt": 3,
"rep": 1,
"table": 725
},
{
"datatype": "CWE",
"desc": "Dispensing Pharmacy",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Dispensing Pharmacy Address",
"opt": 1,
"rep": 1
},
{
"datatype": "PL",
"desc": "Deliver-to Patient Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Deliver-to Address",
"opt": 1,
"rep": 1
},
{
"datatype": "XTN",
"desc": "Pharmacy Phone Number",
"opt": 1,
"rep": 0
}
]
},
"RXR": {
"desc": "Pharmacy/Treatment Route",
"fields": [
{
"datatype": "CWE",
"desc": "Route",
"opt": 2,
"rep": 1,
"table": 162
},
{
"datatype": "CWE",
"desc": "Administration Site",
"opt": 1,
"rep": 1,
"table": 550
},
{
"datatype": "CWE",
"desc": "Administration Device",
"opt": 1,
"rep": 1,
"table": 164
},
{
"datatype": "CWE",
"desc": "Administration Method",
"opt": 1,
"rep": 1,
"table": 165
},
{
"datatype": "CWE",
"desc": "Routing Instruction",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administration Site Modifier",
"opt": 1,
"rep": 1,
"table": 495
}
]
},
"SAC": {
"desc": "Specimen Container detail",
"fields": [
{
"datatype": "EI",
"desc": "External Accession Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Accession Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Container Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Primary (Parent) Container Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Equipment Container Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Specimen Source",
"opt": 4,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Registration Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Container Status",
"opt": 1,
"rep": 1,
"table": 370
},
{
"datatype": "CWE",
"desc": "Carrier Type",
"opt": 1,
"rep": 1,
"table": 378
},
{
"datatype": "EI",
"desc": "Carrier Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "NA",
"desc": "Position in Carrier ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Tray Type - SAC",
"opt": 1,
"rep": 1,
"table": 379
},
{
"datatype": "EI",
"desc": "Tray Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "NA",
"desc": "Position in Tray ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Location",
"opt": 1,
"rep": 0
},
{
"datatype": "NM",
"desc": "Container Height",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Container Diameter",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Barrier Delta",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Bottom Delta",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Container Height/Diameter/Delta Units",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Container Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Available Specimen Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Initial Specimen Volume",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Volume Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Separator Type",
"opt": 1,
"rep": 1,
"table": 380
},
{
"datatype": "CWE",
"desc": "Cap Type",
"opt": 1,
"rep": 1,
"table": 381
},
{
"datatype": "CWE",
"desc": "Additive",
"opt": 1,
"rep": 0,
"table": 371
},
{
"datatype": "CWE",
"desc": "Specimen Component",
"opt": 1,
"rep": 1,
"table": 372
},
{
"datatype": "SN",
"desc": "Dilution Factor",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Treatment",
"opt": 1,
"rep": 1,
"table": 373
},
{
"datatype": "SN",
"desc": "Temperature",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Hemolysis Index",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Hemolysis Index Units",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Lipemia Index",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Lipemia Index Units",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Icterus Index",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Icterus Index Units",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Fibrin Index",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Fibrin Index Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "System Induced Contaminants",
"opt": 1,
"rep": 0,
"table": 374
},
{
"datatype": "CWE",
"desc": "Drug Interference",
"opt": 1,
"rep": 0,
"table": 382
},
{
"datatype": "CWE",
"desc": "Artificial Blood",
"opt": 1,
"rep": 1,
"table": 375
},
{
"datatype": "CWE",
"desc": "Special Handling Code",
"opt": 1,
"rep": 0,
"table": 376
},
{
"datatype": "CWE",
"desc": "Other Environmental Factors",
"opt": 1,
"rep": 0,
"table": 377
}
]
},
"SCD": {
"desc": "Anti-Microbial Cycle Data",
"fields": [
{
"datatype": "TM",
"desc": "Cycle Start Time",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Cycle Count",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Temp Max",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Temp Min",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Load Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Condition Time ",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Sterilize Time ",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Exhaust Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Total Cycle Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Device Status ",
"opt": 1,
"rep": 1,
"table": 682
},
{
"datatype": "DTM",
"desc": "Cycle Start Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Dry Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Leak Rate",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Control Temperature",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Sterilizer Temperature",
"opt": 1,
"rep": 1
},
{
"datatype": "TM",
"desc": "Cycle Complete Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Under Temperature",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Over Temperature",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Abort Cycle",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Alarm",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Long in Charge Phase",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Long in Exhaust Phase",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Long in Fast Exhaust Phase",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Reset",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "XCN",
"desc": "Operator - Unload",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Door Open",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CNE",
"desc": "Reading Failure",
"opt": 1,
"rep": 1,
"table": 532
},
{
"datatype": "CWE",
"desc": "Cycle Type",
"opt": 1,
"rep": 1,
"table": 702
},
{
"datatype": "CQ",
"desc": "Thermal Rinse Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Wash Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Injection Rate",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Procedure Code",
"opt": 1,
"rep": 1,
"table": 88
},
{
"datatype": "CX",
"desc": "Patient Identifier List",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Attending Doctor",
"opt": 1,
"rep": 1,
"table": 10
},
{
"datatype": "SN",
"desc": "Dilution Factor",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Fill Time",
"opt": 1,
"rep": 1
},
{
"datatype": "CQ",
"desc": "Inlet Temperature",
"opt": 1,
"rep": 1
}
]
},
"SCH": {
"desc": "Scheduling Activity Information",
"fields": [
{
"datatype": "EI",
"desc": "Placer Appointment ID",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Filler Appointment ID",
"opt": 3,
"rep": 1
},
{
"datatype": "NM",
"desc": "Occurrence Number",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Placer Group Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Schedule ID",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Event Reason",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Appointment Reason",
"opt": 1,
"rep": 1,
"table": 276
},
{
"datatype": "CWE",
"desc": "Appointment Type",
"opt": 1,
"rep": 1,
"table": 277
},
{
"datatype": "ST",
"desc": "Appointment Duration",
"opt": 4,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Appointment Duration Units",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Appointment Timing Quantity",
"opt": 4,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Placer Contact Person",
"opt": 1,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Placer Contact Phone Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Placer Contact Address",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Placer Contact Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Filler Contact Person",
"opt": 2,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Filler Contact Phone Number",
"opt": 1,
"rep": 1
},
{
"datatype": "XAD",
"desc": "Filler Contact Address",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Filler Contact Location",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Entered by Person",
"opt": 2,
"rep": 0
},
{
"datatype": "XTN",
"desc": "Entered by Phone Number",
"opt": 1,
"rep": 0
},
{
"datatype": "PL",
"desc": "Entered by Location",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Parent Placer Appointment ID",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Parent Filler Appointment ID",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Filler Status Code",
"opt": 1,
"rep": 1,
"table": 278
},
{
"datatype": "EI",
"desc": "Placer Order Number",
"opt": 3,
"rep": 0
},
{
"datatype": "EI",
"desc": "Filler Order Number",
"opt": 3,
"rep": 0
}
]
},
"SCP": {
"desc": "Sterilizer Configuration (Anti-Microbial Devices)",
"fields": [
{
"datatype": "NM",
"desc": "Number Of Decontamination/Sterilization Devices ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Labor Calculation Type",
"opt": 1,
"rep": 1,
"table": 651
},
{
"datatype": "CWE",
"desc": "Date Format",
"opt": 1,
"rep": 1,
"table": 653
},
{
