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18.8.3 ACC - Accident Segment (6.5.9)

The ACC segment contains patient information relative to an accident in which the patient has been involved.

HL7 Attribute Table - ACC - Accident

Base Framework
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
ACC
100527Accident Date/Time MAY[0..1] 
DTM

Date/Time

200528Accident Code MAY[0..1] AccidentCode (CD)
CWE

Coded with Exceptions

300529Accident Location
=

Truncation allowed.

MAY[0..1] 25
ST

String Data

400812Auto Accident State
B

backward compatible use only

SHOULD NOT  ex.:CountrySubdivision (CD)
CWE

Coded with Exceptions

500813Accident Job Related Indicator MAY[0..1][1..1]univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

600814Accident Death Indicator MAY[0..1][1..1]univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

700224Entered By MAY[0..1] 
XCN

Extended Composite ID Number and Name for Persons

801503Accident Description
=

Truncation not allowed!

MAY[0..1] 1000
ST

String Data

901504Brought In By
=

Truncation not allowed!

MAY[0..1] 80
ST

String Data

1001505Police Notified Indicator MAY[0..1][1..1]univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

1101853Accident Address MAY[0..1] 
XAD

Extended Address

1202374Degree of patient liability
=

Truncation allowed.

MAY[0..1] 3
NM

Numeric

1303338Accident Identifier MAY[0..*] 
EI

Entity Identifier

Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
ACC
100527Accident Date/Time MAY[0..1] 
DTM

Date/Time

200528Accident Code MAY[0..1] AccidentCode (CD)
CWE

Coded with Exceptions

300529Accident Location
=

Truncation allowed.

MAY[0..1] 25
ST

String Data

400812Auto Accident State
B

backward compatible use only

SHOULD NOT  ex.:CountrySubdivision (CD)
CWE

Coded with Exceptions

500813Accident Job Related Indicator MAY[0..1][1..1]univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

600814Accident Death Indicator MAY[0..1][1..1]univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

700224Entered By MAY[0..1] 
XCN

Extended Composite ID Number and Name for Persons

801503Accident Description
=

Truncation not allowed!

MAY[0..1] 1000
ST

String Data

901504Brought In By
=

Truncation not allowed!

MAY[0..1] 80
ST

String Data

1001505Police Notified Indicator MAY[0..1][1..1]univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

1101853Accident Address MAY[0..1] 
XAD

Extended Address

1202374Degree of patient liability
=

Truncation allowed.

MAY[0..1] 3
NM

Numeric

1303338Accident Identifier MAY[0..*] 
EI

Entity Identifier

Base FrameworkBase Standard Profile
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData TypeImplementVocabulary
ACC 
100527Accident Date/Time MAY[0..1] 
DTM

Date/Time

MAY
200528Accident Code MAY[0..1] AccidentCode (CD)
CWE

Coded with Exceptions

MAY
300529Accident Location
=

Truncation allowed.

MAY[0..1] 25
ST

String Data

MAY
400812Auto Accident State
B

backward compatible use only

SHOULD NOT  ex.:CountrySubdivision (CD)
CWE

Coded with Exceptions

SHOULD NOT
500813Accident Job Related Indicator MAY[0..1][1..1]univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

MAY 
600814Accident Death Indicator MAY[0..1][1..1]univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

MAY 
700224Entered By MAY[0..1] 
XCN

Extended Composite ID Number and Name for Persons

MAY
801503Accident Description
=

Truncation not allowed!

MAY[0..1] 1000
ST

String Data

MAY
901504Brought In By
=

Truncation not allowed!

MAY[0..1] 80
ST

String Data

MAY
1001505Police Notified Indicator MAY[0..1][1..1]univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

MAY 
1101853Accident Address MAY[0..1] 
XAD

Extended Address

MAY
1202374Degree of patient liability
=

Truncation allowed.

MAY[0..1] 3
NM

Numeric

MAY
1303338Accident Identifier MAY[0..*] 
EI

Entity Identifier

MAY
Base Framework Base Standard Profile
Seq# Data Element Description Flags Optionality Repetition Length C.LEN Table Data Type Optionality Table
ACC  
1 00527 Accident Date/Time   O      
DTM

