| Name | Description | Base Type | Validation | Reg Exp | Separators | |
| 1 | ST | String | String | Normal | No separators allowed | |
| 2 | TX | Text Data | String | Normal | Allow separator: Repeat | |
| 3 | FT | Formatted Text | String | Normal | No separators allowed | |
| 4 | NM | Numeric | 8 Byte Double | Normal | No separators allowed | |
| 5 | ID | Using VTabs String | String | Normal | No separators allowed | |
| 6 | IS | Using userdefined Tabls | String | Normal | No separators allowed | |
| 7 | SI | Non Negative Integer Sequence ID | 4 Byte Long | Use Reg Exp | [0-9]+ | No separators allowed |
| 8 | TN | Telephone | String | Normal | No separators allowed | |
| 9 | GTS | General Timing Specification | String | Normal | No separators allowed |
| Name | Description | Type | Separator | |
| 1 | NA | Numeric Array | NM | Field2 |
| 2 | MA | Multiplex Array | NM | Field2 |
| 3 | FIELDS | List of Fields | String | Field1 |
| 4 | FIELDS1 | List of Fields | String | Field2 |
| Item | Description |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | FieldSeparator | ST | Required | 1...1 | 1..1 | ||
| 2 | EncodingCharacters | ST | Required | 4...5 | 1..1 | ||
| 3 | FileSendingApplication | HD | Optional | 0...Infinite | .. | ||
| 4 | FileSendingFacility | HD | Required | 0...Infinite | 1..1 | ||
| 5 | FileReceivingApplication | HD | Optional | 0...Infinite | .. | ||
| 6 | FileReceivingFacility | HD | Optional | 0...Infinite | .. | ||
| 7 | FileCreationDateTime | TS | Optional | 0...Infinite | .. | ||
| 8 | FileSecurity_NOT_SUPPORTED | ST | Optional | 0...40 | .. | ||
| 9 | FileNameID | ST | Optional | 0...40 | .. | ||
| 10 | FileHeaderComment_NOT_SUPPORTED | ST | Optional | 0...80 | .. | ||
| 11 | FileControlID_NOT_SUPPORTED | ST | Optional | 0...20 | .. | ||
| 12 | ReferenceFileControlID_NOT_SUPPORTED | ST | Optional | 0...20 | .. |
| Key | Value | |
| 1 | Item | 00067 |
| Key | Value | |
| 1 | Item | 00068 |
| Key | Value | |
| 1 | Item | 00069 |
| Key | Value | |
| 1 | Item | 00070 |
| Key | Value | |
| 1 | Item | 00071 |
| Key | Value | |
| 1 | Item | 00072 |
| Key | Value | |
| 1 | Item | 00073 |
| Key | Value | |
| 1 | Item | 00074 |
| Key | Value | |
| 1 | Item | 00075 |
| Key | Value | |
| 1 | Item | 00076 |
| Key | Value | |
| 1 | Item | 00077 |
| Key | Value | |
| 1 | Item | 00078 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...Infinite | - | - | 2 | UniversalID | - | 0...Infinite | - | - | 3 | UniversalIDType | - | 0...Infinite | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...Infinite | - | - | 2 | UniversalID | - | 0...Infinite | - | - | 3 | UniversalIDType | - | 0...Infinite | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...Infinite | - | - | 2 | UniversalID | - | 0...Infinite | - | - | 3 | UniversalIDType | - | 0...Infinite | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...Infinite | - | - | 2 | UniversalID | - | 0...Infinite | - | - | 3 | UniversalIDType | - | 0...Infinite | - | - |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | NamespaceID | IS | Required | 0...20 | ||
| 2 | UniversalID | ST | Required | 0...199 | ||
| 3 | UniversalIDType | ID | Required | 0...6 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Time | DTTM | Optional | 0...24 | ||
| 2 | Precision_DEPRECATED | ST | Optional | 0...1 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Year | 2 Byte Short | Required | 4...4 | ||
| 2 | Month | 2 Byte Short | Optional | 2...2 | ||
| 3 | Day | 2 Byte Short | Optional | 2...2 | ||
| 4 | Hours | 2 Byte Short | Optional | 2...2 | ||
| 5 | Minutes | 2 Byte Short | Optional | 2...2 | ||
| 6 | Seconds | 2 Byte Short | Optional | 2...2 | ||
| 7 | Millis | ST | Optional | 5...5 | ||
| 8 | GmtOffset | ST | Optional | 5...5 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | FileBatchCount | NM | Required | 0...10 | 1..1 | ||
| 2 | FileTrailerComment_NOT_SUPPORTED | ST | Optional | 0...80 | .. |
| Key | Value | |
| 1 | Item | 00079 |
| Key | Value | |
| 1 | Item | 00080 |
| Separator Type | Value | Field Value | Replacement |
| Segment | \x0A | \X0A\ | |
| Field Repeat | ~ | FHS.EncodingCharacters | \R\ |
| Null Value | "" | ||
| 1st Level Field | | | FHS.FieldSeparator | \F\ |
| 2nd Level Field | ^ | FHS.EncodingCharacters | \S\ |
| 3rd Level Field | & | FHS.EncodingCharacters | \T\ |
| User Defined String 1 | \ | FHS.EncodingCharacters | \E\ |
| Item | Description |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | FieldSeparator | ST | Required | 1...1 | 1..1 | ||
| 2 | EncodingCharacters | ST | Required | 4...5 | 1..1 | ||
| 3 | BatchSendingApplication | HD | Optional | 0...Infinite | .. | ||
| 4 | BatchSendingFacility | HD | Required | 0...Infinite | 1..1 | ||
| 5 | BatchReceivingApplication | HD | Optional | 0...Infinite | .. | ||
| 6 | BatchReceivingFacility | HD | Optional | 0...Infinite | .. | ||
| 7 | BatchCreationDateTime | TS | Optional | 0...Infinite | .. | ||
| 8 | BatchSecurity_NOT_SUPPORTED | ST | Optional | 0...40 | .. | ||
| 9 | BatchNameIDType | ST | Optional | 0...40 | .. | ||
| 10 | BatchComment_NOT_SUPPORTED | ST | Optional | 0...80 | .. | ||
| 11 | BatchControlID_NOT_SUPPORTED | ST | Optional | 0...20 | .. | ||
| 12 | ReferenceBatchControlID_NOT_SUPPORTED | ST | Optional | 0...20 | .. |
| Key | Value | |
| 1 | Item | 00081 |
| Key | Value | |
| 1 | Item | 00082 |
| Key | Value | |
| 1 | Item | 00083 |
| Key | Value | |
| 1 | Item | 00084 |
| Key | Value | |
| 1 | Item | 00085 |
| Key | Value | |
| 1 | Item | 00086 |
| Key | Value | |
| 1 | Item | 00087 |
| Key | Value | |
| 1 | Item | 00088 |
| Key | Value | |
| 1 | Item | 00089 |
| Key | Value | |
| 1 | Item | 00090 |
| Key | Value | |
| 1 | Item | 00091 |
| Key | Value | |
| 1 | Item | 00092 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...Infinite | - | 2 | UniversalID | - | 0...Infinite | - | - | 3 | UniversalIDType | - | 0...Infinite | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...Infinite | - | 2 | UniversalID | - | 0...Infinite | - | - | 3 | UniversalIDType | - | 0...Infinite | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...Infinite | - | 2 | UniversalID | - | 0...Infinite | - | - | 3 | UniversalIDType | - | 0...Infinite | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...Infinite | - | 2 | UniversalID | - | 0...Infinite | - | - | 3 | UniversalIDType | - | 0...Infinite | - | - |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | NamespaceID | IS | Required | 0...20 | ||
| 2 | UniversalID | ST | Required | 0...199 | ||
| 3 | UniversalIDType | ID | Required | 0...6 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Time | DTTM | Optional | 0...24 | ||
| 2 | Precision | ST | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Year | 2 Byte Short | Required | 4...4 | ||
| 2 | Month | 2 Byte Short | Optional | 2...2 | ||
| 3 | Day | 2 Byte Short | Optional | 2...2 | ||
| 4 | Hours | 2 Byte Short | Optional | 2...2 | ||
| 5 | Minutes | 2 Byte Short | Optional | 2...2 | ||
| 6 | Seconds | 2 Byte Short | Optional | 2...2 | ||
| 7 | Millis | ST | Optional | 5...5 | ||
| 8 | GmtOffset | ST | Optional | 5...5 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | BatchMessageCount | ST | Required | 0...10 | 1..1 | ||
| 2 | BatchComment_NOT_SUPPORTED | ST | Optional | 0...80 | .. | ||
| 3 | BatchTotals_NOT_SUPPORTED | NM | Optional | 0...100 | 0..No Max |
| Key | Value | |
| 1 | Item | 00093 |
| Key | Value | |
| 1 | Item | 00090 |
| Key | Value | |
| 1 | Item | 00095 |
| Separator Type | Value | Field Value | Replacement |
| Segment | \x0A | \X0A\ | |
| Field Repeat | ~ | BHS.EncodingCharacters | \R\ |
| Null Value | "" | ||
| 1st Level Field | | | BHS.FieldSeparator | \F\ |
| 2nd Level Field | ^ | BHS.EncodingCharacters | \S\ |
| 3rd Level Field | & | BHS.EncodingCharacters | \T\ |
| User Defined String 1 | \ | BHS.EncodingCharacters | \E\ |
| Item | Description |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | FieldSeparator | ST | Required | 0...1 | 1..1 | ||
| 2 | EncodingCharacters | ST | Required | 0...5 | 1..1 | ||
| 3 | SendingApplication | HD | Required | 0...Infinite | 1..1 | ||
| 4 | SendingFacility | HD | Required | 0...Infinite | 1..1 | ||
| 5 | ReceivingApplication | HD | Required | 0...Infinite | 1..1 | ||
| 6 | ReceivingFacility | HD | Required | 0...Infinite | 1..1 | ||
| 7 | DateTimeOfMessage | TS | Required | 0...Infinite | 1..1 | ||
| 8 | Security | ST | Optional | 0...40 | .. | ||
| 9 | MessageType | MSG | Required | 0...Infinite | 1..1 | ||
| 10 | MessageControlID | ST | Required | 0...999 | 1..1 | ||
| 11 | ProcessingID | PT | Required | 0...Infinite | 1..1 | ||
| 12 | VersionID | VID | Required | 0...Infinite | 1..1 | ||
| 13 | SequenceNumber | NM | Optional | 0...22 | .. | ||
| 14 | ContinuationPointer | ST | Optional | 0...180 | .. | ||
| 15 | AcceptAcknowledgementType | ID | Optional | 2...20 | .. | HL70155 | |
| 16 | ApplicationAcknowledgementType | ID | Optional | 2...20 | .. | HL70155 | |
| 17 | CountryCode | ID | Optional | 3...20 | .. | USA | |
| 18 | CharacterSet | ID | Optional | 5...20 | 0..No Max | HL70211 | |
| 19 | PrincipalLanguageOfMessage | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 20 | AlternateCharacterSetHandlingScheme | ID | Optional | 3...20 | .. | HL70356 | |
| 21 | MessageProfileIdentifier | EI | Required | 0...Infinite | 1..No Max |
| Key | Value | |
| 1 | Item | 00001 |
| Key | Value | |
| 1 | Item | 00002 |
| Key | Value | |
| 1 | Item | 00003 |
| Key | Value | |
| 1 | Item | 00004 |
| Key | Value | |
| 1 | Item | 00005 |
| Key | Value | |
| 1 | Item | 00006 |
| Key | Value | |
| 1 | Item | 00007 |
| Key | Value | |
| 1 | Item | 00008 |
| Key | Value | |
| 1 | Item | 00009 |
| Key | Value | |
| 1 | Item | 00010 |
| Key | Value | |
| 1 | Item | 00011 |
| Key | Value | |
| 1 | Item | 00012 |
| Key | Value | |
| 1 | Item | 00013 |
| Key | Value | |
| 1 | Item | 00014 |
| Key | Value | |