"datatype": "EI",
"desc": "Device Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Device Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Device Model Name",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Device Type",
"opt": 1,
"rep": 1,
"table": 657
},
{
"datatype": "CWE",
"desc": "Lot Control",
"opt": 1,
"rep": 1,
"table": 659
}
]
},
"SDD": {
"desc": "Sterilization Device Data",
"fields": [
{
"datatype": "EI",
"desc": "Lot Number",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Device Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Device Name",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Device Data State",
"opt": 1,
"rep": 1,
"table": 667
},
{
"datatype": "CWE",
"desc": "Load Status",
"opt": 1,
"rep": 1,
"table": 669
},
{
"datatype": "NM",
"desc": "Control Code",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Operator Name",
"opt": 1,
"rep": 1
}
]
},
"SFT": {
"desc": "Software Segment",
"fields": [
{
"datatype": "XON",
"desc": "Software Vendor Organization",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Software Certified Version or Release Number",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Software Product Name",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Software Binary ID",
"opt": 2,
"rep": 1
},
{
"datatype": "TX",
"desc": "Software Product Information",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Software Install Date",
"opt": 1,
"rep": 1
}
]
},
"SHP": {
"desc": "Shipment",
"fields": [
{
"datatype": "EI",
"desc": "Shipment ID",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Internal Shipment ID",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Shipment Status",
"opt": 1,
"rep": 1,
"table": 905
},
{
"datatype": "DTM",
"desc": "Shipment Status Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "TX",
"desc": "Shipment Status Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Shipment Priority",
"opt": 1,
"rep": 1,
"table": 906
},
{
"datatype": "CWE",
"desc": "Shipment Confidentiality",
"opt": 1,
"rep": 0,
"table": 907
},
{
"datatype": "NM",
"desc": "Number of Packages in Shipment",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Shipment Condition",
"opt": 1,
"rep": 0,
"table": 544
},
{
"datatype": "CWE",
"desc": "Shipment Handling Code",
"opt": 1,
"rep": 0,
"table": 376
},
{
"datatype": "CWE",
"desc": "Shipment Risk Code",
"opt": 1,
"rep": 0,
"table": 489
}
]
},
"SID": {
"desc": "Substance Identifier",
"fields": [
{
"datatype": "CWE",
"desc": "Application/Method Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Substance Lot Number",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Substance Container Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Substance Manufacturer Identifier ",
"opt": 3,
"rep": 1,
"table": 385
}
]
},
"SLT": {
"desc": "Sterilization Lot",
"fields": [
{
"datatype": "EI",
"desc": "Device Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Device Name",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Lot Number ",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Item Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Bar Code",
"opt": 1,
"rep": 1
}
]
},
"SPM": {
"desc": "Specimen",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - SPM",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "EIP",
"desc": "Specimen ID ",
"opt": 1,
"rep": 1
},
{
"datatype": "EIP",
"desc": "Specimen Parent IDs",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Specimen Type ",
"opt": 2,
"rep": 1,
"table": 487
},
{
"datatype": "CWE",
"desc": "Specimen Type Modifier",
"opt": 1,
"rep": 0,
"table": 541
},
{
"datatype": "CWE",
"desc": "Specimen Additives",
"opt": 1,
"rep": 0,
"table": 371
},
{
"datatype": "CWE",
"desc": "Specimen Collection Method ",
"opt": 1,
"rep": 1,
"table": 488
},
{
"datatype": "CWE",
"desc": "Specimen Source Site",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Specimen Source Site Modifier",
"opt": 1,
"rep": 0,
"table": 542
},
{
"datatype": "CWE",
"desc": "Specimen Collection Site",
"opt": 1,
"rep": 1,
"table": 543
},
{
"datatype": "CWE",
"desc": "Specimen Role",
"opt": 1,
"rep": 0,
"table": 369
},
{
"datatype": "CQ",
"desc": "Specimen Collection Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Grouped Specimen Count",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Specimen Description ",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Specimen Handling Code ",
"opt": 1,
"rep": 0,
"table": 376
},
{
"datatype": "CWE",
"desc": "Specimen Risk Code",
"opt": 1,
"rep": 0,
"table": 489
},
{
"datatype": "DR",
"desc": "Specimen Collection Date/Time ",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Specimen Received Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Specimen Expiration Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Specimen Availability",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Specimen Reject Reason",
"opt": 1,
"rep": 0,
"table": 490
},
{
"datatype": "CWE",
"desc": "Specimen Quality ",
"opt": 1,
"rep": 1,
"table": 491
},
{
"datatype": "CWE",
"desc": "Specimen Appropriateness ",
"opt": 1,
"rep": 1,
"table": 492
},
{
"datatype": "CWE",
"desc": "Specimen Condition ",
"opt": 1,
"rep": 0,
"table": 493
},
{
"datatype": "CQ",
"desc": "Specimen Current Quantity ",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number of Specimen Containers",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Container Type ",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Container Condition",
"opt": 1,
"rep": 1,
"table": 544
},
{
"datatype": "CWE",
"desc": "Specimen Child Role ",
"opt": 1,
"rep": 1,
"table": 494
},
{
"datatype": "CX",
"desc": "Accession ID",
"opt": 1,
"rep": 0
},
{
"datatype": "CX",
"desc": "Other Specimen ID",
"opt": 1,
"rep": 0
},
{
"datatype": "EI",
"desc": "Shipment ID",
"opt": 1,
"rep": 1
}
]
},
"STF": {
"desc": "Staff Identification",
"fields": [
{
"datatype": "CWE",
"desc": "Primary Key Value - STF",
"opt": 3,
"rep": 1
},
{
"datatype": "CX",
"desc": "Staff Identifier List",
"opt": 1,
"rep": 0
},
{
"datatype": "XPN",
"desc": "Staff Name",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Staff Type",
"opt": 1,
"rep": 0,
"table": 182
},
{
"datatype": "CWE",
"desc": "Administrative Sex",
"opt": 1,
"rep": 1,
"table": 1
},
{
"datatype": "DTM",
"desc": "Date/Time of Birth",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Active/Inactive Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 183
},
{
"datatype": "CWE",
"desc": "Department",
"opt": 1,
"rep": 0,
"table": 184
},
{
"datatype": "CWE",
"desc": "Hospital Service - STF",
"opt": 1,
"rep": 0,
"table": 69
},
{
"datatype": "XTN",
"desc": "Phone",
"opt": 1,
"rep": 0
},
{
"datatype": "XAD",
"desc": "Office/Home Address/Birthplace",
"opt": 1,
"rep": 0
},
{
"datatype": "DIN",
"desc": "Institution Activation Date",
"opt": 1,
"rep": 0,
"table": 537
},
{
"datatype": "DIN",
"desc": "Institution Inactivation Date",
"opt": 1,
"rep": 0,
"table": 537
},
{
"datatype": "CWE",
"desc": "Backup Person ID",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "E-Mail Address",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Preferred Method of Contact",
"opt": 1,
"rep": 1,
"table": 185
},
{
"datatype": "CWE",
"desc": "Marital Status",
"opt": 1,
"rep": 1,
"table": 2
},
{
"datatype": "ST",
"desc": "Job Title",
"opt": 1,
"rep": 1
},
{
"datatype": "JCC",
"desc": "Job Code/Class",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Employment Status Code",
"opt": 1,
"rep": 1,
"table": 66
},
{
"datatype": "ID",
"desc": "Additional Insured on Auto",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DLN",
"desc": "Driver's License Number - Staff",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Copy Auto Ins",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DT",
"desc": "Auto Ins Expires",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Date Last DMV Review",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Date Next DMV Review",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Race",
"opt": 1,
"rep": 1,
"table": 5
},
{
"datatype": "CWE",
"desc": "Ethnic Group",
"opt": 1,
"rep": 1,
"table": 189
},
{
"datatype": "ID",
"desc": "Re-activation Approval Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Citizenship",
"opt": 1,
"rep": 0,
"table": 171
},
{
"datatype": "DTM",
"desc": "Date/Time of Death",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Death Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Institution Relationship Type Code",
"opt": 1,
"rep": 1,
"table": 538
},
{
"datatype": "DR",
"desc": "Institution Relationship Period",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Expected Return Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Cost Center Code",
"opt": 1,
"rep": 0,
"table": 539
},
{
"datatype": "ID",
"desc": "Generic Classification Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Inactive Reason Code",
"opt": 1,
"rep": 1,
"table": 540
},
{
"datatype": "CWE",
"desc": "Generic resource type or category",
"opt": 1,
"rep": 0,
"table": 771
},
{
"datatype": "CWE",
"desc": "Religion",
"opt": 1,
"rep": 1,
"table": 6
},
{
"datatype": "ED",
"desc": "Signature ",
"opt": 1,
"rep": 1
}
]
},
"STZ": {
"desc": "Sterilization Parameter",
"fields": [
{
"datatype": "CWE",
"desc": "Sterilization Type",
"opt": 1,
"rep": 1,
"table": 806
},
{
"datatype": "CWE",
"desc": "Sterilization Cycle",
"opt": 1,
"rep": 1,
"table": 702
},
{
"datatype": "CWE",
"desc": "Maintenance Cycle",
"opt": 1,
"rep": 1,
"table": 809
},
{
"datatype": "CWE",
"desc": "Maintenance Type ",
"opt": 1,
"rep": 1,
"table": 811
