False
False
False
0
0
0
True
Add Patient Accounts
group
Date, time and zone.
False
YYYY
MM
DD
HH
mm
SS
.SSSS
+/-ZZZZ
Date
False
YYYY
MM
DD
Extended Composite Name And Identification Number For Organizations
Organization Name
0
False
False
Composite
ST
Organization Name Type Code
0
False
False
Composite
IS
ID Number (NM)
0
False
False
Composite
NM
Check Digit
0
False
False
Composite
NM
Code Identifying The Check Digit Scheme Employed
0
False
False
Composite
ID
Assigning Authority
0
False
False
Composite
HD
Identifier Type Code (IS)
0
False
False
Composite
IS
Assigning Facility ID
0
False
False
Composite
HD
Name Representation Code
0
False
False
Composite
ID
Hierarchic Designator
Namespace ID
0
False
False
Composite
IS
Universal ID
0
False
False
Composite
ST
Universal ID Type
0
False
False
Composite
ID
Coded Values For Hl7 Tables
Value
0
False
False
String
String
Value
0
False
False
String
Numeric
Value
0
False
False
Double
Coded Value For User-defined Tables
Value
0
False
False
String
Financial Class
Financial Class
0
False
False
Composite
IS
Effective Date (TS)
0
False
False
Composite
TS
Time Stamp
Time Of An Event
0
False
False
DateTime
Time Stamp
Degree Of Precision
0
False
False
Composite
ST
Extended Address
Street Address (SAD)
0
False
False
Composite
SAD
Other Designation
0
False
False
Composite
ST
City
0
False
False
Composite
ST
State Or Province
0
False
False
Composite
ST
Zip Or Postal Code
0
False
False
Composite
ST
Country
0
False
False
Composite
ID
Address Type
0
False
False
Composite
ID
Other Geographic Designation
0
False
False
Composite
ST
County/parish Code
0
False
False
Composite
IS
Census Tract
0
False
False
Composite
IS
Address Representation Code
0
False
False
Composite
ID
Address Validity Range
0
False
False
Composite
DR
Date/time Range
Range Start Date/time
0
False
False
Composite
TS
Range End Date/time
0
False
False
Composite
TS
Street Address
Street Or Mailing Address
0
False
False
Composite
ST
Street Name
0
False
False
Composite
ST
Dwelling Number
0
False
False
Composite
ST
Date
Value
0
False
False
DateTime
Date
Sequence ID
Value
0
False
False
String
Extended Person Name
Family Name
0
False
False
Composite
FN
Given Name
0
False
False
Composite
ST
Second And Further Given Names Or Initials Thereof
0
False
False
Composite
ST
Suffix (e.g., Jr Or III)
0
False
False
Composite
ST
Prefix (e.g., Dr)
0
False
False
Composite
ST
Degree (e.g., Md)
0
False
False
Composite
IS
Name Type Code
0
False
False
Composite
ID
Name Representation Code
0
False
False
Composite
ID
Name Context
0
False
False
Composite
CE
Name Validity Range
0
False
False
Composite
DR
Name Assembly Order
0
False
False
Composite
ID
Coded Element
Identifier (ST)
0
False
False
Composite
ST
Text
0
False
False
Composite
ST
Name Of Coding System
0
False
False
Composite
IS
Alternate Identifier (ST)
0
False
False
Composite
ST
Alternate Text
0
False
False
Composite
ST
Name Of Alternate Coding System
0
False
False
Composite
IS
Familiy Name
Surname
0
False
False
Composite
ST
Own Surname Prefix
0
False
False
Composite
ST
Own Surname
0
False
False
Composite
ST
Surname Prefix From Partner/spouse
0
False
False
Composite
ST
Surname From Partner/spouse
0
False
False
Composite
ST
Job Code/class
Job Code
0
False
False
Composite
IS
Job Class
0
False
False
Composite
IS
Extended Composite ID With Check Digit
ID
0
False
False
Composite
ID
Check Digit