| 1 | Item | 00015 |
| Key | Value | |
| 1 | Item | 00016 |
| Key | Value | |
| 1 | Item | 00017 |
| Key | Value | |
| 1 | Item | 00692 |
| Key | Value | |
| 1 | Item | 00693 |
| Key | Value | |
| 1 | Item | 01317 |
| Key | Value | |
| 1 | Item | 01598 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...100 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | Required | 0...100 | - | - | 2 | UniversalID | Required | - | - | - | 3 | UniversalIDType | Required | - | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | Required | - | - | - | 2 | UniversalID | Required | - | - | - | 3 | UniversalIDType | Required | - | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | Required | 0...100 | - | - | 2 | UniversalID | Required | - | - | - | 3 | UniversalIDType | Required | - | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | EntityIdentifier | - | - | PHLabReport-Batch | - | 3 | UniversalID | - | - | 2.16.840.1.113883.9.11 | - | 4 | UniversalIDType | - | - | ISO | - |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | NamespaceID | IS | Optional | 0...20 | ||
| 2 | UniversalID | ST | Optional | 0...199 | ||
| 3 | UniversalIDType | ID | Optional | 0...30 |
2.UniversalID
3.UniversalIDType
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Time | DTM | Required | 0...24 | ||
| 2 | Precision_DEPRECATED | ST | Optional | 0...1 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Year | 2 Byte Short | Required | 4...4 | ||
| 2 | Month | 2 Byte Short | Optional | 2...2 | ||
| 3 | Day | 2 Byte Short | Optional | 2...2 | ||
| 4 | Hours | 2 Byte Short | Optional | 2...2 | ||
| 5 | Minutes | 2 Byte Short | Optional | 2...2 | ||
| 6 | Seconds | 2 Byte Short | Optional | 2...2 | ||
| 7 | Millis | ST | Optional | 5...5 | ||
| 8 | GmtOffset | ST | Optional | 5...5 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | MessageCode | ID | Required | 0...3 | HL70076 | |
| 2 | TriggerEvent | ID | Required | 0...3 | HL70003 | |
| 3 | MessageStructure | ID | Required | 0...7 | HL70354 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | ProcessingID | ID | Required | 1...1 | HL70103 | |
| 2 | ProcessingMode | ID | Optional | 0...1 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | VersionID | ID | Required | 3...5 | 2.5.1 | HL70104 |
| 2 | InternationalizationCode | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 3 | InternationalVersionID | CWE_NONOBX5 | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Identifier | ST | Optional | 0...20 | ||
| 2 | Text | ST | Optional | 0...250 | ||
| 3 | NameOfCodingSystem | ID | Optional | 0...20 | ||
| 4 | AlternateIdentifier | ST | Optional | 0...20 | ||
| 5 | AlternateText | ST | Optional | 0...250 | ||
| 6 | NameOfAlternateCodingSystem | ID | Optional | 0...20 | ||
| 7 | CodingSystemVersionID | ST | Conditional | 0...10 | ||
| 8 | AlternateCodingSystemVersionID | ST | Optional | 0...10 | ||
| 9 | OriginalText | ST | Optional | 0...200 | ||
| 10 | SecondAlternateIdentifier | ST | Optional | 0...20 | ||
| 11 | SecondAlternateText | ST | Optional | 0...199 | ||
| 12 | SecondNameOfAlternateCodingSystem | ID | Optional | 0...12 | ||
| 13 | SecondNameOfAlternateCodingSystemVersionID | ST | Optional | 0...10 | ||
| 14 | CodingSystemOID | ST | Optional | 0...199 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | EntityIdentifier | ST | Required | 0...200 | ||
| 2 | NamespaceID | IS | Optional | 0...20 | ||
| 3 | UniversalID | ST | Optional | 0...200 | ||
| 4 | UniversalIDType | ID | Optional | 0...6 |
3.UniversalID
4.UniversalIDType
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SoftwareVendorOrganization | XON | Required | 0...Infinite | 1..1 | ||
| 2 | SoftwareCertifiedVersionorReleaseNumber | ST | Required | 0...50 | 1..1 | ||
| 3 | SoftwareProductName | ST | Required | 0...20 | 1..1 | ||
| 4 | SoftwareBinaryID | ST | Required | 0...20 | 1..1 | ||
| 5 | SoftwareProductInformation | TX | Optional | 0...1024 | .. | ||
| 6 | SoftwareInstallDate | TS | Optional | 0...Infinite | .. |
| Key | Value | |
| 1 | Item | 01834 |
| Key | Value | |
| 1 | Item | 01835 |
| Key | Value | |
| 1 | Item | 01836 |
| Key | Value | |
| 1 | Item | 01837 |
| Key | Value | |
| 1 | Item | 01838 |
| Key | Value | |
| 1 | Item | 01839 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | OrganizationName | ST | Optional | 0...50 | ||
| 2 | OrganizationNameTypeCode | IS | Optional | 0...20 | ||
| 3 | IDNumber_DEPRECATED | NM | Optional | 0...Infinite | ||
| 4 | CheckDigit | NM | Optional | 0...4 | ||
| 5 | CheckDigitScheme | ID | Optional | 3...3 | ||
| 6 | AssigningAuthority | HD | Optional | 0...Infinite | ||
| 7 | IdentifierTypeCode | ID | Optional | 2...5 | ||
| 8 | AssigningFacilityID | HD | Optional | 0...Infinite | ||
| 9 | NameRepresentationCode | ID | Optional | 0...1 | ||
| 10 | OrganizationIdentifier | ST | Optional | 0...50 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | AcknowledgmentCode | ID | Required | 2...2 | 1..1 | HL70008 | |
| 2 | MessageControlID | ST | Required | 0...199 | 1..1 | ||
| 3 | TextMessage_DEPRECATED | ST | Optional | 0...80 | .. | ||
| 4 | ExpectedSequenceNumber | NM | Optional | 0...15 | .. | ||
| 5 | __REMOVED__ | ID | Optional | 0...1 | .. | ||
| 6 | ErrorCondition_DEPRECATED | CWE_NONOBX5 | Optional | 0...250 | .. |
| Key | Value | |
| 1 | Item | 00018 |
| Key | Value | |
| 1 | Item | 00010 |
| Key | Value | |
| 1 | Item | 00020 |
| Key | Value | |
| 1 | Item | 00021 |
5.__REMOVED__
| Key | Value | |
| 1 | Item | 00022 |
| Key | Value | |
| 1 | Item | 00023 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | ErrorCodeAndLocation_DEPRECATED | ELD | Optional | 0...493 | 0..No Max | ||
| 2 | ErrorLocation | ERL | Optional | 0...Infinite | 0..No Max | ||
| 3 | HL7ErrorCode | CWE_NONOBX5 | Required | 0...Infinite | 1..1 | ||
| 4 | Severity | ID | Required | 0...1 | 1..No Max | HL70516 | |
| 5 | ApplicationErrorCode | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 6 | ApplicationErrorParameter | ST | Optional | 0...80 | 0..10 | ||
| 7 | DiagnosticInformation | TX | Optional | 0...2048 | .. | ||
| 8 | UserMessage | TX | Optional | 0...250 | .. | ||
| 9 | InformPersonIndicator_NOT_SUPPORTED | IS | Optional | 0...20 | 0..No Max | HL70517 | |
| 10 | OverrideType_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...705 | .. | ||
| 11 | OverrideReasonCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...705 | 0..No Max | ||
| 12 | HelpDeskContactPoint | XTN | Optional | 0...Infinite | 0..No Max |
| Key | Value | |
| 1 | Item | 00024 |
| Key | Value | |
| 1 | Item | 01812 |
| Key | Value | |
| 1 | Item | 01813 |
| Key | Value | |
| 1 | Item | 01814 |
| Key | Value | |
| 1 | Item | 01815 |
| Key | Value | |
| 1 | Item | 01816 |
| Key | Value | |
| 1 | Item | 01817 |
| Key | Value | |
| 1 | Item | 01818 |
| Key | Value | |
| 1 | Item | 01819 |
| Key | Value | |
| 1 | Item | 01820 |
| Key | Value | |
| 1 | Item | 01821 |
| Key | Value | |
| 1 | Item | 01822 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | - | - | HL70357 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | - | - | HL70518 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | - | - |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | SegmentID | ST | Optional | 0...3 | ||
| 2 | Sequence | NM | Optional | 0...2 | ||
| 3 | FieldPosition | NM | Optional | 0...2 | ||
| 4 | CodeIdentifyingError | CWE_NONOBX5 | Optional | 0...483 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | SegmentID | ST | Required | 3...3 | ||
| 2 | SegmentSequence | NM | Required | 0...2 | ||
| 3 | FieldPosition | NM | Optional | 0...2 | ||
| 4 | FieldRepetition | NM | Optional | 0...2 | ||
| 5 | ComponentNumber | NM | Optional | 0...2 | ||
| 6 | SubComponentNumber | NM | Optional | 0...2 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | PhoneNumberString_DEPRECATED_FROM_2_3 | ST | Optional | 0...199 | ||
| 2 | TelecommunicationUseCode | ID | Optional | 3...3 | ||
| 3 | TelecommunicationEquipmentType | ID | Optional | 2...8 | ||
| 4 | EmailAddress | ST | Optional | 0...199 | ||
| 5 | CountryCode | NM | Optional | 0...20 | ||
| 6 | AreaOrCityCode | NM | Optional | 0...20 | ||
| 7 | PhoneNumber | NM | Optional | 0...20 | ||
| 8 | Extension | NM | Optional | 0...20 | ||
| 9 | AnyText | ST | Optional | 0...199 | ||
| 10 | ExtensionPrefix_NOT_SUPPORTED | ST | Optional | 0...4 | ||
| 11 | SpeedDialCode_NOT_SUPPORTED | ST | Optional | 0...6 | ||
| 12 | UnformattedTelephonenumber_NOT_SUPPORTED | ST | Conditional | 0...199 |
| Separator Type | Value | Field Value | Replacement |
| Segment | \x0A | \X0A\ | |
| Field Repeat | ~ | MSH.EncodingCharacters | \R\ |
| Null Value | "" | ||
| 1st Level Field | | | MSH.FieldSeparator | \F\ |
| 2nd Level Field | ^ | MSH.EncodingCharacters | \S\ |
| 3rd Level Field | & | MSH.EncodingCharacters | \T\ |
| User Defined String 1 | \ | MSH.EncodingCharacters | \E\ |
| Item | Description |
| | Message Header |
| | Software Segment |
| | PATIENT_RESULT Group |
| PATIENT Group |
| Patient Identification | |
| Additional Demographics |
| Notes and comments |
| Next of Kin/Associated Parties |
| VISIT Group |
| Patient Visit | |
| Patient Visit - Additional Info. |
| ORDER_OBSERVATION Group |
| Order Common |
| Observations Request | |
| Notes and Comments |
| TIMING_QTY Group |
| Timing/Quantity | |
| Timing/Quantity Order Sequence |
| Contact Data |
| OBSERVATION Group |
| Observation/Result | |
| Notes and Comments |
| Financial Transaction |
| Clinical Trial Identification |
| SPECIMEN Group |
| Specimen | |
| Observation Related to Specimen |
| | Continuation Pointer |
|   | Name | Required | Length | Default Value | Validation Table | 2 | ValueType | Optional | - | - | - | 5 | ObservationValue | Optional | - | - | - |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetID | SI | Required | 0...20 | 1..1 | ||
| 2 | PatientID_DEPRECATED | CX | Optional | 0...Infinite | 0..No Max | ||