}
]
},
"TCC": {
"desc": "Test Code Configuration",
"fields": [
{
"datatype": "CWE",
"desc": "Universal Service Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Equipment Test Application Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Specimen Source",
"opt": 4,
"rep": 1
},
{
"datatype": "SN",
"desc": "Auto-Dilution Factor Default",
"opt": 1,
"rep": 1
},
{
"datatype": "SN",
"desc": "Rerun Dilution Factor Default",
"opt": 1,
"rep": 1
},
{
"datatype": "SN",
"desc": "Pre-Dilution Factor Default",
"opt": 1,
"rep": 1
},
{
"datatype": "SN",
"desc": "Endogenous Content of Pre-Dilution Diluent",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Inventory Limits Warning Level",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Automatic Rerun Allowed",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Automatic Repeat Allowed",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Automatic Reflex Allowed",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "SN",
"desc": "Equipment Dynamic Range",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Processing Type",
"opt": 1,
"rep": 1,
"table": 388
}
]
},
"TCD": {
"desc": "Test Code Detail",
"fields": [
{
"datatype": "CWE",
"desc": "Universal Service Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "SN",
"desc": "Auto-Dilution Factor ",
"opt": 1,
"rep": 1
},
{
"datatype": "SN",
"desc": "Rerun Dilution Factor ",
"opt": 1,
"rep": 1
},
{
"datatype": "SN",
"desc": "Pre-Dilution Factor ",
"opt": 1,
"rep": 1
},
{
"datatype": "SN",
"desc": "Endogenous Content of Pre-Dilution Diluent",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Automatic Repeat Allowed",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Reflex Allowed",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "CWE",
"desc": "Analyte Repeat Status",
"opt": 1,
"rep": 1,
"table": 389
}
]
},
"TQ1": {
"desc": "Timing/Quantity",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - TQ1",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "CQ",
"desc": "Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "RPT",
"desc": "Repeat Pattern",
"opt": 1,
"rep": 0
},
{
"datatype": "TM",
"desc": "Explicit Time",
"opt": 1,
"rep": 0
},
{
"datatype": "CQ",
"desc": "Relative Time and Units",
"opt": 1,
"rep": 0
},
{
"datatype": "CQ",
"desc": "Service Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Start date/time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "End date/time",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Priority",
"opt": 1,
"rep": 0,
"table": 485
},
{
"datatype": "TX",
"desc": "Condition text",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Text instruction",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Conjunction",
"opt": 3,
"rep": 1,
"len": 1,
"table": 472
},
{
"datatype": "CQ",
"desc": "Occurrence duration",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Total occurrences",
"opt": 1,
"rep": 1
}
]
},
"TQ2": {
"desc": "Timing/Quantity Relationship",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - TQ2",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Sequence/Results Flag",
"opt": 1,
"rep": 1,
"len": 1,
"table": 503
},
{
"datatype": "EI",
"desc": "Related Placer Number",
"opt": 3,
"rep": 0
},
{
"datatype": "EI",
"desc": "Related Filler Number",
"opt": 3,
"rep": 0
},
{
"datatype": "EI",
"desc": "Related Placer Group Number",
"opt": 3,
"rep": 0
},
{
"datatype": "ID",
"desc": "Sequence Condition Code",
"opt": 3,
"rep": 1,
"table": 504
},
{
"datatype": "ID",
"desc": "Cyclic Entry/Exit Indicator",
"opt": 3,
"rep": 1,
"len": 1,
"table": 505
},
{
"datatype": "CQ",
"desc": "Sequence Condition Time Interval",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Cyclic Group Maximum Number of Repeats",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Special Service Request Relationship",
"opt": 3,
"rep": 1,
"len": 1,
"table": 506
}
]
},
"TXA": {
"desc": "Transcription Document Header",
"fields": [
{
"datatype": "SI",
"desc": "Set ID- TXA",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "CWE",
"desc": "Document Type ",
"opt": 2,
"rep": 1,
"table": 270
},
{
"datatype": "ID",
"desc": "Document Content Presentation",
"opt": 3,
"rep": 1,
"table": 191
},
{
"datatype": "DTM",
"desc": "Activity Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Primary Activity Provider Code/Name",
"opt": 3,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Origination Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Transcription Date/Time",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Edit Date/Time",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Originator Code/Name",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Assigned Document Authenticator",
"opt": 1,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Transcriptionist Code/Name",
"opt": 3,
"rep": 0
},
{
"datatype": "EI",
"desc": "Unique Document Number",
"opt": 2,
"rep": 1
},
{
"datatype": "EI",
"desc": "Parent Document Number",
"opt": 3,
"rep": 1
},
{
"datatype": "EI",
"desc": "Placer Order Number",
"opt": 1,
"rep": 0
},
{
"datatype": "EI",
"desc": "Filler Order Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Unique Document File Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Document Completion Status",
"opt": 2,
"rep": 1,
"len": 2,
"table": 271
},
{
"datatype": "ID",
"desc": "Document Confidentiality Status",
"opt": 1,
"rep": 1,
"len": 1,
"table": 272
},
{
"datatype": "ID",
"desc": "Document Availability Status",
"opt": 1,
"rep": 1,
"len": 2,
"table": 273
},
{
"datatype": "ID",
"desc": "Document Storage Status",
"opt": 1,
"rep": 1,
"len": 2,
"table": 275
},
{
"datatype": "ST",
"desc": "Document Change Reason",
"opt": 1,
"rep": 1
},
{
"datatype": "PPN",
"desc": "Authentication Person, Time Stamp (set) ",
"opt": 3,
"rep": 0
},
{
"datatype": "XCN",
"desc": "Distributed Copies (Code and Name of Recipient(s) )",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Folder Assignment",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "Document Title",
"opt": 1,
"rep": 0
},
{
"datatype": "DTM",
"desc": "Agreed Due Date/Time ",
"opt": 1,
"rep": 1
}
]
},
"UAC": {
"desc": "User Authentication Credential Segment",
"fields": [
{
"datatype": "CWE",
"desc": "User Authentication Credential Type Code",
"opt": 2,
"rep": 1,
"table": 615
},
{
"datatype": "ED",
"desc": "User Authentication Credential ",
"opt": 2,
"rep": 1
}
]
},
"UB1": {
"desc": "UB82",
"fields": [
{
"datatype": "SI",
"desc": "Set ID UB1",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Blood Deductible",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Blood Furnished Pints",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Blood Replaced Pints",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Blood Not Replaced Pints",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Co Insurance Days",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Condition Code",
"opt": 4,
"rep": 5
},
{
"datatype": "ST",
"desc": "Covered Days",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Non Covered Days",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Value Amount & Code",
"opt": 4,
"rep": 8
},
{
"datatype": "ST",
"desc": "Number Of Grace Days",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Special Program Indicator",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "PSRO/UR Approval Indicator",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "PSRO/UR Approved Stay Fm",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "PSRO/UR Approved Stay To",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Occurrence",
"opt": 4,
"rep": 5
},
{
"datatype": "ST",
"desc": "Occurrence Span",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Occur Span Start Date",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "Occur Span End Date",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "UB 82 Locator 2",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "UB 82 Locator 9",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "UB 82 Locator 27",
"opt": 4,
"rep": 1
},
{
"datatype": "ST",
"desc": "UB 82 Locator 45",
"opt": 4,
"rep": 1
}
]
},
"UB2": {
"desc": "Uniform Billing Data",
"fields": [
{
"datatype": "SI",
"desc": "Set ID - UB2",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "ST",
"desc": "Co-Insurance Days (9)",
"opt": 1,
"rep": 1,
"len": 3
},
{
"datatype": "CWE",
"desc": "Condition Code (24-30)",
"opt": 1,
"rep": 7,
"table": 43
},
{
"datatype": "ST",
"desc": "Covered Days (7)",
"opt": 1,
"rep": 1,
"len": 3
},
{
"datatype": "ST",
"desc": "Non-Covered Days (8)",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "UVC",
"desc": "Value Amount & Code",
"opt": 1,
"rep": 12
},
{
"datatype": "OCD",
"desc": "Occurrence Code & Date (32-35)",
"opt": 1,
"rep": 8
},
{
"datatype": "OSP",
"desc": "Occurrence Span Code/Dates (36)",
"opt": 1,
"rep": 2
},
{
"datatype": "ST",
"desc": "Uniform Billing Locator 2 (State)",
"opt": 1,
"rep": 2,
"len": 29
},
{
"datatype": "ST",
"desc": "Uniform Billing 11 (State)",
"opt": 1,
"rep": 2,
"len": 12
},
{
"datatype": "ST",
"desc": "Uniform Billing 31 (National)",
"opt": 1,
"rep": 1,
"len": 5
},
{
"datatype": "ST",
"desc": "Document Control Number",
"opt": 1,
"rep": 3,
"len": 23
},
{
"datatype": "ST",
"desc": "Uniform Billing 49 (National)",
"opt": 1,
"rep": 23,
"len": 4
},
{
"datatype": "ST",
"desc": "Uniform Billing 56 (State)",
"opt": 1,
"rep": 5,
"len": 14
},
{
"datatype": "ST",
"desc": "Uniform Billing 57 (National)",
"opt": 1,
"rep": 1,
"len": 27
},
{
"datatype": "ST",
"desc": "Uniform Billing 78 (State)",