0
False
False
Composite
NM
Code Identifying The Check Digit Scheme Employed
0
False
False
Composite
ID
Assigning Authority
0
False
False
Composite
HD
Identifier Type Code (ID)
0
False
False
Composite
ID
Assigning Facility
0
False
False
Composite
HD
Effective Date (DT)
0
False
False
Composite
DT
Expiration Date
0
False
False
Composite
DT
Extended Telecommunication Number
[(999)] 999-9999 [x99999][c Any Text]
0
False
False
Composite
TN
Telecommunication Use Code
0
False
False
Composite
ID
Telecommunication Equipment Type (ID)
0
False
False
Composite
ID
Email Address
0
False
False
Composite
ST
Country Code
0
False
False
Composite
NM
Area/city Code
0
False
False
Composite
NM
Phone Number
0
False
False
Composite
NM
Extension
0
False
False
Composite
NM
Any Text
0
False
False
Composite
ST
Telephone Number
Value
0
False
False
String
Composite Price
Price
0
False
False
Composite
MO
Price Type
0
False
False
Composite
ID
From Value
0
False
False
Composite
NM
To Value
0
False
False
Composite
NM
Range Units
0
False
False
Composite
CE
Range Type
0
False
False
Composite
ID
Money
Quantity
0
False
False
Composite
NM
Denomination
0
False
False
Composite
ID
Authorization Information
Authorization Number
0
False
False
Composite
ST
Date
0
False
False
Composite
DT
Source
0
False
False
Composite
ST
Extended Composite ID Number And Name For Persons
ID Number (ST)
0
False
False
Composite
ST
Family Name
0
False
False
Composite
FN
Given Name
0
False
False
Composite
ST
Second And Further Given Names Or Initials Thereof
0
False
False
Composite
ST
Suffix (e.g., Jr Or III)
0
False
False
Composite
ST
Prefix (e.g., Dr)
0
False
False
Composite
ST
Degree (e.g., Md)
0
False
False
Composite
IS
Source Table
0
False
False
Composite
IS
Assigning Authority
0
False
False
Composite
HD
Name Type Code
0
False
False
Composite
ID
Identifier Check Digit
0
False
False
Composite
ST
Code Identifying The Check Digit Scheme Employed
0
False
False
Composite
ID
Identifier Type Code (IS)
0
False
False
Composite
IS
Assigning Facility
0
False
False
Composite
HD
Name Representation Code
0
False
False
Composite
ID
Name Context
0
False
False
Composite
CE
Name Validity Range
0
False
False
Composite
DR
Name Assembly Order
0
False
False
Composite
ID
Message Type
Message Type
0
False
False
Composite
ID
Trigger Event
0
False
False
Composite
ID
Message Structure
0
False
False
Composite
ID
Version Identifier
Version ID
0
False
False
Composite
ID
Internationalization Code
0
False
False
Composite
CE
International Version ID
0
False
False
Composite
CE
Processing Type
Processing ID
0
False
False
Composite
ID
Processing Mode
0
False
False
Composite
ID
Driver's License Number
Driver´s License Number
0
False
False
Composite
ST
Issuing State, Province, Country
0
False
False
Composite
IS
Expiration Date
0
False
False
Composite
DT
GT1
Guarantor
True
Set ID - GT1
0
True
0
SI
Guarantor Number
0
False
0
CX
Guarantor Name
0
True
0
XPN
Guarantor Spouse Name
0
False
0
XPN
Guarantor Address
0
False
0
XAD
Guarantor Ph Num - Home
0
False
0
XTN
Guarantor Ph Num - Business
0
False
0
XTN
Guarantor Date/Time Of Birth
0
False
0
TS
Guarantor Administrative Sex
0
False
0
IS
Guarantor Type
0
False
0
IS
Guarantor Relationship
0
False
0
CE
Guarantor SSN
0
False
0
ST
Guarantor Date - Begin
0
False
0
DT
Guarantor Date - End
0
False
0
DT
Guarantor Priority
0
False
0
NM
Guarantor Employer Name
0