| 3 | PatientIdentifierList | CX | Required | 0...Infinite | 1..No Max | ||
| 4 | AlternatePatientID_DEPRECATED | CX | Optional | 0...Infinite | 0..No Max | ||
| 5 | PatientName | XPN | Required | 0...Infinite | 1..No Max | ||
| 6 | MothersMaidenName | XPN | Optional | 0...Infinite | .. | ||
| 7 | DateTimeOfBirth | TS | Optional | 0...Infinite | .. | ||
| 8 | Sex | IS | Optional | 0...20 | .. | HL70001 | |
| 9 | PatientAlias_DEPRECATED | XPN | Optional | 0...Infinite | .. | ||
| 10 | Race | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 11 | PatientAddress | XAD | Optional | 0...Infinite | 0..No Max | ||
| 12 | CountyCode_DEPRECATED | IS | Optional | 0...30 | .. | ||
| 13 | HomePhoneNumber | XTN | Optional | 0...Infinite | 0..No Max | ||
| 14 | BusinessPhoneNumber | XTN | Optional | 0...Infinite | 0..No Max | ||
| 15 | PrimaryLanguage | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 16 | MaritalStatus | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 17 | Religion | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 18 | PatientAccountNumber | CX | Optional | 0...Infinite | .. | ||
| 19 | SSNNumber_DEPRECATED | ST | Optional | 0...16 | .. | ||
| 20 | DriversLicenseNumber_DEPRECATED | DLN | Optional | 0...Infinite | .. | ||
| 21 | MothersIdentifier | CX | Optional | 0...Infinite | 0..No Max | ||
| 22 | EthnicGroup | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 23 | BirthPlace | ST | Optional | 0...250 | .. | ||
| 24 | MultipleBirthIndicator | ID | Optional | 0...1 | .. | ||
| 25 | BirthOrder | NM | Optional | 0...2 | .. | ||
| 26 | Citizenship | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 27 | VeteransMilitaryStatus | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 28 | Nationality_DEPRECATED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 29 | PatientDeathDateAndTime | TS | Optional | 0...Infinite | .. | ||
| 30 | PatientDeathIndicator | ID | Optional | 0...1 | .. | ||
| 31 | IdentityUnknownIndicator | ID | Optional | 0...1 | .. | ||
| 32 | IdentityReliabilityCode | IS | Optional | 0...Infinite | 0..No Max | ||
| 33 | LastUpdateDateTime | TS | Optional | 0...Infinite | .. | ||
| 34 | LastUpdateFacility | HD | Optional | 0...Infinite | .. | ||
| 35 | SpeciesCode | CWE_NONOBX5 | Conditional | 0...Infinite | .. | ||
| 36 | BreedCode | CWE_NONOBX5 | Conditional | 0...Infinite | .. | ||
| 37 | Strain | ST | Optional | 0...80 | .. | ||
| 38 | ProductionClassCode | CWE_NONOBX5 | Optional | 0...Infinite | 0..2 | ||
| 39 | TribalCitizenship | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max |
| Key | Value | |
| 1 | Item | 00104 |
| Key | Value | |
| 1 | Item | 00105 |
| Key | Value | |
| 1 | Item | 00106 |
| Key | Value | |
| 1 | Item | 00107 |
| Key | Value | |
| 1 | Item | 00108 |
| Key | Value | |
| 1 | Item | 00109 |
| Key | Value | |
| 1 | Item | 00110 |
| Key | Value | |
| 1 | Item | 00111 |
| Key | Value | |
| 1 | Item | 00112 |
| Key | Value | |
| 1 | Item | 00113 |
| Key | Value | |
| 1 | Item | 00114 |
| Key | Value | |
| 1 | Item | 00115 |
| Key | Value | |
| 1 | Item | 00116 |
| Key | Value | |
| 1 | Item | 00117 |
| Key | Value | |
| 1 | Item | 00118 |
| Key | Value | |
| 1 | Item | 00119 |
| Key | Value | |
| 1 | Item | 00120 |
| Key | Value | |
| 1 | Item | 00121 |
| Key | Value | |
| 1 | Item | 00122 |
| Key | Value | |
| 1 | Item | 00123 |
| Key | Value | |
| 1 | Item | 00124 |
| Key | Value | |
| 1 | Item | 00125 |
| Key | Value | |
| 1 | Item | 00126 |
| Key | Value | |
| 1 | Item | 00127 |
| Key | Value | |
| 1 | Item | 00128 |
| Key | Value | |
| 1 | Item | 00129 |
| Key | Value | |
| 1 | Item | 00130 |
| Key | Value | |
| 1 | Item | 00739 |
| Key | Value | |
| 1 | Item | 00740 |
| Key | Value | |
| 1 | Item | 00741 |
| Key | Value | |
| 1 | Item | 01535 |
| Key | Value | |
| 1 | Item | 01536 |
| Key | Value | |
| 1 | Item | 01537 |
| Key | Value | |
| 1 | Item | 01538 |
| Key | Value | |
| 1 | Item | 01539 |
| Key | Value | |
| 1 | Item | 01540 |
| Key | Value | |
| 1 | Item | 01541 |
| Key | Value | |
| 1 | Item | 01542 |
| Key | Value | |
| 1 | Item | 01840 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | IDNumber | - | 0...250 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | IDNumber | - | 0...250 | - | - |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | IDNumber | ST | Required | 0...15 | ||
| 2 | CheckDigit | ST | Optional | 0...4 | ||
| 3 | CheckDigitScheme | ID | Optional | 0...3 | ||
| 4 | AssigningAuthority | HD | Required | 0...Infinite | ||
| 5 | IdentifierTypeCode | ID | Required | 0...5 | ||
| 6 | AssigningFacility | HD | Optional | 0...Infinite | ||
| 7 | EffectiveDate | DT | Optional | 0...Infinite | ||
| 8 | ExpirationDate | DT | Optional | 0...Infinite | ||
| 9 | AssigningJurisdiction | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 10 | AssigningAgencyorDepartment | CWE_NONOBX5 | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Year | 2 Byte Short | Required | 4...4 | ||
| 2 | Month | 2 Byte Short | Optional | 2...2 | ||
| 3 | Day | 2 Byte Short | Optional | 2...2 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | FamilyName | FN | Optional | 0...Infinite | ||
| 2 | GivenName | ST | Optional | 0...30 | ||
| 3 | MiddleInitialOrName | ST | Optional | 0...50 | ||
| 4 | Suffix | ST | Optional | 0...20 | ||
| 5 | Prefix | ST | Optional | 0...20 | ||
| 6 | Degree | IS | Optional | 0...20 | ||
| 7 | NameTypeCode | ID | Optional | 0...5 | HL70200 | |
| 8 | NameRepresentationCode | ID | Optional | 0...1 | ||
| 9 | NameContext | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 10 | NameValidityRange_DEPRECATED | DR | Optional | 0...Infinite | ||
| 11 | NameAssemblyOrder | ID | Optional | 0...1 | ||
| 12 | EffectiveDate | TS | Optional | 0...Infinite | ||
| 13 | ExpirationDate | TS | Optional | 0...Infinite | ||
| 14 | ProfessionalSuffix | ST | Optional | 0...199 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Surname | ST | Required | 0...50 | ||
| 2 | OwnSurnamePrefix | ST | Optional | 0...20 | ||
| 3 | OwnSurname | ST | Optional | 0...50 | ||
| 4 | SurnamePrefixFromPartner | ST | Optional | 0...20 | ||
| 5 | SurnameFromPartner | ST | Optional | 0...50 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | RangeStartDateTime | TS | Optional | 0...Infinite | ||
| 2 | RangeEndDateTime | TS | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | StreetAddress | SAD | Optional | 0...Infinite | ||
| 2 | OtherDesignation | ST | Optional | 0...120 | ||
| 3 | City | ST | Optional | 0...50 | ||
| 4 | StateOrProvince | ST | Optional | 0...50 | ||
| 5 | ZipOrPostalCode | ST | Optional | 0...12 | ||
| 6 | Country | ID | Optional | 3...30 | ||
| 7 | AddressType | ID | Optional | 0...3 | HL70190 | |
| 8 | OtherGeographicDesignation | ST | Optional | 0...100 | ||
| 9 | CountyOrParishCode | IS | Optional | 0...30 | ||
| 10 | CensusTract | IS | Optional | 0...20 | ||
| 11 | AddressRepresentationCode | ID | Optional | 0...1 | ||
| 12 | AdressValidityRange_DEPRECATED_FROM_2_5 | DR | Optional | 0...Infinite | ||
| 13 | EffectiveDate | TS | Optional | 0...8 | ||
| 14 | ExpirationDate | TS | Optional | 0...8 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | StreetOrMailingAddress | ST | Required | 0...120 | ||
| 2 | StreetName | ST | Optional | 0...50 | ||
| 3 | DwellingNumber | ST | Optional | 0...12 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | LicenseNumber | ST | Required | 0...20 | ||
| 2 | IssuingStateProvinceCountry | IS | Optional | 0...20 | ||
| 3 | ExpirationDate | DT | Optional | 0...24 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | LivingDependency | IS | Optional | 0...2 | 0..No Max | ||
| 2 | LivingArrangement | IS | Optional | 0...2 | .. | ||
| 3 | PatientPrimaryFacility | XON | Optional | 0...250 | 0..No Max | ||
| 4 | PatientPrimaryCareProviderNameAndIDNo_DEPRECATED | XCN | Optional | 0...250 | 0..No Max | ||
| 5 | StudentIndicator | IS | Optional | 0...2 | .. | ||
| 6 | Handicap | IS | Optional | 0...2 | .. | ||
| 7 | LivingWill | IS | Optional | 0...2 | .. | ||
| 8 | OrganDonor | IS | Optional | 0...2 | .. | ||
| 9 | SeparateBill | ID | Optional | 0...1 | .. | ||
| 10 | DuplicatePatient | CX | Optional | 0...250 | 0..No Max | ||
| 11 | PublicityCode | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 12 | ProtectionIndicator | ID | Optional | 0...1 | .. | ||
| 13 | ProtectionIndicatorEffectiveDate | DT | Optional | 0...8 | .. | ||
| 14 | PlaceOfWorship | XON | Optional | 0...250 | 0..No Max | ||
| 15 | AdvanceDirectiveCode | CWE_NONOBX5 | Optional | 0...250 | 0..No Max | ||
| 16 | ImmunizationRegistryStatus | IS | Optional | 0...1 | .. | ||
| 17 | ImmunizationRegistryStatusEffectiveDate | DT | Optional | 0...8 | .. | ||
| 18 | PublicityCodeEffectiveDate | DT | Optional | 0...8 | .. | ||
| 19 | MilitaryBranch | IS | Optional | 0...5 | .. | ||
| 20 | MilitaryRankGrade | IS | Optional | 0...2 | .. | ||
| 21 | MilitaryStatus | IS | Optional | 0...3 | .. |
| Key | Value | |
| 1 | Item | 00755 |
| Key | Value | |
| 1 | Item | 00742 |
| Key | Value | |
| 1 | Item | 00756 |
| Key | Value | |
| 1 | Item | 00757 |
| Key | Value | |
| 1 | Item | 00745 |
| Key | Value | |
| 1 | Item | 00753 |
| Key | Value | |
| 1 | Item | 00759 |
| Key | Value | |
| 1 | Item | 00760 |
| Key | Value | |
| 1 | Item | 00761 |
| Key | Value | |
| 1 | Item | 00762 |
| Key | Value | |
| 1 | Item | 00743 |
| Key | Value | |
| 1 | Item | 00744 |
| Key | Value | |
| 1 | Item | 01566 |
| Key | Value | |
| 1 | Item | 01567 |
| Key | Value | |
| 1 | Item | 01568 |
| Key | Value | |
| 1 | Item | 01569 |
| Key | Value | |
| 1 | Item | 01570 |
| Key | Value | |
| 1 | Item | 01571 |
| Key | Value | |
| 1 | Item | 01572 |
| Key | Value | |
| 1 | Item | 00486 |
| Key | Value | |
| 1 | Item | 01573 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | IDNumber | - | 0...20 | - | - |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | IDNumber | ST | Optional | 0...15 | ||