"opt": 1,
"rep": 2,
"len": 2
},
{
"datatype": "NM",
"desc": "Special Visit Count",
"opt": 1,
"rep": 1,
"len": 3
}
]
},
"URD": {
"desc": "Results/update Definition",
"fields": [
{
"datatype": "DTM",
"desc": "R/U Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Report Priority",
"opt": 1,
"rep": 1,
"table": 109
},
{
"datatype": "XCN",
"desc": "R/U Who Subject Definition",
"opt": 2,
"rep": 0
},
{
"datatype": "CWE",
"desc": "R/U What Subject Definition",
"opt": 1,
"rep": 0,
"table": 48
},
{
"datatype": "CWE",
"desc": "R/U What Department Code",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "R/U Display/Print Locations",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "R/U Results Level",
"opt": 1,
"rep": 1,
"table": 108
}
]
},
"URS": {
"desc": "Unsolicited Selection",
"fields": [
{
"datatype": "ST",
"desc": "R/U Where Subject Definition",
"opt": 2,
"rep": 0
},
{
"datatype": "DTM",
"desc": "R/U When Data Start Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "R/U When Data End Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "R/U What User Qualifier",
"opt": 1,
"rep": 0
},
{
"datatype": "ST",
"desc": "R/U Other Results Subject Definition",
"opt": 1,
"rep": 0
},
{
"datatype": "ID",
"desc": "R/U Which Date/Time Qualifier",
"opt": 1,
"rep": 0,
"table": 156
},
{
"datatype": "ID",
"desc": "R/U Which Date/Time Status Qualifier",
"opt": 1,
"rep": 0,
"table": 157
},
{
"datatype": "ID",
"desc": "R/U Date/Time Selection Qualifier",
"opt": 1,
"rep": 0,
"table": 158
},
{
"datatype": "TQ",
"desc": "R/U Quantity/Timing Qualifier",
"opt": 1,
"rep": 1
}
]
},
"VAR": {
"desc": "Variance",
"fields": [
{
"datatype": "EI",
"desc": "Variance Instance ID",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Documented Date/Time",
"opt": 2,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Stated Variance Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "XCN",
"desc": "Variance Originator",
"opt": 1,
"rep": 0
},
{
"datatype": "CWE",
"desc": "Variance Classification",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Variance Description",
"opt": 1,
"rep": 0
}
]
},
"VND": {
"desc": "Purchasing Vendor",
"fields": [
{
"datatype": "SI",
"desc": "Set Id - VND",
"opt": 2,
"rep": 1,
"len": 4
},
{
"datatype": "EI",
"desc": "Vendor Identifier ",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Vendor Name",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Vendor Catalog Number",
"opt": 1,
"rep": 1
},
{
"datatype": "CNE",
"desc": "Primary Vendor Indicator",
"opt": 1,
"rep": 1,
"table": 532
}
]
}
};
// Definition coming from:
// https://raw.githubusercontent.com/khanh96le/hl7tojson/master/hl7tojson/data/27/fields.json
// -------------------------------------------------------------------------
let DefFields = {
"AD": {
"desc": "Address",
"subfields": [
{
"datatype": "ST",
"desc": "Street Address",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Other Designation",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "City",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "State or Province",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Zip or Postal Code",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Country",
"opt": 1,
"rep": 1,
"len": 3,
"table": 399
},
{
"datatype": "ID",
"desc": "Address Type",
"opt": 1,
"rep": 1,
"len": 3,
"table": 190
},
{
"datatype": "ST",
"desc": "Other Geographic Designation",
"opt": 1,
"rep": 1
}
]
},
"AUI": {
"desc": "Authorization Information",
"subfields": [
{
"datatype": "ST",
"desc": "Authorization Number",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Source",
"opt": 1,
"rep": 1
}
]
},
"CCD": {
"desc": "Charge Code and Date",
"subfields": [
{
"datatype": "ID",
"desc": "Invocation Event ",
"opt": 2,
"rep": 1,
"len": 1,
"table": 100
},
{
"datatype": "DTM",
"desc": "Date/time",
"opt": 1,
"rep": 1
}
]
},
"CCP": {
"desc": "Channel Calibration Parameters",
"subfields": [
{
"datatype": "NM",
"desc": "Channel Calibration Sensitivity Correction Factor",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Channel Calibration Baseline",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Channel Calibration Time Skew",
"opt": 1,
"rep": 1
}
]
},
"CD": {
"desc": "Channel Definition",
"subfields": [
{
"datatype": "WVI",
"desc": "Channel Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "WVS",
"desc": "Waveform Source",
"opt": 1,
"rep": 1
},
{
"datatype": "CSU",
"desc": "Channel Sensitivity and Units",
"opt": 1,
"rep": 1
},
{
"datatype": "CCP",
"desc": "Channel Calibration Parameters",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Channel Sampling Frequency",
"opt": 1,
"rep": 1
},
{
"datatype": "NR",
"desc": "Minimum and Maximum Data Values",
"opt": 1,
"rep": 1
}
]
},
"CF": {
"desc": "Coded Element with Formatted Values",
"subfields": [
{
"datatype": "ST",
"desc": "Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "FT",
"desc": "Formatted Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Coding System",
"opt": 3,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Alternate Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "FT",
"desc": "Alternate Formatted Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Alternate Coding System",
"opt": 3,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Coding System Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Coding System Version ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Original Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "FT",
"desc": "Second Alternate Formatted Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Second Alternate Coding System",
"opt": 1,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Second Alternate Coding System Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Value Set Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Alternate Value Set Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Second Alternate Value Set Version ID",
"opt": 3,
"rep": 1
}
]
},
"CNE": {
"desc": "Coded with No Exceptions",
"subfields": [
{
"datatype": "ST",
"desc": "Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Coding System",
"opt": 1,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Alternate Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Alternate Coding System",
"opt": 1,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Coding System Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Coding System Version ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Original Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Second Alternate Coding System",
"opt": 1,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Second Alternate Coding System Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Value Set Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Alternate Value Set Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Second Alternate Value Set Version ID",
"opt": 3,
"rep": 1
}
]
},
"CNN": {
"desc": "Composite ID Number and Name Simplified",
"subfields": [
{
"datatype": "ST",
"desc": "ID Number",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Family Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Given Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second and Further Given Names or Initials Thereof",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Suffix (e.g., JR or III)",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Prefix (e.g., DR)",
"opt": 1,
"rep": 1
},
{
"datatype": "IS",
"desc": "Degree (e.g., MD)",
"opt": 1,
"rep": 1,
"table": 360
},
{
"datatype": "IS",
"desc": "Source Table",
"opt": 3,
"rep": 1,
"table": 297
},
{
"datatype": "IS",
"desc": "Assigning Authority - Namespace ID",
"opt": 3,
"rep": 1,
"table": 363
},
{
"datatype": "ST",
"desc": "Assigning Authority - Universal ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Assigning Authority - Universal ID Type",
"opt": 3,
"rep": 1,
"len": 6,
"table": 301
}
]
},
"CP": {
"desc": "Composite Price",
"subfields": [
{
"datatype": "MO",
"desc": "Price",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Price Type",
"opt": 1,
"rep": 1,
"len": 2,
"table": 205
},
{
"datatype": "NM",
"desc": "From Value",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "To Value",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Range Units",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Range Type",
"opt": 1,
"rep": 1,
"len": 1,
"table": 298
}
]
},
"CQ": {
"desc": "Composite Quantity with Units",
"subfields": [
{
"datatype": "NM",
"desc": "Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Units",
"opt": 1,
"rep": 1
}
]
},
"CSU": {
"desc": "Channel Sensitivity and Units",
"subfields": [
{
"datatype": "NM",
"desc": "Channel Sensitivity",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Unit of Measure Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Unit of Measure Description",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Unit of Measure Coding System",
"opt": 3,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Alternate Unit of Measure Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Unit of Measure Description",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Alternate Unit of Measure Coding System",
"opt": 3,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Unit of Measure Coding System Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Unit of Measure Coding System Version ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Original Text",
"opt": 1,
"rep": 1,
"len": 199
},
{
"datatype": "ST",