False
0
XPN
Guarantor Employer Address
0
False
0
XAD
Guarantor Employer Phone Number
0
False
0
XTN
Guarantor Employee ID Number
0
False
0
CX
Guarantor Employment Status
0
False
0
IS
Guarantor Organization Name
0
False
0
XON
Guarantor Billing Hold Flag
0
False
0
ID
Guarantor Credit Rating Code
0
False
0
CE
Guarantor Death Date And Time
0
False
0
TS
Guarantor Death Flag
0
False
0
ID
Guarantor Charge Adjustment Code
0
False
0
CE
Guarantor Household Annual Income
0
False
0
CP
Guarantor Household Size
0
False
0
NM
Guarantor Employer ID Number
0
False
0
CX
Guarantor Marital Status Code
0
False
0
CE
Guarantor Hire Effective Date
0
False
0
DT
Employment Stop Date
0
False
0
DT
Living Dependency
0
False
0
IS
Ambulatory Status
0
False
0
IS
Citizenship
0
False
0
CE
Primary Language
0
False
0
CE
Living Arrangement
0
False
0
IS
Publicity Code
0
False
0
CE
Protection Indicator
0
False
0
ID
Student Indicator
0
False
0
IS
Religion
0
False
0
CE
Mother's Maiden Name
0
False
0
XPN
Nationality
0
False
0
CE
Ethnic Group
0
False
0
CE
Contact Person's Name
0
False
0
XPN
Contact Person's Telephone Number
0
False
0
XTN
Contact Reason
0
False
0
CE
Contact Relationship
0
False
0
IS
Job Title
0
False
0
ST
Job Code/Class
0
False
0
JCC
Guarantor Employer's Organization Name
0
False
0
XON
Handicap
0
False
0
IS
Job Status
0
False
0
IS
Guarantor Financial Class
0
False
0
FC
Guarantor Race
0
False
0
CE
IN1
Insurance
True
Set ID - IN1
0
True
0
SI
Insurance Plan ID
0
True
0
CE
Insurance Company ID
0
True
0
CX
Insurance Company Name
0
False
0
XON
Insurance Company Address
0
False
0
XAD
Insurance Co Contact Person
0
False
0
XPN
Insurance Co Phone Number
0
False
0
XTN
Group Number
0
False
0
ST
Group Name
0
False
0
XON
Insured's Group Emp ID
0
False
0
CX
Insured's Group Emp Name
0
False
0
XON
Plan Effective Date
0
False
0
DT
Plan Expiration Date
0
False
0
DT
Authorization Information
0
False
0
AUI
Plan Type
0
False
0
IS
Name Of Insured
0
False
0
XPN
Insured's Relationship To Patient
0
False
0
CE
Insured's Date Of Birth
0
False
0
TS
Insured's Address
0
False
0
XAD
Assignment Of Benefits
0
False
0
IS
Coordination Of Benefits
0
False
0
IS
Coord Of Ben. Priority
0
False
0
ST
Notice Of Admission Flag
0
False
0
ID
Notice Of Admission Date
0
False
0
DT
Report Of Eligibility Flag
0
False
0
ID
Report Of Eligibility Date
0
False
0
DT
Release Information Code
0
False
0
IS
Pre-Admit Cert (PAC)
0
False
0
ST
Verification Date/Time
0
False
0
TS
Verification By
0
False
0
XCN
Type Of Agreement Code
0
False
0
IS
Billing Status
0
False
0
IS
Lifetime Reserve Days
0
False
0
NM
Delay Before L.R. Day
0
False
0
NM
Company Plan Code
0
False
0
IS
Policy Number
0
False
0
ST
Policy Deductible
0
False
0
CP
Policy Limit - Amount
0
False
0
CP
Policy Limit - Days
0
False
0
NM
Room Rate - Semi-Private
0
False
0
CP
Room Rate - Private
0
False
0
CP
Insured's Employment Status
0
False
0
CE
Insured's Administrative Sex
0
False
0
IS
Insured's Employer's Address
0
False
0
XAD
Verification Status
0
False
0
ST
Prior Insurance Plan ID
0
False
0
IS
Coverage Type
0
False
0
IS
Handicap
0
False
0
IS
Insured's ID Number
0
False
0
CX
MSH
Message Header
True
Field Separator
0
True
0
ST
Encoding Characters
0
True
0
ST
Sending Application
0
False
0
HD
Sending Facility
0
False
0
HD
Receiving Application
0
False
0
HD
Receiving Facility
0
False
0
HD
Date/Time Of Message
0
True
0
TS
Security
0