| 2 | FamilyName | FN | Optional | 0...Infinite | ||
| 3 | GivenName | ST | Optional | 0...30 | ||
| 4 | MiddleInitialOrName | ST | Optional | 0...50 | ||
| 5 | Suffix | ST | Optional | 0...20 | ||
| 6 | Prefix | ST | Optional | 0...20 | ||
| 7 | Degree | IS | Optional | 0...20 | ||
| 8 | SourceTable | IS | Optional | 0...20 | ||
| 9 | AssigningAuthority | HD | Optional | 0...Infinite | ||
| 10 | NameTypeCode | ID | Optional | 0...5 | HL70200 | |
| 11 | IdentifierCheckDigit | ST | Optional | 0...4 | ||
| 12 | CheckDigitScheme | ID | Optional | 3...3 | ||
| 13 | IdentifierTypeCode | ID | Optional | 2...5 | ||
| 14 | AssigningFacility | HD | Optional | 0...Infinite | ||
| 15 | NameRepresentationCode | ID | Optional | 0...1 | ||
| 16 | NameContext | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 17 | NameValidityRange_DEPRECATED | DR | Optional | 0...Infinite | ||
| 18 | NameAssemblyOrder | ID | Optional | 0...1 | ||
| 19 | EffectiveDate | TS | Optional | 0...8 | ||
| 20 | ExpirationDate | TS | Optional | 0...8 | ||
| 21 | ProfessionalSuffix | ST | Optional | 0...199 | ||
| 22 | AssigningJurisdiction | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 23 | AssigningAgencyorDepartment | CWE_NONOBX5 | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetID | SI | Required | 0...4 | 1..1 | ||
| 2 | SourceOfComment | ID | Optional | 0...8 | .. | ||
| 3 | Comment | FT | Required | 0...4000 | 1..No Max | ||
| 4 | CommentType | CWE_NONOBX5 | Optional | 0...Infinite | .. |
| Key | Value | |
| 1 | Item | 00096 |
| Key | Value | |
| 1 | Item | 00097 |
| Key | Value | |
| 1 | Item | 00098 |
| Key | Value | |
| 1 | Item | 01318 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetID | SI | Required | 0...4 | 1..1 | ||
| 2 | NextOfKinName | XPN | Optional | 0...Infinite | 0..No Max | ||
| 3 | Relationship | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 4 | Address | XAD | Optional | 0...Infinite | 0..No Max | ||
| 5 | PhoneNumber | XTN | Optional | 0...Infinite | 0..No Max | ||
| 6 | BusinessPhoneNumber_NOT_SUPPORTED | XTN | Optional | 0...Infinite | 0..No Max | ||
| 7 | ContactRole_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 8 | StartDate_NOT_SUPPORTED | DT | Optional | 0...8 | .. | ||
| 9 | EndDate_NOT_SUPPORTED | DT | Optional | 0...8 | .. | ||
| 10 | NextOfKinAssociatedPartiesJobTitle_NOT_SUPPORTED | ST | Optional | 0...60 | .. | ||
| 11 | NextOfKinAssociatedPartiesJobCodeClass_NOT_SUPPORTED | JCC | Optional | 0...20 | .. | ||
| 12 | NextOfKinAssociatedPartiesEmployeeNumber_NOT_SUPPORTED | CX | Optional | 0...250 | .. | ||
| 13 | OrganizationName | XON | Optional | 0...Infinite | .. | ||
| 14 | MaritalStatus_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 15 | Sex_NOT_SUPPORTED | IS | Optional | 0...1 | .. | HL70001 | |
| 16 | DateTimeOfBirth_NOT_SUPPORTED | TS | Optional | 0...26 | .. | ||
| 17 | LivingDependency_NOT_SUPPORTED | IS | Optional | 0...2 | 0..No Max | ||
| 18 | AmbulatoryStatus_NOT_SUPPORTED | IS | Optional | 0...2 | 0..No Max | ||
| 19 | Citizenship_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...250 | 0..No Max | ||
| 20 | PrimaryLanguage | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 21 | LivingArrangement_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 22 | PublicityCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 23 | ProtectionIndicator_NOT_SUPPORTED | ID | Optional | 0...1 | .. | ||
| 24 | StudentIndicator_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 25 | Religion_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...25080 | .. | ||
| 26 | MothersMaidenName_NOT_SUPPORTED | XPN | Optional | 0...250 | 0..No Max | ||
| 27 | Nationality_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 28 | EthnicGroup_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...250 | 0..No Max | ||
| 29 | ContactReason_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...250 | 0..No Max | ||
| 30 | ContactPersonsName | XPN | Optional | 0...Infinite | 0..No Max | ||
| 31 | ContactPersonsTelephoneNumber | XTN | Optional | 0...Infinite | 0..No Max | ||
| 32 | ContactPersonsAddress | XAD | Optional | 0...Infinite | 0..No Max | ||
| 33 | NextOfKinAssociatedPartysIdentifiers_NOT_SUPPORTED | CX | Optional | 0...250 | 0..No Max | ||
| 34 | JobStatus_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 35 | Race_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...250 | 0..No Max | ||
| 36 | Handicap_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 37 | ContactPersonSocialSecurityNumber_NOT_SUPPORTED | ST | Optional | 0...16 | .. | ||
| 38 | NextofKinBirthPlace_NOT_SUPPORTED | ST | Optional | 0...250 | .. | ||
| 39 | VIPIndicator_NOT_SUPPORTED | IS | Optional | 0...2 | .. |
| Key | Value | |
| 1 | Item | 00190 |
| Key | Value | |
| 1 | Item | 00191 |
| Key | Value | |
| 1 | Item | 00192 |
| Key | Value | |
| 1 | Item | 00193 |
| Key | Value | |
| 1 | Item | 00194 |
| Key | Value | |
| 1 | Item | 00195 |
| Key | Value | |
| 1 | Item | 00196 |
| Key | Value | |
| 1 | Item | 00197 |
| Key | Value | |
| 1 | Item | 00198 |
| Key | Value | |
| 1 | Item | 00199 |
| Key | Value | |
| 1 | Item | 00200 |
| Key | Value | |
| 1 | Item | 00201 |
| Key | Value | |
| 1 | Item | 00202 |
| Key | Value | |
| 1 | Item | 00119 |
| Key | Value | |
| 1 | Item | 00111 |
| Key | Value | |
| 1 | Item | 00110 |
| Key | Value | |
| 1 | Item | 00755 |
| Key | Value | |
| 1 | Item | 00145 |
| Key | Value | |
| 1 | Item | 00129 |
| Key | Value | |
| 1 | Item | 00118 |
| Key | Value | |
| 1 | Item | 00742 |
| Key | Value | |
| 1 | Item | 00743 |
| Key | Value | |
| 1 | Item | 00744 |
| Key | Value | |
| 1 | Item | 00745 |
| Key | Value | |
| 1 | Item | 00120 |
| Key | Value | |
| 1 | Item | 00109 |
| Key | Value | |
| 1 | Item | 00739 |
| Key | Value | |
| 1 | Item | 00125 |
| Key | Value | |
| 1 | Item | 00747 |
| Key | Value | |
| 1 | Item | 00748 |
| Key | Value | |
| 1 | Item | 00749 |
| Key | Value | |
| 1 | Item | 00750 |
| Key | Value | |
| 1 | Item | 00751 |
| Key | Value | |
| 1 | Item | 00752 |
| Key | Value | |
| 1 | Item | 00113 |
| Key | Value | |
| 1 | Item | 00753 |
| Key | Value | |
| 1 | Item | 00754 |
| Key | Value | |
| 1 | Item | 01905 |
| Key | Value | |
| 1 | Item | 00146 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | JobCode | IS | Optional | 0...20 | ||
| 2 | JobClass | IS | Optional | 0...20 | ||
| 3 | JobDescriptionText | TX | Optional | 0...250 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetID | SI | Required | 0...4 | 1..1 | ||
| 2 | PatientClass | IS | Required | 0...20 | 1..1 | ||
| 3 | AssignedPatientLocation | PL | Optional | 0...Infinite | .. | ||
| 4 | AdmissionType | IS | Optional | 0...20 | .. | ||
| 5 | PreadmitNumber | CX | Optional | 0...Infinite | .. | ||
| 6 | PriorPatientLocation | PL | Optional | 0...Infinite | .. | ||
| 7 | AttendingDoctor | XCN | Optional | 0...Infinite | 0..No Max | ||
| 8 | ReferringDoctor | XCN | Optional | 0...Infinite | 0..No Max | ||
| 9 | ConsultingDoctor | XCN | Optional | 0...Infinite | 0..No Max | ||
| 10 | HospitalService | IS | Optional | 0...20 | .. | ||
| 11 | TemporaryLocation | PL | Optional | 0...Infinite | .. | ||
| 12 | PreadmitTestIndicator | IS | Optional | 0...20 | .. | ||
| 13 | ReadmissionIndicator_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 14 | AdmitSource | IS | Optional | 0...20 | .. | ||
| 15 | AmbulatoryStatus_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 16 | VIPIndicator_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 17 | AdmittingDoctor | XCN | Optional | 0...Infinite | 0..No Max | ||
| 18 | PatientType | IS | Optional | 0...20 | .. | ||
| 19 | VisitNumber | CX | Optional | 0...Infinite | .. | ||
| 20 | FinancialClass | FC | Optional | 0...Infinite | 0..No Max | ||
| 21 | ChargePriceIndicator_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 22 | CourtesyCode_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 23 | CreditRating_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 24 | ContractCode_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 25 | ContractEffectiveDate_NOT_SUPPORTED | DT | Optional | 0...Infinite | .. | ||
| 26 | ContractAmount_NOT_SUPPORTED | NM | Optional | 0...12 | .. | ||
| 27 | ContractPeriod_NOT_SUPPORTED | NM | Optional | 0...3 | .. | ||
| 28 | InterestCode_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 29 | TransferToBadDebtCode_NOT_SUPPORTED | IS | Optional | 0...4 | .. | ||
| 30 | TransferToBadDebtDate | DT | Optional | 0...Infinite | .. | ||
| 31 | BadDebtAgencyCode | IS | Optional | 0...20 | .. | ||
| 32 | BadDebtTransferAmount | NM | Optional | 0...12 | .. | ||
| 33 | BadDebtRecoveryAmount | NM | Optional | 0...11 | .. | ||
| 34 | DeleteAccountIndicator | IS | Optional | 0...20 | .. | ||
| 35 | DeleteAccountDate | DT | Optional | 0...Infinite | .. | ||
| 36 | DischargeDisposition | IS | Optional | 0...20 | .. | ||
| 37 | DischargedToLocation | DLD | Optional | 0...Infinite | .. | ||
| 38 | DietType | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 39 | ServicingFacility | IS | Optional | 0...20 | .. | ||
| 40 | BedStatus_NOT_SUPPORTED | IS | Optional | 0...1 | .. | ||
| 41 | AccountStatus | IS | Optional | 0...20 | .. | ||
| 42 | PendingLocation | PL | Optional | 0...Infinite | .. | ||
| 43 | PriorTemporaryLocation | PL | Optional | 0...Infinite | .. | ||
| 44 | AdmitDateTime | TS | Optional | 0...Infinite | .. | ||
| 45 | DischargeDateTime | TS | Optional | 0...Infinite | 0..No Max | ||
| 46 | CurrentPatientBalance | NM | Optional | 0...12 | .. | ||
| 47 | TotalCharges | NM | Optional | 0...12 | .. | ||
| 48 | TotalAdjustments | NM | Optional | 0...12 | .. | ||
| 49 | TotalPayments | NM | Optional | 0...12 | .. | ||
| 50 | AlternateVisitID | CX | Optional | 0...Infinite | .. | ||
| 51 | VisitIndicator | IS | Optional | 0...20 | .. | ||
| 52 | OtherHealthcareProvider | XCN | Optional | 0...Infinite | .. |