"desc": "Second Alternate Unit of Measure Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Unit of Measure Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Second Alternate Unit of Measure Coding System",
"opt": 1,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Second Alternate Unit of Measure Coding System Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Unit of Measure Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Unit of Measure Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Unit of Measure Value Set Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Unit of Measure Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Unit of Measure Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Alternate Unit of Measure Value Set Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Unit of Measure Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Unit of Measure Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Unit of Measure Value Set Version ID",
"opt": 3,
"rep": 1
}
]
},
"CWE": {
"desc": "Coded with Exceptions",
"subfields": [
{
"datatype": "ST",
"desc": "Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Coding System",
"opt": 3,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Alternate Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Alternate Coding System",
"opt": 3,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Coding System Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Coding System Version ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Original Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name of Second Alternate Coding System",
"opt": 3,
"rep": 1,
"len": 12,
"table": 396
},
{
"datatype": "ST",
"desc": "Second Alternate Coding System Version ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Value Set Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Alternate Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Alternate Value Set Version ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Coding System OID",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second Alternate Value Set OID",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Second Alternate Value Set Version ID",
"opt": 3,
"rep": 1
}
]
},
"CX": {
"desc": "Extended Composite ID with Check Digit",
"subfields": [
{
"datatype": "ST",
"desc": "ID Number",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Identifier Check Digit",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Check Digit Scheme ",
"opt": 1,
"rep": 1,
"len": 3,
"table": 61
},
{
"datatype": "HD",
"desc": "Assigning Authority",
"opt": 3,
"rep": 1,
"table": 363
},
{
"datatype": "ID",
"desc": "Identifier Type Code",
"opt": 2,
"rep": 1,
"len": 5,
"table": 203
},
{
"datatype": "HD",
"desc": "Assigning Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Assigning Jurisdiction",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Assigning Agency or Department",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Security Check",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Security Check Scheme",
"opt": 1,
"rep": 1,
"len": 3,
"table": 904
}
]
},
"DDI": {
"desc": "Daily Deductible Information",
"subfields": [
{
"datatype": "NM",
"desc": "Delay Days",
"opt": 1,
"rep": 1
},
{
"datatype": "MO",
"desc": "Monetary Amount",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Number of Days",
"opt": 1,
"rep": 1
}
]
},
"DIN": {
"desc": "Date and Institution Name",
"subfields": [
{
"datatype": "DTM",
"desc": "Date",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Institution Name",
"opt": 2,
"rep": 1,
"table": 531
}
]
},
"DLD": {
"desc": "Discharge to Location and Date",
"subfields": [
{
"datatype": "CWE",
"desc": "Discharge to Location",
"opt": 2,
"rep": 1,
"table": 113
},
{
"datatype": "DTM",
"desc": "Effective Date",
"opt": 1,
"rep": 1
}
]
},
"DLN": {
"desc": "Driver's License Number",
"subfields": [
{
"datatype": "ST",
"desc": "License Number",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Issuing State, Province, Country",
"opt": 1,
"rep": 1,
"table": 333
},
{
"datatype": "DT",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
}
]
},
"DLT": {
"desc": "Delta",
"subfields": [
{
"datatype": "NR",
"desc": "Normal Range",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Numeric Threshold",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Change Computation",
"opt": 1,
"rep": 1,
"table": 523
},
{
"datatype": "NM",
"desc": "Days Retained",
"opt": 1,
"rep": 1
}
]
},
"DR": {
"desc": "Date/Time Range",
"subfields": [
{
"datatype": "DTM",
"desc": "Range Start Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Range End Date/Time",
"opt": 1,
"rep": 1
}
]
},
"DT": {
"desc": "Date",
"subfields": []
},
"DTM": {
"desc": "Date/Time",
"subfields": []
},
"DTN": {
"desc": "Day Type and Number",
"subfields": [
{
"datatype": "CWE",
"desc": "Day Type",
"opt": 2,
"rep": 1,
"table": 149
},
{
"datatype": "NM",
"desc": "Number of Days",
"opt": 2,
"rep": 1
}
]
},
"ED": {
"desc": "Encapsulated Data",
"subfields": [
{
"datatype": "HD",
"desc": "Source Application",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Type of Data",
"opt": 2,
"rep": 1,
"len": 11,
"table": 834
},
{
"datatype": "ID",
"desc": "Data Subtype",
"opt": 1,
"rep": 1,
"table": 291
},
{
"datatype": "ID",
"desc": "Encoding",
"opt": 2,
"rep": 1,
"len": 6,
"table": 299
},
{
"datatype": "TX",
"desc": "Data",
"opt": 2,
"rep": 1
}
]
},
"EI": {
"desc": "Entity Identifier",
"subfields": [
{
"datatype": "ST",
"desc": "Entity Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "IS",
"desc": "Namespace ID",
"opt": 1,
"rep": 1,
"table": 363
},
{
"datatype": "ST",
"desc": "Universal ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Universal ID Type",
"opt": 3,
"rep": 1,
"len": 6,
"table": 301
}
]
},
"EIP": {
"desc": "Entity Identifier Pair",
"subfields": [
{
"datatype": "EI",
"desc": "Placer Assigned Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Filler Assigned Identifier",
"opt": 1,
"rep": 1
}
]
},
"ERL": {
"desc": "Error Location",
"subfields": [
{
"datatype": "ST",
"desc": "Segment ID",
"opt": 2,
"rep": 1,
"len": 3
},
{
"datatype": "NM",
"desc": "Segment Sequence",
"opt": 2,
"rep": 1
},
{
"datatype": "NM",
"desc": "Field Position",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Field Repetition",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Component Number",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sub-Component Number",
"opt": 1,
"rep": 1
}
]
},
"FC": {
"desc": "Financial Class",
"subfields": [
{
"datatype": "CWE",
"desc": "Financial Class Code",
"opt": 2,
"rep": 1,
"table": 64
},
{
"datatype": "DTM",
"desc": "Effective Date",
"opt": 1,
"rep": 1
}
]
},
"FN": {
"desc": "Family Name",
"subfields": [
{
"datatype": "ST",
"desc": "Surname",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Own Surname Prefix",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Own Surname",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Surname Prefix from Partner/Spouse",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Surname from Partner/Spouse",
"opt": 1,
"rep": 1
}
]
},
"FT": {
"desc": "Formatted Text",
"subfields": []
},
"GTS": {
"desc": "General Timing Specification",
"subfields": []
},
"HD": {
"desc": "Hierarchic Designator",
"subfields": [
{
"datatype": "IS",
"desc": "Namespace ID",
"opt": 1,
"rep": 1,
"table": 300
},
{
"datatype": "ST",
"desc": "Universal ID",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Universal ID Type",
"opt": 3,
"rep": 1,
"len": 6,
"table": 301
}
]
},
"ICD": {
"desc": "Insurance Certification Definition",
"subfields": [
{
"datatype": "CWE",
"desc": "Certification Patient Type",
"opt": 1,
"rep": 1,
"table": 150
},
{
"datatype": "ID",
"desc": "Certification Required",
"opt": 2,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "DTM",
"desc": "Date/Time Certification Required",
"opt": 1,
"rep": 1
}
]
},
"ID": {
"desc": "Coded Value for HL7-defined tables",
"subfields": []
},
"IS": {
"desc": "Coded Value for User-defined tables",
"subfields": []
},
"JCC": {
"desc": "Job Code/Class",
"subfields": [
{
"datatype": "CWE",
"desc": "Job Code",
"opt": 1,
"rep": 1,
"table": 327
},
{
"datatype": "CWE",
"desc": "Job Class",
"opt": 1,
"rep": 1,
"table": 328
},
{
"datatype": "TX",
"desc": "Job Description Text",
"opt": 1,
"rep": 1
}
]
},
"LA1": {
"desc": "Location with Address Variation 1",
"subfields": [
{
"datatype": "IS",
"desc": "Point of Care",
"opt": 1,
"rep": 1,
"table": 302
},
{
"datatype": "IS",
"desc": "Room",
"opt": 1,
"rep": 1,
"table": 303
},
{
"datatype": "IS",
"desc": "Bed",
"opt": 1,
"rep": 1,
"table": 304
},
{
"datatype": "HD",
"desc": "Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "IS",
"desc": "Location Status",
"opt": 1,
"rep": 1,
"table": 306
},
{
"datatype": "IS",
"desc": "Patient Location Type",
"opt": 1,
"rep": 1,
"table": 305
},
{
"datatype": "IS",
"desc": "Building",
"opt": 1,
"rep": 1,
"table": 307
},
{
"datatype": "IS",
"desc": "Floor",
"opt": 1,
"rep": 1,
"table": 308
},
{
"datatype": "AD",
"desc": "Address",
"opt": 1,
"rep": 1
}
]
},
"LA2": {
"desc": "Location with Address Variation 2",
"subfields": [
{
"datatype": "IS",
"desc": "Point of Care",
"opt": 1,
"rep": 1,
"table": 302
},
{
"datatype": "IS",
"desc": "Room",
"opt": 1,
"rep": 1,
"table": 303
},
{
"datatype": "IS",
"desc": "Bed",
"opt": 1,
"rep": 1,
"table": 304
},
{
"datatype": "HD",
"desc": "Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "IS",
"desc": "Location Status",
"opt": 1,
"rep": 1,
"table": 306
},
{
"datatype": "IS",
"desc": "Patient Location Type",
"opt": 1,
"rep": 1,
"table": 305
},
{