False
0
ST
Message Type
0
True
0
MSG
Message Control ID
0
True
0
ST
Processing ID
0
True
0
PT
Version ID
0
True
0
VID
Sequence Number
0
False
0
NM
Continuation Pointer
0
False
0
ST
Accept Acknowledgment Type
0
False
0
ID
Application Acknowledgment Type
0
False
0
ID
Country Code
0
False
0
ID
Character Set
0
False
0
ID
Principal Language Of Message
0
False
0
CE
Alternate Character Set Handling Scheme
0
False
0
ID
Conformance Statement ID
0
False
0
ID
NK1
Next of kin / associated parties
True
Set ID - NK1
0
True
0
SI
Name
0
False
0
XPN
Relationship
0
False
0
CE
Address
0
False
0
XAD
Phone Number
0
False
0
XTN
Business Phone Number
0
False
0
XTN
Contact Role
0
False
0
CE
Start Date
0
False
0
DT
End Date
0
False
0
DT
Next of Kin / Associated Parties Job Title
0
False
0
ST
Next of Kin / Associated Parties Job Code/Class
0
False
0
JCC
Next of Kin / Associated Parties Employee Number
0
False
0
CX
Organization Name - NK1
0
False
0
XON
Marital Status
0
False
0
CE
Administrative Sex
0
False
0
IS
Date/Time Of Birth
0
False
0
TS
Living Dependency
0
False
0
IS
Ambulatory Status
0
False
0
IS
Citizenship
0
False
0
CE
Primary Language
0
False
0
CE
Living Arrangement
0
False
0
IS
Publicity Code
0
False
0
CE
Protection Indicator
0
False
0
ID
Student Indicator
0
False
0
IS
Religion
0
False
0
CE
Mother's Maiden Name
0
False
0
XPN
Nationality
0
False
0
CE
Ethnic Group
0
False
0
CE
Contact Reason
0
False
0
CE
Contact Person's Name
0
False
0
XPN
Contact Person's Telephone Number
0
False
0
XTN
Contact Person's Address
0
False
0
XAD
Next of Kin/Associated Party's Identifiers
0
False
0
CX
Job Status
0
False
0
IS
Race
0
False
0
CE
Handicap
0
False
0
IS
Contact Person Social Security Number
0
False
0
ST
PID
Patient identification
True
Set ID - PID
0
False
0
SI
Patient ID
0
False
0
CX
Patient Identifier List
0
True
0
CX
Alternate Patient ID - PID
0
False
0
CX
Patient Name
0
True
0
XPN
Mother's Maiden Name
0
False
0
XPN
Date/Time Of Birth
0
False
0
TS
Administrative Sex
0
False
0
IS
Patient Alias
0
False
0
XPN
Race
0
False
0
CE
Patient Address
0
False
0
XAD
County Code
0
False
0
IS
Phone Number - Home
0
False
0
XTN
Phone Number - Business
0
False
0
XTN
Primary Language
0
False
0
CE
Marital Status
0
False
0
CE
Religion
0
False
0
CE
Patient Account Number
0
False
0
CX
SSN Number - Patient
0
False
0
ST
Driver's License Number - Patient
0
False
0
DLN
Mother's Identifier
0
False
0
CX
Ethnic Group
0
False
0
CE
Birth Place
0
False
0
ST
Multiple Birth Indicator
0
False
0
ID
Birth Order
0
False
0
NM
Citizenship
0
False
0
CE
Veterans Military Status
0
False
0
CE
Nationality
0
False
0
CE
Patient Death Date and Time
0
False
0
TS
Patient Death Indicator
0
False
0
ID
Identity Unknown Indicator
0
False
0
ID
Identity Reliability Code
0
False
0
IS
Last Update Date/Time
0
False
0
TS
Last Update Facility
0
False
0
HD
Species Code
0
False
0
CE
Breed Code
0
False
0
CE
Strain
0
False
0
ST
Production Class Code
0
False
0
CE
True
False
Message
False
False
False
0
group
MSH
False
False
False
0
segment
2
PID
False
False
False
0
segment
4
GT1
False
False
False
0
segment
0
NK1
False
False
False
0
segment
3
IN1
False
False
False
0
segment
1
MSH
BAR
8
0
0
0
MSH
P01
8
0
1
0
group
-1
0
0
48
92
69
6
HL7
True
True
32
255
HL7
False
46
TABLE - Short Tags
False
True
3
False
2
False
True
MSH
False
2
13
0
0
0
-1
-1
124
126
70
82
3
5
94
0
83
0
4
-1
38
0
84
0
7
-1
True
True