| Key | Value | |
| 1 | Item | 00131 |
| Key | Value | |
| 1 | Item | 00132 |
| Key | Value | |
| 1 | Item | 00133 |
| Key | Value | |
| 1 | Item | 00134 |
| Key | Value | |
| 1 | Item | 00135 |
| Key | Value | |
| 1 | Item | 00136 |
| Key | Value | |
| 1 | Item | 00137 |
| Key | Value | |
| 1 | Item | 00138 |
| Key | Value | |
| 1 | Item | 00139 |
| Key | Value | |
| 1 | Item | 00140 |
| Key | Value | |
| 1 | Item | 00141 |
| Key | Value | |
| 1 | Item | 00142 |
| Key | Value | |
| 1 | Item | 00143 |
| Key | Value | |
| 1 | Item | 00144 |
| Key | Value | |
| 1 | Item | 00145 |
| Key | Value | |
| 1 | Item | 00146 |
| Key | Value | |
| 1 | Item | 00147 |
| Key | Value | |
| 1 | Item | 00148 |
| Key | Value | |
| 1 | Item | 00149 |
| Key | Value | |
| 1 | Item | 00150 |
| Key | Value | |
| 1 | Item | 00151 |
| Key | Value | |
| 1 | Item | 00152 |
| Key | Value | |
| 1 | Item | 00153 |
| Key | Value | |
| 1 | Item | 00154 |
| Key | Value | |
| 1 | Item | 00155 |
| Key | Value | |
| 1 | Item | 00156 |
| Key | Value | |
| 1 | Item | 00157 |
| Key | Value | |
| 1 | Item | 00158 |
| Key | Value | |
| 1 | Item | 00159 |
| Key | Value | |
| 1 | Item | 00160 |
| Key | Value | |
| 1 | Item | 00161 |
| Key | Value | |
| 1 | Item | 00162 |
| Key | Value | |
| 1 | Item | 00163 |
| Key | Value | |
| 1 | Item | 00164 |
| Key | Value | |
| 1 | Item | 00165 |
| Key | Value | |
| 1 | Item | 00166 |
| Key | Value | |
| 1 | Item | 00167 |
| Key | Value | |
| 1 | Item | 00168 |
| Key | Value | |
| 1 | Item | 00169 |
| Key | Value | |
| 1 | Item | 00170 |
| Key | Value | |
| 1 | Item | 00171 |
| Key | Value | |
| 1 | Item | 00172 |
| Key | Value | |
| 1 | Item | 00173 |
| Key | Value | |
| 1 | Item | 00174 |
| Key | Value | |
| 1 | Item | 00175 |
| Key | Value | |
| 1 | Item | 00176 |
| Key | Value | |
| 1 | Item | 00177 |
| Key | Value | |
| 1 | Item | 00178 |
| Key | Value | |
| 1 | Item | 00179 |
| Key | Value | |
| 1 | Item | 00180 |
| Key | Value | |
| 1 | Item | 01226 |
| Key | Value | |
| 1 | Item | 01274 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | NamespaceID | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | IDNumber | - | 0...250 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | IDNumber | - | 0...250 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | IDNumber | - | 0...250 | - | - |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | PointOfCare | IS | Optional | 0...50 | ||
| 2 | Room | IS | Optional | 0...50 | ||
| 3 | Bed | IS | Optional | 0...20 | ||
| 4 | Facility | HD | Optional | 0...50 | ||
| 5 | LocationStatus | IS | Optional | 0...30 | ||
| 6 | PersonLocationType | IS | Optional | 0...30 | ||
| 7 | Building | IS | Optional | 0...30 | ||
| 8 | Floor | IS | Optional | 0...30 | ||
| 9 | LocationDescription | ST | Optional | 0...199 | ||
| 10 | ComprehensiveLocationIdentifier | EI | Optional | 0...Infinite | ||
| 11 | AssigningAuthorityForLocation | HD | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | FinancialClass | IS | Required | 0...20 | ||
| 2 | EffectiveDate | TS | Optional | 0...26 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | DischargeLocation | IS | Required | 0...20 | ||
| 2 | EffectiveDate | TS | Optional | 0...26 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | PriorPendingLocation_NOT_SUPPORTED | PL | Conditional | 0...Infinite | .. | ||
| 2 | AccommodationCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 3 | AdmitReason | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 4 | TransferReason_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 5 | PatientValuables_NOT_SUPPORTED | ST | Optional | 0...25 | .. | ||
| 6 | PatientValuablesLocation_NOT_SUPPORTED | ST | Optional | 0...25 | .. | ||
| 7 | VisitUserCode_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 8 | ExpectedAdmitDateTime_NOT_SUPPORTED | TS | Optional | 0...Infinite | .. | ||
| 9 | ExpectedDischargeDateTime_NOT_SUPPORTED | TS | Optional | 0...Infinite | .. | ||
| 10 | EstimatedLengthOfInpatientStay_NOT_SUPPORTED | NM | Optional | 0...3 | .. | ||
| 11 | ActualLengthOfInpatientStay_NOT_SUPPORTED | NM | Optional | 0...3 | .. | ||
| 12 | VisitDescription_NOT_SUPPORTED | ST | Optional | 0...50 | .. | ||
| 13 | ReferralSourceCode_NOT_SUPPORTED | XCN | Optional | 0...Infinite | .. | ||
| 14 | PreviousServiceDate_NOT_SUPPORTED | DT | Optional | 0...Infinite | .. | ||
| 15 | EmploymentIllnessRelatedIndicator | ID | Optional | 0...1 | .. | ||
| 16 | PurgeStatusCode_NOT_SUPPORTED | IS | Optional | 0...1 | .. | ||
| 17 | PurgeStatusDate_NOT_SUPPORTED | DT | Optional | 0...Infinite | .. | ||
| 18 | SpecialProgramCode_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 19 | RetentionIndicator_NOT_SUPPORTED | ID | Optional | 0...1 | .. | ||
| 20 | ExpectedNumberOfInsurancePlans_NOT_SUPPORTED | NM | Optional | 0...1 | .. | ||
| 21 | VisitPublicityCode_NOT_SUPPORTED | IS | Optional | 0...1 | .. | ||
| 22 | VisitProtectionIndicator_NOT_SUPPORTED | ID | Optional | 0...1 | .. | ||
| 23 | ClinicOrganizationName | XON | Optional | 0...Infinite | 0..No Max | ||
| 24 | PatientStatusCode_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 25 | VisitPriorityCode_NOT_SUPPORTED | IS | Optional | 0...1 | .. | ||
| 26 | PreviousTreatmentDate | DT | Optional | 0...Infinite | .. | ||
| 27 | ExpectedDischargeDisposition_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 28 | SignatureOnFileDate_NOT_SUPPORTED | DT | Optional | 0...Infinite | .. | ||
| 29 | FirstSimilarIllnessDate | DT | Optional | 0...Infinite | .. | ||
| 30 | PatientChargeAdjustmentCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 31 | RecurringServiceCode_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 32 | BillingMediaCode_NOT_SUPPORTED | ID | Optional | 0...1 | .. | ||
| 33 | ExpectedSurgeryDateAndTime_NOT_SUPPORTED | TS | Optional | 0...Infinite | .. | ||
| 34 | MilitaryPartnershipCode_NOT_SUPPORTED | ID | Optional | 0...1 | .. | ||
| 35 | MilitaryNonAvailabiltiyCode_NOT_SUPPORTED | ID | Optional | 0...1 | .. | ||
| 36 | NewbornBabyIndicator_NOT_SUPPORTED | ID | Optional | 0...1 | .. | ||
| 37 | BabyDetainedIndicator_NOT_SUPPORTED | ID | Optional | 0...1 | .. | ||
| 38 | ModeOfArrivalCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 39 | RecreationalDrugUseCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 40 | AdmissionLevelOfCareCode | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 41 | PrecautionCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 42 | PatientConditionCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 43 | LivingWillCode_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 44 | OrganDonorCode_NOT_SUPPORTED | IS | Optional | 0...2 | .. | ||
| 45 | AdvanceDirectiveCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 46 | PatientStatusEffectiveDate_NOT_SUPPORTED | DT | Optional | 0...Infinite | .. | ||
| 47 | ExpectedLOAReturnDateTime_NOT_SUPPORTED | TS | Conditional | 0...Infinite | .. | ||
| 48 | ExpectedPreadmissionTestingDateTime_NOT_SUPPORTED | TS | Optional | 0...Infinite | .. | ||
| 49 | NotifyClergyCode_NOT_SUPPORTED | IS | Optional | 0...20 | .. |
| Key | Value | |
| 1 | Item | 00181 |
| Key | Value | |
| 1 | Item | 00182 |
| Key | Value | |
| 1 | Item | 00183 |
| Key | Value | |
| 1 | Item | 00184 |
| Key | Value | |
| 1 | Item | 00185 |
| Key | Value | |
| 1 | Item | 00186 |
| Key | Value | |
| 1 | Item | 00187 |
| Key | Value | |
| 1 | Item | 00188 |
| Key | Value | |
| 1 | Item | 00189 |
| Key | Value | |
| 1 | Item | 00711 |
| Key | Value | |
| 1 | Item | 00712 |
| Key | Value | |
| 1 | Item | 00713 |
| Key | Value | |
| 1 | Item | 00714 |
| Key | Value | |
| 1 | Item | 00715 |
| Key | Value | |
| 1 | Item | 00716 |
| Key | Value | |
| 1 | Item | 00717 |
| Key | Value | |
| 1 | Item | 00718 |
| Key | Value | |
| 1 | Item | 00719 |
| Key | Value | |
| 1 | Item | 00720 |
| Key | Value | |
| 1 | Item | 00721 |
| Key | Value | |
| 1 | Item | 00722 |
| Key | Value | |
| 1 | Item | 00723 |
| Key | Value | |
| 1 | Item | 00724 |
| Key | Value | |
| 1 | Item | 00725 |
| Key | Value | |
| 1 | Item | 00726 |
| Key | Value | |
| 1 | Item | 00727 |
| Key | Value | |
| 1 | Item | 00728 |
| Key | Value | |
| 1 | Item | 00729 |
| Key | Value | |
| 1 | Item | 00730 |
| Key | Value | |
| 1 | Item | 00731 |
| Key | Value | |
| 1 | Item | 00732 |
| Key | Value | |
| 1 | Item | 00733 |
| Key | Value | |
| 1 | Item | 00734 |
| Key | Value | |
| 1 | Item | 00735 |
| Key | Value | |
| 1 | Item | 00736 |
| Key | Value | |
| 1 | Item | 00737 |
| Key | Value | |
| 1 | Item | 00738 |
| Key | Value | |
| 1 | Item | 01543 |
| Key | Value | |
| 1 | Item | 01544 |
| Key | Value | |
| 1 | Item | 01545 |
| Key | Value | |
| 1 | Item | 01546 |
| Key | Value | |
| 1 | Item | 01547 |
| Key | Value | |
| 1 | Item | 00759 |
| Key | Value | |
| 1 | Item | 00760 |
| Key | Value | |
| 1 | Item | 01548 |
| Key | Value | |
| 1 | Item | 01549 |
| Key | Value | |
| 1 | Item | 01550 |
| Key | Value | |
| 1 | Item | 01841 |
| Key | Value | |
| 1 | Item | 01842 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | OrderControl | ID | Required | 2...2 | 1..1 | HL70119 | |
| 2 | PlacerOrderNumber | EI | Conditional | 0...Infinite | .. | ||
| 3 | FillerOrderNumber | EI | Required | 0...Infinite | 1..1 | ||
| 4 | PlacerGroupNumber | EI | Optional | 0...Infinite | .. | ||
| 5 | OrderStatus | ID | Optional | 2...2 | .. | ||
| 6 | ResponseFlag | ID | Optional | 1...1 | .. | ||
| 7 | QuantityTiming_DEPRECATED | TQ | Optional | 0...Infinite | .. | ||
| 8 | Parent | EIP | Optional | 0...Infinite | .. | ||
| 9 | DateTimeOfTransaction | TS | Optional | 0...Infinite | .. | ||
| 10 | EnteredBy | XCN | Optional | 0...Infinite | 0..No Max | ||
| 11 | VerifiedBy | XCN | Optional | 0...Infinite | 0..No Max | ||
| 12 | OrderingProvider | XCN | Optional | 0...Infinite | 0..No Max | ||
| 13 | EnterersLocation | PL | Optional | 0...Infinite | .. | ||