"datatype": "IS",
"desc": "Building",
"opt": 1,
"rep": 1,
"table": 307
},
{
"datatype": "IS",
"desc": "Floor",
"opt": 1,
"rep": 1,
"table": 308
},
{
"datatype": "ST",
"desc": "Street Address",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Other Designation",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "City",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "State or Province",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Zip or Postal Code",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Country",
"opt": 1,
"rep": 1,
"len": 3,
"table": 399
},
{
"datatype": "ID",
"desc": "Address Type",
"opt": 1,
"rep": 1,
"len": 3,
"table": 190
},
{
"datatype": "ST",
"desc": "Other Geographic Designation ",
"opt": 1,
"rep": 1
}
]
},
"MA": {
"desc": "Multiplexed Array",
"subfields": [
{
"datatype": "NM",
"desc": "Sample Y From Channel 1",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sample Y From Channel 2",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sample Y From Channel 3",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sample Y From Channel 4",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sample Y From Channel 5",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sample Y From Channel 6",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sample Y From Channel 7",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sample Y From Channel 8",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sample Y From Channel 9",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Sample Y From Channel 10",
"opt": 1,
"rep": 1
}
]
},
"MO": {
"desc": "Money",
"subfields": [
{
"datatype": "NM",
"desc": "Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Denomination",
"opt": 1,
"rep": 1,
"len": 3,
"table": 913
}
]
},
"MOC": {
"desc": "Money and Code",
"subfields": [
{
"datatype": "MO",
"desc": "Monetary Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Charge Code",
"opt": 1,
"rep": 1
}
]
},
"MOP": {
"desc": "Money or Percentage",
"subfields": [
{
"datatype": "ID",
"desc": "Money or Percentage Indicator",
"opt": 2,
"rep": 1,
"table": 148
},
{
"datatype": "NM",
"desc": "Money or Percentage Quantity",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Monetary Denomination",
"opt": 1,
"rep": 1,
"len": 3,
"table": 913
}
]
},
"MSG": {
"desc": "Message Type",
"subfields": [
{
"datatype": "ID",
"desc": "Message Code",
"opt": 2,
"rep": 1,
"len": 3,
"table": 76
},
{
"datatype": "ID",
"desc": "Trigger Event",
"opt": 2,
"rep": 1,
"len": 3,
"table": 3
},
{
"datatype": "ID",
"desc": "Message Structure",
"opt": 2,
"rep": 1,
"len": 7,
"table": 354
}
]
},
"NA": {
"desc": "Numeric Array",
"subfields": [
{
"datatype": "NM",
"desc": "Value1",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Value2",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Value3",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Value4",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Value5",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Value6",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Value7",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Value8",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Value9",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Value10",
"opt": 1,
"rep": 1
}
]
},
"NDL": {
"desc": "Name with Date and Location",
"subfields": [
{
"datatype": "CNN",
"desc": "Name",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Start Date/time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "End Date/time",
"opt": 1,
"rep": 1
},
{
"datatype": "IS",
"desc": "Point of Care ",
"opt": 1,
"rep": 1,
"table": 302
},
{
"datatype": "IS",
"desc": "Room ",
"opt": 1,
"rep": 1,
"table": 303
},
{
"datatype": "IS",
"desc": "Bed",
"opt": 1,
"rep": 1,
"table": 304
},
{
"datatype": "HD",
"desc": "Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "IS",
"desc": "Location Status ",
"opt": 1,
"rep": 1,
"table": 306
},
{
"datatype": "IS",
"desc": "Patient Location Type",
"opt": 1,
"rep": 1,
"table": 305
},
{
"datatype": "IS",
"desc": "Building ",
"opt": 1,
"rep": 1,
"table": 307
},
{
"datatype": "IS",
"desc": "Floor",
"opt": 1,
"rep": 1,
"table": 308
}
]
},
"NM": {
"desc": "Numeric",
"subfields": []
},
"NR": {
"desc": "Numeric Range",
"subfields": [
{
"datatype": "NM",
"desc": "Low Value",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "High Value",
"opt": 1,
"rep": 1
}
]
},
"OCD": {
"desc": "Occurrence Code and Date",
"subfields": [
{
"datatype": "CNE",
"desc": "Occurrence Code",
"opt": 2,
"rep": 1,
"table": 350
},
{
"datatype": "DT",
"desc": "Occurrence Date",
"opt": 2,
"rep": 1
}
]
},
"OSD": {
"desc": "Order Sequence Definition",
"subfields": [
{
"datatype": "ID",
"desc": "Sequence/Results Flag",
"opt": 2,
"rep": 1,
"table": 524
},
{
"datatype": "ST",
"desc": "Placer Order Number: Entity Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "IS",
"desc": "Placer Order Number: Namespace ID",
"opt": 1,
"rep": 1,
"table": 363
},
{
"datatype": "ST",
"desc": "Filler Order Number: Entity Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "IS",
"desc": "Filler Order Number: Namespace ID",
"opt": 1,
"rep": 1,
"table": 363
},
{
"datatype": "ST",
"desc": "Sequence Condition Value",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Maximum Number of Repeats",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Placer Order Number: Universal ID",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Placer Order Number: Universal ID Type",
"opt": 1,
"rep": 1,
"table": 301
},
{
"datatype": "ST",
"desc": "Filler Order Number: Universal ID",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Filler Order Number: Universal ID Type",
"opt": 1,
"rep": 1,
"table": 301
}
]
},
"OSP": {
"desc": "Occurrence Span Code and Date",
"subfields": [
{
"datatype": "CNE",
"desc": "Occurrence Span Code",
"opt": 2,
"rep": 1,
"table": 351
},
{
"datatype": "DT",
"desc": "Occurrence Span Start Date",
"opt": 3,
"rep": 1
},
{
"datatype": "DT",
"desc": "Occurrence Span Stop Date",
"opt": 3,
"rep": 1
}
]
},
"PIP": {
"desc": "Practitioner Institutional Privileges",
"subfields": [
{
"datatype": "CWE",
"desc": "Privilege",
"opt": 2,
"rep": 1,
"table": 525
},
{
"datatype": "CWE",
"desc": "Privilege Class",
"opt": 1,
"rep": 1,
"table": 526
},
{
"datatype": "DT",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Activation Date",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Facility",
"opt": 1,
"rep": 1
}
]
},
"PL": {
"desc": "Person Location",
"subfields": [
{
"datatype": "HD",
"desc": "Point of Care",
"opt": 3,
"rep": 1,
"table": 302
},
{
"datatype": "HD",
"desc": "Room",
"opt": 1,
"rep": 1,
"table": 303
},
{
"datatype": "HD",
"desc": "Bed",
"opt": 1,
"rep": 1,
"table": 304
},
{
"datatype": "HD",
"desc": "Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "IS",
"desc": "Location Status",
"opt": 1,
"rep": 1,
"table": 306
},
{
"datatype": "IS",
"desc": "Person Location Type",
"opt": 1,
"rep": 1,
"table": 305
},
{
"datatype": "HD",
"desc": "Building",
"opt": 1,
"rep": 1,
"table": 307
},
{
"datatype": "HD",
"desc": "Floor",
"opt": 1,
"rep": 1,
"table": 308
},
{
"datatype": "ST",
"desc": "Location Description",
"opt": 1,
"rep": 1
},
{
"datatype": "EI",
"desc": "Comprehensive Location Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Assigning Authority for Location",
"opt": 1,
"rep": 1,
"table": 363
}
]
},
"PLN": {
"desc": "Practitioner License or Other ID Number",
"subfields": [
{
"datatype": "ST",
"desc": "ID Number",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Type of ID Number",
"opt": 2,
"rep": 1,
"table": 338
},
{
"datatype": "ST",
"desc": "State/other Qualifying Information",
"opt": 1,
"rep": 1
},
{
"datatype": "DT",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
}
]
},
"PPN": {
"desc": "Performing Person Time Stamp",
"subfields": [
{
"datatype": "ST",
"desc": "Person Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "FN",
"desc": "Family Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Given Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second and Further Given Names or Initials Thereof",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Suffix (e.g., JR or III)",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Prefix (e.g., DR)",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Degree (e.g., MD)",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Source Table",
"opt": 1,
"rep": 1,
"table": 297
},
{
"datatype": "HD",
"desc": "Assigning Authority",
"opt": 3,
"rep": 1,
"table": 363
},
{
"datatype": "ID",
"desc": "Name Type Code",
"opt": 1,
"rep": 1,
"len": 5,
"table": 200
},
{
"datatype": "ST",
"desc": "Identifier Check Digit",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Check Digit Scheme ",
"opt": 3,
"rep": 1,
"len": 3,
"table": 61
},
{
"datatype": "ID",
"desc": "Identifier Type Code",
"opt": 1,
"rep": 1,
"len": 5,
"table": 203
},
{
"datatype": "HD",
"desc": "Assigning Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Date/Time Action Performed",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name Representation Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 465
},
{
"datatype": "CWE",
"desc": "Name Context",
"opt": 1,
"rep": 1,
"table": 448
},
{
"datatype": "ST",
"desc": "Name Validity Range",
"opt": 4,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name Assembly Order",
"opt": 1,
"rep": 1,
"len": 1,
"table": 444
},
{
"datatype": "DTM",