Date/Time

   
2 00528 Accident Code   O      
CWE

Coded with Exceptions

  (0050)
3 00529 Accident Location   O     25#  
ST

String Data

   
4 00812 Auto Accident State   B      
CWE

Coded with Exceptions

  (0347)
5 00813 Accident Job Related Indicator   O   [1..1]  
ID

Coded Value for HL7 Defined Tables

  (0136)
6 00814 Accident Death Indicator   O   [1..1]  
ID

Coded Value for HL7 Defined Tables

  (0136)
7 00224 Entered By   O      
XCN

Extended Composite ID Number and Name for Persons

   
8 01503 Accident Description   O     1000=  
ST

String Data

   
9 01504 Brought In By   O     80=  
ST

String Data

   
10 01505 Police Notified Indicator   O   [1..1]  
ID

Coded Value for HL7 Defined Tables

  (0136)
11 01853 Accident Address   O      
XAD

Extended Address

   
12 02374 Degree of patient liability   O     3#  
NM

Numeric

   
13 03338 Accident Identifier   O Y    
EI

Entity Identifier

   
Seq# Data Element Description Optionality Repetition Length C.LEN Table Data Type
ACC
1 00527 Accident Date/Time O      
DTM

Date/Time

2 00528 Accident Code O     (0050)
CWE

Coded with Exceptions

3 00529 Accident Location O     25#  
ST

String Data

4 00812 Auto Accident State B     (0347)
CWE

Coded with Exceptions

5 00813 Accident Job Related Indicator O   [1..1] (0136)
ID

Coded Value for HL7 Defined Tables

6 00814 Accident Death Indicator O   [1..1] (0136)
ID

Coded Value for HL7 Defined Tables

7 00224 Entered By O      
XCN

Extended Composite ID Number and Name for Persons

8 01503 Accident Description O     1000=  
ST

String Data

9 01504 Brought In By O     80=  
ST

String Data

10 01505 Police Notified Indicator O   [1..1] (0136)
ID

Coded Value for HL7 Defined Tables

11 01853 Accident Address O      
XAD

Extended Address

12 02374 Degree of patient liability O     3#  
NM

Numeric

13 03338 Accident Identifier O Y    
EI

Entity Identifier

18.8.3.1 ACC Field Definitions (6.5.9.0)

18.8.3.2 ACC-1 Accident Date/Time (DTM) 00527 (6.5.9.1)

Definition: This field contains the date/time of the accident.

18.8.3.3 ACC-2 Accident Code (CWE) 00528 (6.5.9.2)

Definition: This field contains the type of accident. Refer to User-defined Table 0050 - Accident Code in Chapter 2C, Code Tables, for suggested values. ICD accident codes are recommended.

18.8.3.4 ACC-3 Accident Location (ST) 00529 (6.5.9.3)

Definition: This field contains the location of the accident.

18.8.3.5 ACC-4 Auto Accident State (CWE) 00812 (6.5.9.4)

Definition: As of Version 2.5, this field has been retained for backward compatibility only. Use ACC-11 - Accident Address instead of this field, as the state in which the accident occurred is part of the address. This field specifies the state in which the auto accident occurred. (CMS 1500 requirement in the US.) Refer to User-defined Table 0347 - State/Province in Chapter 2C, Code Tables, for suggested values.

18.8.3.6 ACC-5 Accident Job Related Indicator (ID) 00813 (6.5.9.5)

Definition: This field indicates if the accident was related to a job. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

18.8.3.7 ACC-6 Accident Death Indicator (ID) 00814 (6.5.9.6)

Definition: This field indicates whether or not a patient has died as a result of an accident. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

18.8.3.8 ACC-7 Entered By (XCN) 00224 (6.5.9.7)

Definition: This field identifies the person entering the accident information.

18.8.3.9 ACC-8 Accident Description (ST) 01503 (6.5.9.8)

Definition: Description of the accident.

18.8.3.10 ACC-9 Brought in By (ST) 01504 (6.5.9.9)

Definition: This field identifies the person or organization that brought in the patient.

18.8.3.11 ACC-10 Police Notified Indicator (ID) 01505 (6.5.9.10)

Definition: This field indicates if the police were notified. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

18.8.3.12 ACC-11 Accident Address (XAD) 01853 (6.5.9.11)

Definition: This field contains the address where the accident occurred.

18.8.3.13 ACC-12 Degree of patient liability (NM) 02374 (6.5.9.12)

Definition: This field conveys the amount to which the patient is found to be liable for an accident. The numeric value is given as a percentage value.

If the accident is totally caused by others this value is set to "0". If it is caused by the patient, it is set to "100". Any other value in between allows for a leverage of the fault between the patient and third parties.

18.8.3.14 ACC-13 Accident Identifier (EI) 03338 (6.5.9.13)

Definition: This field contains the identifier of the accident report assigned by a jurisdiction that is required in the insurance accident claim.