| 14 | CallBackPhoneNumber | XTN | Optional | 0...Infinite | 0..2 | ||
| 15 | OrderEffectiveDateTime | TS | Optional | 0...Infinite | .. | ||
| 16 | OrderControlCodeReason | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 17 | EnteringOrganization | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 18 | EnteringDevice | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 19 | ActionBy | XCN | Optional | 0...Infinite | 0..No Max | ||
| 20 | AdvancedBeneficiaryNoticeCode_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 21 | OrderingFacilityName | XON | Required | 0...Infinite | 1..No Max | ||
| 22 | OrderingFacilityAddress | XAD | Required | 0...Infinite | 1..No Max | ||
| 23 | OrderingFacilityPhoneNumber | XTN | Required | 0...Infinite | 1..No Max | ||
| 24 | OrderingProviderAddress | XAD | Optional | 0...Infinite | 0..No Max | ||
| 25 | OrderingStatusModifier | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 26 | AdvancedBeneficiaryNoticeOverrideReason_NOT_SUPPORTED | CWE_NONOBX5 | Conditional | 0...Infinite | .. | ||
| 27 | FillersExpectedAvailabilityDateTime | TS | Optional | 0...Infinite | .. | ||
| 28 | ConfidentialityCode | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 29 | OrderType | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 30 | EntererAuthorizationMode | CNE | Optional | 0...Infinite | .. | ||
| 31 | ParentUniversalServiceIdentifier | CWE_NONOBX5 | Optional | 0...Infinite | .. |
| Key | Value | |
| 1 | Item | 00215 |
| Key | Value | |
| 1 | Item | 00216 |
| Key | Value | |
| 1 | Item | 00217 |
| Key | Value | |
| 1 | Item | 00218 |
| Key | Value | |
| 1 | Item | 00219 |
| Key | Value | |
| 1 | Item | 00220 |
| Key | Value | |
| 1 | Item | 00221 |
| Key | Value | |
| 1 | Item | 00222 |
| Key | Value | |
| 1 | Item | 00223 |
| Key | Value | |
| 1 | Item | 00224 |
| Key | Value | |
| 1 | Item | 00225 |
| Key | Value | |
| 1 | Item | 00226 |
| Key | Value | |
| 1 | Item | 00227 |
| Key | Value | |
| 1 | Item | 00228 |
| Key | Value | |
| 1 | Item | 00229 |
| Key | Value | |
| 1 | Item | 00230 |
| Key | Value | |
| 1 | Item | 00231 |
| Key | Value | |
| 1 | Item | 00232 |
| Key | Value | |
| 1 | Item | 00233 |
| Key | Value | |
| 1 | Item | 01310 |
| Key | Value | |
| 1 | Item | 01311 |
| Key | Value | |
| 1 | Item | 01312 |
| Key | Value | |
| 1 | Item | 01313 |
| Key | Value | |
| 1 | Item | 01314 |
| Key | Value | |
| 1 | Item | 01473 |
| Key | Value | |
| 1 | Item | 01641 |
| Key | Value | |
| 1 | Item | 01642 |
| Key | Value | |
| 1 | Item | 00615 |
| Key | Value | |
| 1 | Item | 01643 |
| Key | Value | |
| 1 | Item | 01644 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Quantity | CQ | Optional | 0...267 | ||
| 2 | Interval | RI | Optional | 0...206 | ||
| 3 | Duration | ST | Optional | 0...6 | ||
| 4 | StartDateTime | TS | Optional | 0...26 | ||
| 5 | EndDateTime | TS | Optional | 0...26 | ||
| 6 | Priority | ST | Optional | 0...6 | ||
| 7 | Condition | ST | Optional | 0...199 | ||
| 8 | Text | TX | Optional | 0...200 | ||
| 9 | Conjunction | ID | Optional | 0...1 | ||
| 10 | OrderSequencing | OSD | Optional | 0...110 | ||
| 11 | OccurrenceDuration | CWE_NONOBX5 | Optional | 0...483 | ||
| 12 | TotalOccurrences | NM | Optional | 0...4 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Quantity | NM | Required | 0...16 | ||
| 2 | Units | CWE_NONOBX5 | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | RepeatPattern | IS | Optional | 0...6 | ||
| 2 | ExplicitTimeInterval | ST | Optional | 0...200 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | SequenceOrResultsFlag | ID | Optional | 0...Infinite | ||
| 2 | PONEntityIdentifier | ST | Optional | 0...Infinite | ||
| 3 | PONNamespaceID | IS | Optional | 0...Infinite | ||
| 4 | FONEntityIdentifier | ST | Optional | 0...Infinite | ||
| 5 | FONNamespaceID | IS | Optional | 0...Infinite | ||
| 6 | SequenceConditionValue | ST | Optional | 0...Infinite | ||
| 7 | MaximumNumOfRepeats | NM | Optional | 0...Infinite | ||
| 8 | PONUniversalID | ST | Optional | 0...Infinite | ||
| 9 | PONUniversalIDType | ID | Optional | 0...Infinite | ||
| 10 | FONUniversalID | ST | Optional | 0...Infinite | ||
| 11 | FONUniversalIDType | ID | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | PlacerAssignedIdentifier | EI | Optional | 0...Infinite | ||
| 2 | FillerAssignedIdentifier | EI | Required | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Identifier | ST | Required | 0...20 | ||
| 2 | Text | ST | Optional | 0...199 | ||
| 3 | NameOfCodingSystem | IS | Optional | 0...20 | ||
| 4 | AlternateIdentifier | ST | Optional | 0...20 | ||
| 5 | AlternateText | ST | Optional | 0...199 | ||
| 6 | NameOfAlternateCodingSystem | IS | Optional | 0...20 | ||
| 7 | CodingSystemVersionID | ST | Conditional | 0...10 | ||
| 8 | AlternateCodingSystemVersionID | ST | Optional | 0...10 | ||
| 9 | OriginalText | ST | Optional | 0...199 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetID | SI | Required | 0...4 | 1..1 | ||
| 2 | PlacerOrderNumber | EI | Conditional | 0...Infinite | .. | ||
| 3 | FillerOrderNumber | EI | Required | 0...Infinite | 1..1 | ||
| 4 | UniversalServiceID | CWE_NONOBX5 | Required | 0...Infinite | 1..1 | ||
| 5 | Priority_DEPRECATED | ID | Optional | 0...2 | .. | ||
| 6 | RequestedDateTime_DEPRECATED | TS | Optional | 0...Infinite | .. | ||
| 7 | ObservationDateTime | TS | Required | 0...Infinite | 1..1 | ||
| 8 | ObservationEndDateTime | TS | Optional | 0...Infinite | .. | ||
| 9 | CollectionVolume_DEPRECATED | CQ | Optional | 0...Infinite | .. | ||
| 10 | CollectorIdentifier | XCN | Optional | 0...Infinite | 0..No Max | ||
| 11 | SpecimenActionCode | ID | Optional | 0...1 | .. | ||
| 12 | DangerCode | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 13 | RelevantClinicalInfo | ST | Optional | 0...300 | .. | ||
| 14 | SpecimenReceivedDateTime_DEPRECATED | TS | Optional | 0...Infinite | .. | ||
| 15 | SpecimenSource_DEPRECATED | SPS | Optional | 0...Infinite | .. | ||
| 16 | OrderingProvider | XCN | Optional | 0...Infinite | 0..No Max | ||
| 17 | OrderCallbackPhoneNumber | XTN | Optional | 0...Infinite | 0..2 | ||
| 18 | PlacerField1 | ST | Optional | 0...199 | .. | ||
| 19 | PlacerField2 | ST | Optional | 0...199 | .. | ||
| 20 | FillerField1 | ST | Optional | 0...199 | .. | ||
| 21 | FillerField2 | ST | Optional | 0...199 | .. | ||
| 22 | ResultsRptStatusChngDateTime | TS | Required | 0...Infinite | 1..1 | ||
| 23 | ChargeToPractice | MOC | Optional | 0...Infinite | .. | ||
| 24 | DiagnosticServSectID | ID | Optional | 2...10 | .. | ||
| 25 | ResultStatus | ID | Required | 0...1 | 1..1 | HL70123 | |
| 26 | ParentResult | PRL | Optional | 0...Infinite | .. | ||
| 27 | QuantityTiming_DEPRECATED | TQ | Optional | 0...Infinite | .. | ||
| 28 | ResultCopiesTo | XCN | Optional | 0...Infinite | 0..No Max | ||
| 29 | Parent | EIP | Optional | 0...Infinite | .. | ||
| 30 | TransportationMode_NOT_SUPPORTED | ID | Optional | 0...18 | .. | ||
| 31 | ReasonForStudy | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 32 | PrincipalResultInterpreter | NDL | Optional | 0...Infinite | .. | ||
| 33 | AssistantResultInterpreter | NDL | Optional | 0...Infinite | 0..No Max | ||
| 34 | Technician | NDL | Optional | 0...Infinite | 0..No Max | ||
| 35 | Transcriptionist | NDL | Optional | 0...Infinite | 0..No Max | ||
| 36 | ScheduledDateTime | TS | Optional | 0...Infinite | .. | ||
| 37 | NumberOfSampleContainers_NOT_SUPPORTED | NM | Optional | 0...4 | .. | ||
| 38 | TransportLogisticsOfCollectedSample_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 39 | CollectorsComment | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 40 | TransportArrangementResponsibility_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 41 | TransportArranged_NOT_SUPPORTED | ID | Optional | 0...30 | .. | ||
| 42 | EscortRequired_NOT_SUPPORTED | ID | Optional | 0...1 | .. | ||
| 43 | PlannedPatientTransportComment_NOT_SUPPORTED | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 44 | ProcedureCode | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 45 | ProcedureCodeModifier | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 46 | PlacerSupplementalServiceInformation | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 47 | FillerSupplementalServiceInformation | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 48 | MedicallyNecessaryDuplicateProcedureReason | CWE_NONOBX5 | Conditional | 0...Infinite | .. | ||
| 49 | ResultHandling | IS | Optional | 0...1 | .. | ||
| 50 | ParentUniversalServiceIdentifier | CWE_NONOBX5 | Optional | 0...Infinite | .. |
| Key | Value | |
| 1 | Item | 00237 |
| Key | Value | |
| 1 | Item | 00216 |
| Key | Value | |
| 1 | Item | 00217 |
| Key | Value | |
| 1 | Item | 00238 |
| Key | Value | |
| 1 | Item | 00239 |
| Key | Value | |
| 1 | Item | 00240 |
| Key | Value | |
| 1 | Item | 00241 |
| Key | Value | |
| 1 | Item | 00242 |
| Key | Value | |
| 1 | Item | 00243 |
| Key | Value | |
| 1 | Item | 00244 |
| Key | Value | |
| 1 | Item | 00245 |
| Key | Value | |
| 1 | Item | 00246 |
| Key | Value | |
| 1 | Item | 00247 |
| Key | Value | |
| 1 | Item | 00248 |
| Key | Value | |
| 1 | Item | 00249 |
| Key | Value | |
| 1 | Item | 00226 |
| Key | Value | |
| 1 | Item | 00250 |
| Key | Value | |
| 1 | Item | 00251 |
| Key | Value | |
| 1 | Item | 00252 |
| Key | Value | |
| 1 | Item | 00253 |
| Key | Value | |
| 1 | Item | 00254 |
| Key | Value | |
| 1 | Item | 00255 |
| Key | Value | |
| 1 | Item | 00256 |
| Key | Value | |
| 1 | Item | 00257 |
| Key | Value | |
| 1 | Item | 00258 |
| Key | Value | |
| 1 | Item | 00259 |
| Key | Value | |
| 1 | Item | 00221 |
| Key | Value | |
| 1 | Item | 00260 |
| Key | Value | |
| 1 | Item | 00261 |
| Key | Value | |
| 1 | Item | 00262 |
| Key | Value | |
| 1 | Item | 00263 |
| Key | Value | |
| 1 | Item | 00264 |
| Key | Value | |
| 1 | Item | 00265 |