"desc": "Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Professional Suffix",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Assigning Jurisdiction",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Assigning Agency or Department",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Security Check ",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Security Check Scheme",
"opt": 1,
"rep": 1,
"len": 3,
"table": 904
}
]
},
"PRL": {
"desc": "Parent Result Link",
"subfields": [
{
"datatype": "CWE",
"desc": "Parent Observation Identifier",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Parent Observation Sub-identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Parent Observation Value Descriptor",
"opt": 1,
"rep": 1
}
]
},
"PT": {
"desc": "Processing Type",
"subfields": [
{
"datatype": "ID",
"desc": "Processing ID",
"opt": 2,
"rep": 1,
"len": 1,
"table": 103
},
{
"datatype": "ID",
"desc": "Processing Mode",
"opt": 1,
"rep": 1,
"len": 1,
"table": 207
}
]
},
"PTA": {
"desc": "Policy Type and Amount",
"subfields": [
{
"datatype": "CWE",
"desc": "Policy Type",
"opt": 2,
"rep": 1,
"table": 147
},
{
"datatype": "CWE",
"desc": "Amount Class",
"opt": 1,
"rep": 1,
"table": 193
},
{
"datatype": "ST",
"desc": "Money or Percentage Quantity",
"opt": 4,
"rep": 1
},
{
"datatype": "MOP",
"desc": "Money or Percentage",
"opt": 2,
"rep": 1
}
]
},
"QIP": {
"desc": "Query Input Parameter List",
"subfields": [
{
"datatype": "ST",
"desc": "Segment Field Name",
"opt": 2,
"rep": 1,
"len": 12
},
{
"datatype": "ST",
"desc": "Values",
"opt": 2,
"rep": 1
}
]
},
"QSC": {
"desc": "Query Selection Criteria",
"subfields": [
{
"datatype": "ST",
"desc": "Segment Field Name",
"opt": 2,
"rep": 1
},
{
"datatype": "ID",
"desc": "Relational Operator",
"opt": 1,
"rep": 1,
"len": 2,
"table": 209
},
{
"datatype": "ST",
"desc": "Value",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Relational Conjunction",
"opt": 1,
"rep": 1,
"len": 3,
"table": 210
}
]
},
"RCD": {
"desc": "Row Column Definition",
"subfields": [
{
"datatype": "ST",
"desc": "Segment Field Name",
"opt": 1,
"rep": 1,
"len": 12
},
{
"datatype": "ID",
"desc": "HL7 Data Type",
"opt": 1,
"rep": 1,
"len": 3,
"table": 440
},
{
"datatype": "NM",
"desc": "Maximum Column Width",
"opt": 1,
"rep": 1,
"len": 5
}
]
},
"RFR": {
"desc": "Reference Range",
"subfields": [
{
"datatype": "NR",
"desc": "Numeric Range",
"opt": 2,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Administrative Sex",
"opt": 1,
"rep": 1,
"table": 1
},
{
"datatype": "NR",
"desc": "Age Range",
"opt": 1,
"rep": 1
},
{
"datatype": "NR",
"desc": "Gestational Age Range",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Species",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Race/subspecies",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Conditions",
"opt": 1,
"rep": 1
}
]
},
"RI": {
"desc": "Repeat Interval",
"subfields": [
{
"datatype": "CWE",
"desc": "Repeat Pattern",
"opt": 1,
"rep": 1,
"table": 335
},
{
"datatype": "ST",
"desc": "Explicit Time Interval",
"opt": 1,
"rep": 1
}
]
},
"RMC": {
"desc": "Room Coverage",
"subfields": [
{
"datatype": "CWE",
"desc": "Room Type",
"opt": 2,
"rep": 1,
"table": 145
},
{
"datatype": "CWE",
"desc": "Amount Type",
"opt": 1,
"rep": 1,
"table": 146
},
{
"datatype": "ST",
"desc": "Coverage Amount",
"opt": 4,
"rep": 1
},
{
"datatype": "MOP",
"desc": "Money or Percentage",
"opt": 2,
"rep": 1
}
]
},
"RP": {
"desc": "Reference Pointer",
"subfields": [
{
"datatype": "ST",
"desc": "Pointer",
"opt": 1,
"rep": 1
},
{
"datatype": "HD",
"desc": "Application ID",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Type of Data",
"opt": 1,
"rep": 1,
"len": 11,
"table": 834
},
{
"datatype": "ID",
"desc": "Subtype",
"opt": 1,
"rep": 1,
"table": 291
}
]
},
"RPT": {
"desc": "Repeat Pattern",
"subfields": [
{
"datatype": "CWE",
"desc": "Repeat Pattern Code",
"opt": 2,
"rep": 1,
"table": 335
},
{
"datatype": "ID",
"desc": "Calendar Alignment",
"opt": 1,
"rep": 1,
"len": 2,
"table": 527
},
{
"datatype": "NM",
"desc": "Phase Range Begin Value",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Phase Range End Value",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Period Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Period Units",
"opt": 3,
"rep": 1
},
{
"datatype": "ID",
"desc": "Institution Specified Time",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Event",
"opt": 1,
"rep": 1,
"len": 3,
"table": 528
},
{
"datatype": "NM",
"desc": "Event Offset Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Event Offset Units",
"opt": 3,
"rep": 1
},
{
"datatype": "GTS",
"desc": "General Timing Specification",
"opt": 1,
"rep": 1
}
]
},
"SAD": {
"desc": "Street Address",
"subfields": [
{
"datatype": "ST",
"desc": "Street or Mailing Address",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Street Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Dwelling Number",
"opt": 1,
"rep": 1
}
]
},
"SCV": {
"desc": "Scheduling Class Value Pair",
"subfields": [
{
"datatype": "CWE",
"desc": "Parameter Class",
"opt": 1,
"rep": 1,
"table": 294
},
{
"datatype": "ST",
"desc": "Parameter Value",
"opt": 1,
"rep": 1
}
]
},
"SI": {
"desc": "Sequence ID",
"subfields": []
},
"SN": {
"desc": "Structured Numeric",
"subfields": [
{
"datatype": "ST",
"desc": "Comparator",
"opt": 1,
"rep": 1,
"len": 2
},
{
"datatype": "NM",
"desc": "Num1",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Separator/Suffix",
"opt": 1,
"rep": 1,
"len": 1
},
{
"datatype": "NM",
"desc": "Num2",
"opt": 1,
"rep": 1
}
]
},
"SPD": {
"desc": "Specialty Description",
"subfields": [
{
"datatype": "ST",
"desc": "Specialty Name",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Governing Board",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Eligible or Certified",
"opt": 1,
"rep": 1,
"len": 1,
"table": 337
},
{
"datatype": "DT",
"desc": "Date of Certification",
"opt": 1,
"rep": 1
}
]
},
"SRT": {
"desc": "Sort Order",
"subfields": [
{
"datatype": "ST",
"desc": "Sort-by Field",
"opt": 2,
"rep": 1,
"len": 12
},
{
"datatype": "ID",
"desc": "Sequencing",
"opt": 1,
"rep": 1,
"len": 2,
"table": 397
}
]
},
"ST": {
"desc": "String Data",
"subfields": []
},
"TM": {
"desc": "Time",
"subfields": []
},
"TQ": {
"desc": "Timing Quantity",
"subfields": [
{
"datatype": "CQ",
"desc": "Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "RI",
"desc": "Interval",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Start Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "End Date/Time",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Priority",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Condition",
"opt": 1,
"rep": 1
},
{
"datatype": "TX",
"desc": "Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Conjunction",
"opt": 1,
"rep": 1,
"table": 472
},
{
"datatype": "OSD",
"desc": "Order Sequencing",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Occurrence Duration",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Total Occurrences",
"opt": 1,
"rep": 1
}
]
},
"TX": {
"desc": "Text Data",
"subfields": []
},
"UVC": {
"desc": "UB Value Code and Amount",
"subfields": [
{
"datatype": "CWE",
"desc": "Value Code",
"opt": 2,
"rep": 1,
"table": 153
},
{
"datatype": "MO",
"desc": "Value Amount",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Non-Monetary Value Amount / Quantity",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Non-Monetary Value Amount / Units ",
"opt": 1,
"rep": 1
}
]
},
"VH": {
"desc": "Visiting Hours",
"subfields": [
{
"datatype": "ID",
"desc": "Start Day Range",
"opt": 1,
"rep": 1,
"len": 3,
"table": 267
},
{
"datatype": "ID",
"desc": "End Day Range",
"opt": 1,
"rep": 1,
"len": 3,
"table": 267
},
{
"datatype": "TM",
"desc": "Start Hour Range",
"opt": 1,
"rep": 1
},
{
"datatype": "TM",
"desc": "End Hour Range",
"opt": 1,
"rep": 1
}
]
},
"VID": {
"desc": "Version Identifier",
"subfields": [
{
"datatype": "ID",
"desc": "Version ID",
"opt": 2,
"rep": 1,
"len": 5,
"table": 104
},
{
"datatype": "CWE",
"desc": "Internationalization Code",
"opt": 1,
"rep": 1,
"table": 399
},
{
"datatype": "CWE",
"desc": "International Version ID",
"opt": 1,
"rep": 1
}
]
},
"VR": {
"desc": "Value Range",
"subfields": [
{
"datatype": "ST",
"desc": "First Data Code Value",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Last Data Code Value",
"opt": 1,
"rep": 1
}
]
},
"WVI": {
"desc": "Channel Identifier",
"subfields": [
{
"datatype": "NM",
"desc": "Channel Number",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Channel Name ",
"opt": 1,
"rep": 1
}
]
},
"WVS": {
"desc": "Waveform Source",
"subfields": [
{
"datatype": "ST",
"desc": "Source One Name",
"opt": 2,
"rep": 1
},
{
"datatype": "ST",
"desc": "Source Two Name",
"opt": 1,
"rep": 1
}
]
},
"XAD": {
"desc": "Extended Address",
"subfields": [
{
"datatype": "SAD",
"desc": "Street Address",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Other Designation",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "City",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "State or Province",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Zip or Postal Code",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Country",
"opt": 1,
"rep": 1,
"len": 3,
"table": 399
},
{
"datatype": "ID",
"desc": "Address Type",
"opt": 3,
"rep": 1,
"len": 3,
"table": 190
},
{
"datatype": "ST",
"desc": "Other Geographic Designation",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "County/Parish Code",
"opt": 1,
"rep": 1,
"table": 289
},
{
"datatype": "CWE",
"desc": "Census Tract",
"opt": 1,
"rep": 1,
"table": 288
},
{
"datatype": "ID",
"desc": "Address Representation Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 465
},
{
"datatype": "ST",
"desc": "Address Validity Range",
"opt": 4,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Expiration Reason",
"opt": 1,
"rep": 1,
"table": 616
},
{
"datatype": "ID",
"desc": "Temporary Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Bad Address Indicator",
"opt": 1,
"rep": 1,
"len": 1,
"table": 136
},
{
"datatype": "ID",
"desc": "Address Usage",
"opt": 1,
"rep": 1,
"len": 1,
"table": 617
},
{
"datatype": "ST",
"desc": "Addressee",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Comment",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Preference Order",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Protection Code",
"opt": 1,
"rep": 1,
"table": 618
},
{
"datatype": "EI",
"desc": "Address Identifier",
"opt": 1,
"rep": 1
}
]
},
"XCN": {
"desc": "Extended Composite ID Number and Name for Persons",
"subfields": [
{
"datatype": "ST",
"desc": "Person Identifier",
"opt": 3,
"rep": 1
},
{
"datatype": "FN",
"desc": "Family Name",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Given Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second and Further Given Names or Initials Thereof",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Suffix (e.g., JR or III)",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Prefix (e.g., DR)",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Degree (e.g., MD)",
"opt": 4,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Source Table",
"opt": 1,
"rep": 1,
"table": 297
},
{
"datatype": "HD",
"desc": "Assigning Authority",
"opt": 3,
"rep": 1,
"table": 363
},
{
"datatype": "ID",
"desc": "Name Type Code",
"opt": 3,
"rep": 1,
"len": 5,
"table": 200
},
{
"datatype": "ST",
"desc": "Identifier Check Digit",
"opt": 1,
"rep": 1,
"len": 4
},
{
"datatype": "ID",
"desc": "Check Digit Scheme",
"opt": 3,
"rep": 1,
"len": 3,
"table": 61
},
{
"datatype": "ID",
"desc": "Identifier Type Code",
"opt": 3,
"rep": 1,
"len": 5,
"table": 203
},
{
"datatype": "HD",
"desc": "Assigning Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name Representation Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 465
},
{
"datatype": "CWE",
"desc": "Name Context",
"opt": 1,
"rep": 1,
"table": 448
},
{
"datatype": "ST",
"desc": "Name Validity Range",
"opt": 4,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name Assembly Order",
"opt": 1,
"rep": 1,
"len": 1,
"table": 444
},
{
"datatype": "DTM",
"desc": "Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Professional Suffix",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Assigning Jurisdiction",
"opt": 3,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Assigning Agency or Department",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Security Check ",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Security Check Scheme",
"opt": 1,
"rep": 1,
"len": 3,
"table": 904
}
]
},
"XON": {
"desc": "Extended Composite Name and Identification Number for Organizations",
"subfields": [
{
"datatype": "ST",
"desc": "Organization Name",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Organization Name Type Code",
"opt": 1,
"rep": 1,
"table": 204
},
{
"datatype": "ST",
"desc": "ID Number",
"opt": 4,
"rep": 1
},
{
"datatype": "NM",
"desc": "Identifier Check Digit",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Check Digit Scheme ",
"opt": 1,
"rep": 1,
"len": 3,
"table": 61
},
{
"datatype": "HD",
"desc": "Assigning Authority",
"opt": 1,
"rep": 1,
"table": 363
},
{
"datatype": "ID",
"desc": "Identifier Type Code",
"opt": 1,
"rep": 1,
"len": 5,
"table": 203
},
{
"datatype": "HD",
"desc": "Assigning Facility",
"opt": 1,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name Representation Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 465
},
{
"datatype": "ST",
"desc": "Organization Identifier",
"opt": 1,
"rep": 1
}
]
},
"XPN": {
"desc": "Extended Person Name",
"subfields": [
{
"datatype": "FN",
"desc": "Family Name",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Given Name",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Second and Further Given Names or Initials Thereof",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Suffix (e.g., JR or III)",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Prefix (e.g., DR)",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Degree (e.g., MD)",
"opt": 4,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name Type Code",
"opt": 1,
"rep": 1,
"len": 5,
"table": 200
},
{
"datatype": "ID",
"desc": "Name Representation Code",
"opt": 1,
"rep": 1,
"len": 1,
"table": 465
},
{
"datatype": "CWE",
"desc": "Name Context",
"opt": 1,
"rep": 1,
"table": 448
},
{
"datatype": "ST",
"desc": "Name Validity Range",
"opt": 4,
"rep": 1
},
{
"datatype": "ID",
"desc": "Name Assembly Order",
"opt": 1,
"rep": 1,
"len": 1,
"table": 444
},
{
"datatype": "DTM",
"desc": "Effective Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Professional Suffix",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Called By",
"opt": 1,
"rep": 1
}
]
},
"XTN": {
"desc": "Extended Telecommunication Number",
"subfields": [
{
"datatype": "ST",
"desc": "Telephone Number",
"opt": 4,
"rep": 1
},
{
"datatype": "ID",
"desc": "Telecommunication Use Code",
"opt": 1,
"rep": 1,
"len": 3,
"table": 201
},
{
"datatype": "ID",
"desc": "Telecommunication Equipment Type",
"opt": 2,
"rep": 1,
"len": 8,
"table": 202
},
{
"datatype": "ST",
"desc": "Communication Address",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Country Code",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Area/City Code",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Local Number",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Extension",
"opt": 3,
"rep": 1
},
{
"datatype": "ST",
"desc": "Any Text",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Extension Prefix",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Speed Dial Code",
"opt": 1,
"rep": 1
},
{
"datatype": "ST",
"desc": "Unformatted Telephone number ",
"opt": 3,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Effective Start Date",
"opt": 1,
"rep": 1
},
{
"datatype": "DTM",
"desc": "Expiration Date",
"opt": 1,
"rep": 1
},
{
"datatype": "CWE",
"desc": "Expiration Reason",
"opt": 1,
"rep": 1,
"table": 868
},
{
"datatype": "CWE",
"desc": "Protection Code",
"opt": 1,
"rep": 1,
"table": 618
},
{
"datatype": "EI",
"desc": "Shared Telecommunication Identifier",
"opt": 1,
"rep": 1
},
{
"datatype": "NM",
"desc": "Preference Order",
"opt": 1,
"rep": 1
}
]
}
};
let Message = {
"info": {
"message_version": "27",
"message_type": "ADT_A01",
"message_description": "Admit/Visit Notification"
},
"segments": []
};
// El separador de segmentos es \r porque algunos campos pueden llevar
// documentos o imagenes que incluyan \n en su contenido
let SegmentSep = "\r";
let FieldSep = "|";
let ElementSep = "^";
let ComponentSep = "~";
let segmentArr = hl7text.split(SegmentSep);
for (let segmentRaw of segmentArr) {
if (segmentRaw.substr(0, 3) == "MSH") {
FieldSep = segmentRaw.substr(3, 1);
ElementSep = segmentRaw.substr(4, 1);
ComponentSep = segmentRaw.substr(5, 1);
SubComponentSep = segmentRaw.substr(6, 1);
}
let segmentArr = segmentRaw.split(FieldSep);
if (segmentRaw.substr(0, 3) == "MSH") {
segmentArr.unshift("MSH");
segmentArr[1] = FieldSep;
}
let segment = {
"type" : segmentArr[0],
"description": DefSegments[segmentArr[0]].desc,
"fields" : []
}
for (fidx = 1; fidx < segmentArr.length; fidx++) {
let field = {
"id": fidx,
"data": segmentArr[fidx],
"description": DefSegments[segmentArr[0]].fields[fidx - 1].desc,
"datatype": DefSegments[segmentArr[0]].fields[fidx - 1].datatype,
"repetitions": []
};
if (field.datatype == "ST") {
} else if (field.datatype == "DTM") {
try {
field.data = Ax.util.Date.parse("yyyyMMddHHmmss", field.data);
} catch (Err) {}
} else {
let elementArr = field.data.split(ElementSep);
if (elementArr.length > 1) {
for (eidx = 0; eidx < elementArr.length; eidx++) {
//console.log(field.data);
//console.log(field.datatype);
//console.log(elementArr.length);
//console.log(eidx);
//console.log(DefFields[field.datatype]);
let element = {
"data" : elementArr[eidx],
"datatype" : (DefFields[field.datatype].subfields[eidx] || {"datatype" : "ST"}).datatype,
"description" : (DefFields[field.datatype].subfields[eidx] || {"desc" : "UNDEFINED"}).desc,
"components" : []
}
let componentArr = element.data.split(ComponentSep);
if (componentArr.length > 1) {
if (element.data == "PI~794664") {
console.log(element.datatype);
console.log(componentArr);
console.log(componentArr.length);
console.log(DefFields[element.datatype]);
}
for (cidx = 0; cidx < componentArr.length; cidx++) {
let component = {
"data" : componentArr[cidx],
"datatype" : (DefFields[element.datatype].subfields[cidx] || {"datatype" : "ST"}).datatype,
"description" : (DefFields[element.datatype].subfields[cidx] || {"desc" : element.datatype + cidx}).desc
}
element.components.push(component);
}
}
field.repetitions.push(element);
}
}
}
segment.fields.push(field);
}
Message.segments.push(segment);
}
return Message;
}
var hl7txt = `MSH|^~\&|CASIOPEA3|051010100^CASIOPEA|QUIRONSALUD|051010100|20221005101422|07459619|ADT^A08|105bf228-647f-4311-a1b0-9c6ed3123055|E|2.5|1|||AL||8859/15
EVN|20221005101422||TR|07459619|20221005101422|051010100
PID|1|794664|00794664^^^^PI~794664^^^IMDH^MR~438392^^^FMP^PN~b3ae145c-3abc-4f42-a8c4-fe37b2467782^^^Casiopea3^PN|07700921|GIMENEZ^VICENTE|VILLAZATO|19154811190000|M|GANAHA^VICENTE||&SAN MIGUEL&1190||610453833|||||||||||||||||N`;
console.log(HL7JSONParser(hl7txt.replace(/\n/g, "\r")));