| Key | Value | |
| 1 | Item | 00266 |
| Key | Value | |
| 1 | Item | 00267 |
| Key | Value | |
| 1 | Item | 00268 |
| Key | Value | |
| 1 | Item | 01028 |
| Key | Value | |
| 1 | Item | 01029 |
| Key | Value | |
| 1 | Item | 01030 |
| Key | Value | |
| 1 | Item | 01031 |
| Key | Value | |
| 1 | Item | 01032 |
| Key | Value | |
| 1 | Item | 01033 |
| Key | Value | |
| 1 | Item | 01034 |
| Key | Value | |
| 1 | Item | 00393 |
| Key | Value | |
| 1 | Item | 01316 |
| Key | Value | |
| 1 | Item | 01474 |
| Key | Value | |
| 1 | Item | 01475 |
| Key | Value | |
| 1 | Item | 01646 |
| Key | Value | |
| 1 | Item | 01647 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...250 | - | - | 3 | NameOfCodingSystem | - | 0...250 | - | - | 4 | AlternateIdentifier | - | 0...250 | - | - |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | SpecimenSourceNameOrCode | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 2 | Additives | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 3 | SpecimenCollectionMethod | TX | Optional | 0...200 | ||
| 4 | BodySite | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 5 | SiteModifier | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 6 | CollectionMethodModifierCode | CWE_NONOBX5 | Optional | 0...Infinite | ||
| 7 | SpecimenRole | CWE_NONOBX5 | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | DollarAmount | MO | Optional | 0...Infinite | ||
| 2 | ChargeCode | CWE_NONOBX5 | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Quantity | NM | Optional | 0...20 | ||
| 2 | Denomination | ID | Optional | 0...20 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | ParentObservationIdentifier | CWE_NONOBX5 | Required | 0...Infinite | ||
| 2 | ParentObservationSubIdentifier | ST | Optional | 0...20 | ||
| 3 | ParentObservationValueDescriptor | TX | Optional | 0...4000 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | PersonName | CNN | Required | 0...Infinite | ||
| 2 | StartDateTime_NOT_SUPPORTED | TS | Optional | 0...Infinite | ||
| 3 | EndDateTime_NOT_SUPPORTED | TS | Optional | 0...Infinite | ||
| 4 | PointOfCare_NOT_SUPPORTED | IS | Optional | 0...Infinite | ||
| 5 | Room_NOT_SUPPORTED | IS | Optional | 0...Infinite | ||
| 6 | Bed_NOT_SUPPORTED | IS | Optional | 0...Infinite | ||
| 7 | Facility_NOT_SUPPORTED | HD | Optional | 0...Infinite | ||
| 8 | LocationStatus_NOT_SUPPORTED | IS | Optional | 0...Infinite | ||
| 9 | PatientLocationType_NOT_SUPPORTED | IS | Optional | 0...Infinite | ||
| 10 | Building_NOT_SUPPORTED | IS | Optional | 0...Infinite | ||
| 11 | Floor_NOT_SUPPORTED | IS | Optional | 0...Infinite |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | IDNumber | ST | Optional | 0...15 | ||
| 2 | FamilyName | ST | Optional | 0...50 | ||
| 3 | GivenName | ST | Optional | 0...30 | ||
| 4 | MiddleInitialOrName | ST | Optional | 0...30 | ||
| 5 | Suffix | ST | Optional | 0...20 | ||
| 6 | Prefix | ST | Optional | 0...20 | ||
| 7 | Degree | IS | Optional | 0...5 | ||
| 8 | SourceTable_NOT_SUPPORTED | IS | Optional | 0...Infinite | ||
| 9 | AssigningAuthorityNamespaceID | IS | Optional | 0...20 | ||
| 10 | AssigningAuthorityUniversalID | ST | Optional | 0...199 | ||
| 11 | AssigningAuthorityUniversalIDType | ID | Optional | 0...6 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetIDTQ1 | SI | Required | 0...4 | 1..1 | ||
| 2 | Quantity | CQ | Optional | 0...Infinite | .. | ||
| 3 | RepeatPattern | RPT | Optional | 0...Infinite | 0..No Max | ||
| 4 | ExplicitTime | TM | Optional | 0...Infinite | 0..No Max | ||
| 5 | RelativeTimeandUnits | CQ | Optional | 0...Infinite | 0..No Max | ||
| 6 | ServiceDuration | CQ | Optional | 0...Infinite | .. | ||
| 7 | StartDateTime | TS | Optional | 0...Infinite | .. | ||
| 8 | EndDateTime | TS | Optional | 0...Infinite | .. | ||
| 9 | Priority | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 10 | ConditionText | TX | Optional | 0...250 | .. | ||
| 11 | TextInstruction | TX | Optional | 0...250 | .. | ||
| 12 | Conjunction | ID | Conditional | 0...1 | .. | ||
| 13 | OccurrenceDuration | CQ | Optional | 0...Infinite | .. | ||
| 14 | TotalOccurrences | NM | Optional | 0...10 | .. |
| Key | Value | |
| 1 | Item | 01627 |
| Key | Value | |
| 1 | Item | 01628 |
| Key | Value | |
| 1 | Item | 01629 |
| Key | Value | |
| 1 | Item | 01630 |
| Key | Value | |
| 1 | Item | 01631 |
| Key | Value | |
| 1 | Item | 01632 |
| Key | Value | |
| 1 | Item | 01633 |
| Key | Value | |
| 1 | Item | 01634 |
| Key | Value | |
| 1 | Item | 01635 |
| Key | Value | |
| 1 | Item | 01636 |
| Key | Value | |
| 1 | Item | 01637 |
| Key | Value | |
| 1 | Item | 01638 |
| Key | Value | |
| 1 | Item | 01639 |
| Key | Value | |
| 1 | Item | 01640 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | RepeatPatternCode | CWE_NONOBX5 | Required | 0...705 | ||
| 2 | CalendarAlignment | ID | Optional | 0...2 | ||
| 3 | PhaseRangeBeginValue | NM | Optional | 0...10 | ||
| 4 | PhaseRangeEndValue | NM | Optional | 0...10 | ||
| 5 | PeriodQuantity | NM | Optional | 0...10 | ||
| 6 | PeriodUnits | IS | Conditional | 0...10 | ||
| 7 | InstitutionSpecifiedTime | ID | Optional | 0...1 | ||
| 8 | Event | ID | Optional | 0...6 | ||
| 9 | EventOffsetQuantity | NM | Optional | 0...10 | ||
| 10 | EventOffsetUnits | IS | Conditional | 0...10 | ||
| 11 | GeneralTimingSpecification | GTS | Optional | 0...200 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Hours | 2 Byte Short | Required | 2...2 | ||
| 2 | Minutes | 2 Byte Short | Optional | 2...2 | ||
| 3 | Seconds | 2 Byte Short | Optional | 2...2 | ||
| 4 | Millis | ST | Optional | 5...5 | ||
| 5 | GmtOffset | ST | Optional | 5...5 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetID | SI | Optional | 0...4 | .. | ||
| 2 | SequenceResultsFlag | ID | Optional | 0...1 | .. | ||
| 3 | RelatedPlacerNumber | EI | Conditional | 0...22 | 0..No Max | ||
| 4 | RelatedFillerNumber | EI | Conditional | 0...22 | 0..No Max | ||
| 5 | RelatedPlacerGroupNumber | EI | Conditional | 0...22 | 0..No Max | ||
| 6 | SequenceConditionCode | ID | Conditional | 0...2 | .. | ||
| 7 | CyclicEntryExitIndicator | ID | Conditional | 0...1 | .. | ||
| 8 | SequenceConditionTimeInterval | CQ | Optional | 0...20 | .. | ||
| 9 | CyclicGroupMaximumNumberofRepeats | NM | Optional | 0...10 | .. | ||
| 10 | SpecialServiceRequestRelationship | ID | Conditional | 0...1 | .. |
| Key | Value | |
| 1 | Item | 01648 |
| Key | Value | |
| 1 | Item | 01649 |
| Key | Value | |
| 1 | Item | 01650 |
| Key | Value | |
| 1 | Item | 01651 |
| Key | Value | |
| 1 | Item | 01652 |
| Key | Value | |
| 1 | Item | 01653 |
| Key | Value | |
| 1 | Item | 01654 |
| Key | Value | |
| 1 | Item | 01655 |
| Key | Value | |
| 1 | Item | 01656 |
| Key | Value | |
| 1 | Item | 01657 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | ContactRole | CWE_NONOBX5 | Required | 0...250 | 1..No Max | ||
| 2 | ContactName | XPN | Optional | 0...250 | 0..No Max | ||
| 3 | ContactAddress | XAD | Optional | 0...250 | 0..No Max | ||
| 4 | ContactLocation | PL | Optional | 0...60 | .. | ||
| 5 | ContactCommunicationInfo | XTN | Optional | 0...250 | 0..No Max | ||
| 6 | PreferredMethodOfContact | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 7 | ContactIdentifiers | PLN | Optional | 0...100 | 0..No Max |
| Key | Value | |
| 1 | Item | 00196 |
| Key | Value | |
| 1 | Item | 01165 |
| Key | Value | |
| 1 | Item | 01166 |
| Key | Value | |
| 1 | Item | 01167 |
| Key | Value | |
| 1 | Item | 01168 |
| Key | Value | |
| 1 | Item | 00684 |
| Key | Value | |
| 1 | Item | 01171 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | IDNumber | ST | Required | 0...20 | ||
| 2 | TypeOfIDNumber | IS | Required | 0...8 | ||
| 3 | OtherQualifyingInfo | ST | Optional | 0...62 | ||
| 4 | ExpirationDate | DT | Optional | 0...8 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetID | SI | Required | 0...4 | 1..1 | ||
| 2 | ValueType | ID | Conditional | 2...3 | .. | HL70125 | |
| 3 | ObservationIdentifier | CWE_NONOBX5 | Required | 0...Infinite | 1..1 | ||
| 4 | ObservationSubID | ST | Conditional | 0...999 | .. | ||
| 5 | ObservationValue | Variable | Conditional | 0...Infinite | .. | ||
| 6 | Units | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 7 | ReferencesRange | ST | Optional | 0...999 | .. | ||
| 8 | AbnormalFlags | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 9 | Probability | NM | Optional | 0...5 | .. | ||
| 10 | NatureOfAbnormalTest | ID | Optional | 0...2 | .. | ||
| 11 | ObservationResultStatus | ID | Required | 0...1 | 1..1 | HL70085 | |
| 12 | EffectiveDateofReferenceRange | TS | Optional | 0...Infinite | .. | ||
| 13 | UserDefinedAccessChecks | ST | Optional | 0...20 | .. | ||
| 14 | DateTimeOfTheObservation | TS | Optional | 0...Infinite | .. | ||
| 15 | ProducersID | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 16 | ResponsibleObserver | XCN | Optional | 0...Infinite | 0..No Max | ||
| 17 | ObservationMethod | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 18 | EquipmentInstanceIdentifier | EI | Optional | 0...Infinite | 0..No Max | ||
| 19 | DateTimeOfTheAnalysis | TS | Optional | 0...Infinite | .. | ||
| 20 | ReservedForV26_1_NOT_SUPPORTED | String | Optional | 0...Infinite | .. | ||
| 21 | ReservedForV26_2_NOT_SUPPORTED | String | Optional | 0...Infinite | .. | ||
| 22 | ReservedForV26_3_NOT_SUPPORTED | String | Optional | 0...Infinite | .. | ||
| 23 | PerformingOrganizationName | XON | Required | 0...Infinite | 1..1 | ||
| 24 | PerformingOrganizationAddress | XAD | Required | 0...Infinite | 1..1 | ||
| 25 | PerformingOrganizationMedicalDirector | XCN | Optional | 0...Infinite | .. |
| Key | Value | |
| 1 | Item | 00569 |
| Key | Value | |
| 1 | Item | 00570 |
| Key | Value | |
| 1 | Item | 00571 |
| Key | Value | |
| 1 | Item | 00572 |
5.ObservationValue
This is a variable type field. The field type is determined at runtime by the value of field 'ValueType'.
| Key | Value | |
| 1 | Item | 00573 |
| Key | Value | |
| 1 | Item | 00574 |
| Key | Value | |
| 1 | Item | 00575 |
| Key | Value | |
| 1 | Item | 00576 |
| Key | Value | |
| 1 | Item | 00577 |
| Key | Value | |
| 1 | Item | 00578 |
| Key | Value | |
| 1 | Item | 00579 |
| Key | Value | |
| 1 | Item | 00580 |
| Key | Value | |
| 1 | Item | 00581 |
| Key | Value | |
| 1 | Item | 00582 |
| Key | Value | |
| 1 | Item | 00583 |
| Key | Value | |
| 1 | Item | 00584 |
| Key | Value | |
| 1 | Item | 00936 |
| Key | Value | |
| 1 | Item | 01479 |
| Key | Value | |
| 1 | Item | 01480 |
|   | Name | Required | Length | Default Value | Validation Table | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetID | SI | Optional | 0...4 | .. | ||
| 2 | TransactionID | ST | Optional | 0...12 | .. | ||
| 3 | TransactionBatchID | ST | Optional | 0...10 | .. | ||
| 4 | TransactionDate | DR | Required | 0...53 | 1..1 | ||
| 5 | TransactionPostingDate | TS | Optional | 0...26 | .. | ||
| 6 | TransactionType | IS | Required | 0...8 | 1..1 | ||
| 7 | TransactionCode | CWE_NONOBX5 | Required | 0...250 | 1..1 | ||
| 8 | TransactionDescription | ST | Optional | 0...40 | .. | ||
| 9 | TransactionAltDescription | ST | Optional | 0...40 | .. | ||
| 10 | TransactionQuantity | NM | Optional | 0...6 | .. | ||
| 11 | TransactionExtendedAmount | CP | Optional | 0...12 | .. | ||
| 12 | TransactionUnitAmount | CP | Optional | 0...12 | .. | ||
| 13 | DepartmentCode | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 14 | InsurancePlanID | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 15 | InsuranceAmount | CP | Optional | 0...12 | .. | ||
| 16 | AssignedPatientLocation | PL | Optional | 0...80 | .. | ||
| 17 | FeeSchedule | IS | Optional | 0...1 | .. | ||
| 18 | PatientType | IS | Optional | 0...2 | .. | ||
| 19 | DiagnosisCode | CWE_NONOBX5 | Optional | 0...250 | 0..No Max | ||
| 20 | PerformedByCode | XCN | Optional | 0...250 | 0..No Max | ||
| 21 | OrderedByCode | XCN | Optional | 0...250 | 0..No Max | ||
| 22 | UnitCost | CP | Optional | 0...12 | .. | ||
| 23 | FillerOrderNumber | EI | Optional | 0...427 | .. | ||
| 24 | EnteredByCode | XCN | Optional | 0...250 | 0..No Max | ||
| 25 | ProcedureCode | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 26 | ProcedureCodeModifier | CWE_NONOBX5 | Optional | 0...250 | 0..No Max | ||
| 27 | AdvancedBeneficiaryNoticeCode | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 28 | MedicallyNecessaryDuplicateProcedureReason | CWE_NONOBX5 | Optional | 0...250 | .. | ||
| 29 | NDCCode | CNE | Optional | 0...250 | .. | ||
| 30 | PaymentReferenceID | CX | Optional | 0...250 | .. | ||
| 31 | TransactionReferenceKey | SI | Optional | 0...4 | 0..No Max |
| Key | Value | |
| 1 | Item | 00355 |
| Key | Value | |
| 1 | Item | 00356 |
| Key | Value | |
| 1 | Item | 00357 |
| Key | Value | |
| 1 | Item | 00358 |
| Key | Value | |
| 1 | Item | 00359 |
| Key | Value | |
| 1 | Item | 00360 |
| Key | Value | |
| 1 | Item | 00361 |
| Key | Value | |
| 1 | Item | 00362 |
| Key | Value | |
| 1 | Item | 00363 |
| Key | Value | |
| 1 | Item | 00364 |
| Key | Value | |
| 1 | Item | 00365 |
| Key | Value | |
| 1 | Item | 00366 |
| Key | Value | |
| 1 | Item | 00367 |
| Key | Value | |
| 1 | Item | 00368 |
| Key | Value | |
| 1 | Item | 00369 |
| Key | Value | |
| 1 | Item | 00133 |
| Key | Value | |
| 1 | Item | 00370 |
| Key | Value | |
| 1 | Item | 00148 |
| Key | Value | |
| 1 | Item | 00371 |
| Key | Value | |
| 1 | Item | 00372 |
| Key | Value | |
| 1 | Item | 00373 |
| Key | Value | |
| 1 | Item | 00374 |
| Key | Value | |
| 1 | Item | 00217 |
| Key | Value | |
| 1 | Item | 00765 |
| Key | Value | |
| 1 | Item | 00393 |
| Key | Value | |
| 1 | Item | 01316 |
| Key | Value | |
| 1 | Item | 01310 |
| Key | Value | |
| 1 | Item | 01646 |
| Key | Value | |
| 1 | Item | 01845 |
| Key | Value | |
| 1 | Item | 01846 |
| Key | Value | |
| 1 | Item | 01847 |
|   | Name | Data Type | Required | Length | Default Value | Validation Table |
| 1 | Price | MO | Required | 0...20 | ||
| 2 | PriceType | ID | Optional | 0...2 | ||
| 3 | FromValue | NM | Optional | 0...16 | ||
| 4 | ToValue | NM | Optional | 0...16 | ||
| 5 | RangeUnits | CWE_NONOBX5 | Optional | 0...483 | ||
| 6 | RangeType | ID | Optional | 0...1 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SponsorStudyID | EI | Required | 0...60 | 1..1 | ||
| 2 | StudyPhaseIdentifier | CWE_NONOBX5 | Conditional | 0...250 | .. | ||
| 3 | StudyScheduledTimePoint | CWE_NONOBX5 | Optional | 0...250 | .. |
| Key | Value | |
| 1 | Item | 01011 |
| Key | Value | |
| 1 | Item | 01022 |
| Key | Value | |
| 1 | Item | 01055 |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | SetID | SI | Required | 0...4 | 1..1 | ||
| 2 | SpecimenID | EIP | Required | 0...Infinite | 1..1 | ||
| 3 | SpecimenParentIDs | EIP | Optional | 0...Infinite | 0..No Max | ||
| 4 | SpecimenType | CWE_NONOBX5 | Required | 0...Infinite | 1..1 | ||
| 5 | SpecimenTypeModifier | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 6 | SpecimenAdditives | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 7 | SpecimenCollectionMethod | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 8 | SpecimenSourceSite | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 9 | SpecimenSourceSiteModifier | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 10 | SpecimenCollectionSite | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 11 | SpecimenRole | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 12 | SpecimenCollectionAmount | CQ | Optional | 0...Infinite | .. | ||
| 13 | GroupedSpecimenCount | NM | Conditional | 0...6 | .. | ||
| 14 | SpecimenDescription | ST | Optional | 0...250 | 0..No Max | ||
| 15 | SpecimenHandlingCode | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 16 | SpecimenRiskCode | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 17 | SpecimenCollectionDateTime | DR | Required | 0...Infinite | 1..1 | ||
| 18 | SpecimenReceivedDateTime | TS | Required | 0...Infinite | 1..1 | ||
| 19 | SpecimenExpirationDateTime | TS | Optional | 0...Infinite | .. | ||
| 20 | SpecimenAvailability | ID | Optional | 0...1 | .. | ||
| 21 | SpecimenRejectReason | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 22 | SpecimenQuality | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 23 | SpecimenAppropriateness | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 24 | SpecimenCondition | CWE_NONOBX5 | Optional | 0...Infinite | 0..No Max | ||
| 25 | SpecimenCurrentQuantity | CQ | Optional | 0...Infinite | .. | ||
| 26 | NumberofSpecimenContainers | NM | Optional | 0...4 | .. | ||
| 27 | ContainerType | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 28 | ContainerCondition | CWE_NONOBX5 | Optional | 0...Infinite | .. | ||
| 29 | SpecimenChildRole | CWE_NONOBX5 | Optional | 0...Infinite | .. |
| Key | Value | |
| 1 | Item | 01754 |
| Key | Value | |
| 1 | Item | 01755 |
| Key | Value | |
| 1 | Item | 01756 |
| Key | Value | |
| 1 | Item | 01900 |
| Key | Value | |
| 1 | Item | 01757 |
| Key | Value | |
| 1 | Item | 01758 |
| Key | Value | |
| 1 | Item | 01759 |
| Key | Value | |
| 1 | Item | 01901 |
| Key | Value | |
| 1 | Item | 01760 |
| Key | Value | |
| 1 | Item | 01761 |
| Key | Value | |
| 1 | Item | 01762 |
| Key | Value | |
| 1 | Item | 01902 |
| Key | Value | |
| 1 | Item | 01763 |
| Key | Value | |
| 1 | Item | 01764 |
| Key | Value | |
| 1 | Item | 01908 |
| Key | Value | |
| 1 | Item | 01903 |
| Key | Value | |
| 1 | Item | 01765 |
| Key | Value | |
| 1 | Item | 00248 |
| Key | Value | |
| 1 | Item | 01904 |
| Key | Value | |
| 1 | Item | 01766 |
| Key | Value | |
| 1 | Item | 01767 |
| Key | Value | |
| 1 | Item | 01768 |
| Key | Value | |
| 1 | Item | 01769 |
| Key | Value | |
| 1 | Item | 01770 |
| Key | Value | |
| 1 | Item | 01771 |
| Key | Value | |
| 1 | Item | 01772 |
| Key | Value | |
| 1 | Item | 01773 |
| Key | Value | |
| 1 | Item | 01774 |
| Key | Value | |
| 1 | Item | 01775 |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Required | Length | Default Value | Validation Table | 1 | Identifier | - | 0...50 | - | - | 4 | AlternateIdentifier | - | 0...50 | - | - |
|   | Name | Data Type | Required | Length | Repeats | Default Value | Validation Table |
| 1 | ContinuationPointer | ST | Optional | 0...180 | .. | ||
| 2 | ContinuationStyle | ID | Optional | 0...1 | .. |
| Separator Type | Value | Field Value | Replacement |
| Segment | \x0A | \X0A\ | |
| Field Repeat | ~ | MSH.EncodingCharacters | \R\ |
| Null Value | "" | ||
| 1st Level Field | | | MSH.FieldSeparator | \F\ |
| 2nd Level Field | ^ | MSH.EncodingCharacters | \S\ |
| 3rd Level Field | & | MSH.EncodingCharacters | \T\ |
| User Defined String 1 | \ | MSH.EncodingCharacters | \E\ |