HL7 - REFACTORED

18.8.91 NTE - notes and comments segment (2.14.10)

The NTE segment is defined here for inclusion in messages defined in other chapters. It is commonly used for sending notes and comments.

The work groups define the meaning of the NTE segments within the context of the messages in their chapters. For each NTE, the description in the message attribute table SHOULD include an indication of the segment associated with the NTE, for example "Notes and Comments for the PID".

NOTE: While sending of segments with no content has been historically used for display messages to indicate blank lines this is not best practice. Senders SHOULD NOT send empty NTEs to indicate blank lines. When blank lines are required senders SHOULD use the functionality of the FT datatype in section Formatting codes.

HL7 Attribute Table - NTE - Notes and Comments

Segment (new)
(base framework)
Segment (new)
(w/o profiles)
Segment (new)
(w/ profiles)
Segment (classic)
(w/ profiles)
Segment (classic)
(w/o profiles)
FHIR
Structure Definition
v2.xml
XSD

Base Framework
	Seq#	Data Element	Description	Flags	Implement	Cardinality	Length	C.LEN	Vocabulary	Data Type
NTE
	1	00096	Set ID - NTE		MAY	[0..1]				SI Sequence ID
	2	00097	Source of Comment		MAY	[0..1]	[1..1]		univ: SourceOfComment (CD) hl7VS-sourceOfComment (VS) sourceOfComment (CS)	ID Coded Value for HL7 Defined Tables
	3	00098	Comment	C Condition defined for this element	MAY	[0..*]				FT Formatted Text Data
	4	01318	Comment Type		MAY	[0..1]			repr: CommentType (CD)	CWE Coded with Exceptions
	5	00224	Entered By		MAY	[0..1]				XCN Extended Composite ID Number and Name for Persons
	6	00661	Entered Date/Time		MAY	[0..1]				DTM Date/Time
	7	01004	Effective Start Date		MAY	[0..1]				DTM Date/Time
	8	02185	Expiration Date		MAY	[0..1]				DTM Date/Time
	9	03495	Coded Comment		MAY	[0..*]			CodedComment (CD)	CWE Coded with Exceptions

Conditions/Invariants

The root for the expression is on the segment.

Seq.	Referenced Elements	Introduction	Invariant	Comment
1	NTE-3	When NTE-9 is not populated then NTE-3 MAY be populated.	NTE[9].empty().not or NTE[3].hasValue()	Only defining this invariant and leaving the elements withitu mustSupport allows for individual profiling to either element or both

	Seq#	Data Element	Description	Flags	Implement	Cardinality	Length	Vocabulary	Data Type
NTE
	1	00096	Set ID - NTE		MAY	[0..1]			SI Sequence ID
	2	00097	Source of Comment		MAY	[0..1]	[1..1]	univ: SourceOfComment (CD) hl7VS-sourceOfComment (VS) sourceOfComment (CS)	ID Coded Value for HL7 Defined Tables
	3	00098	Comment	C Condition defined for this element	MAY	[0..*]			FT Formatted Text Data
	4	01318	Comment Type		MAY	[0..1]		repr: CommentType (CD) hl7VS-commentType (VS) commentType (CS)	CWE Coded with Exceptions
	5	00224	Entered By		MAY	[0..1]			XCN Extended Composite ID Number and Name for Persons
	6	00661	Entered Date/Time		MAY	[0..1]			DTM Date/Time
	7	01004	Effective Start Date		MAY	[0..1]			DTM Date/Time
	8	02185	Expiration Date		MAY	[0..1]			DTM Date/Time
	9	03495	Coded Comment		MAY	[0..*]		CodedComment (CD)	CWE Coded with Exceptions

Base Framework											Base Standard Profile
	Seq#	Data Element	Description	Flags	Implement	Cardinality	Length	C.LEN	Vocabulary	Data Type	Implement	Vocabulary
NTE
	1	00096	Set ID - NTE		MAY	[0..1]				SI Sequence ID	MAY
	2	00097	Source of Comment		MAY	[0..1]	[1..1]		univ: SourceOfComment (CD) hl7VS-sourceOfComment (VS) sourceOfComment (CS)	ID Coded Value for HL7 Defined Tables	MAY
	3	00098	Comment	C Condition defined for this element	MAY	[0..*]				FT Formatted Text Data	MAY
	4	01318	Comment Type		MAY	[0..1]			repr: CommentType (CD)	CWE Coded with Exceptions	MAY	hl7VS-commentType (VS) commentType (CS)
	5	00224	Entered By		MAY	[0..1]				XCN Extended Composite ID Number and Name for Persons	MAY
	6	00661	Entered Date/Time		MAY	[0..1]				DTM Date/Time	MAY
	7	01004	Effective Start Date		MAY	[0..1]				DTM Date/Time	MAY
	8	02185	Expiration Date		MAY	[0..1]				DTM Date/Time	MAY
	9	03495	Coded Comment		MAY	[0..*]			CodedComment (CD)	CWE Coded with Exceptions	MAY

Base Framework											Base Standard Profile
	Seq#	Data Element	Description	Flags	Optionality	Repetition	Length	C.LEN	Table	Data Type	Optionality	Table
NTE
	1	00096	Set ID - NTE		O					SI Sequence ID
	2	00097	Source of Comment		O		[1..1]			ID Coded Value for HL7 Defined Tables		(0105)
	3	00098	Comment	C Condition defined for this element	O	Y				FT Formatted Text Data
	4	01318	Comment Type		O					CWE Coded with Exceptions		(0364)
	5	00224	Entered By		O					XCN Extended Composite ID Number and Name for Persons
	6	00661	Entered Date/Time		O					DTM Date/Time
	7	01004	Effective Start Date		O					DTM Date/Time
	8	02185	Expiration Date		O					DTM Date/Time
	9	03495	Coded Comment		O	Y				CWE Coded with Exceptions		(0611)

	Seq#	Data Element	Description	Optionality	Repetition	Length	Table	Data Type
NTE
	1	00096	Set ID - NTE	O				SI Sequence ID
	2	00097	Source of Comment	O		[1..1]	(0105)	ID Coded Value for HL7 Defined Tables
	3	00098	Comment	C	Y			FT Formatted Text Data
	4	01318	Comment Type	O			(0364)	CWE Coded with Exceptions
	5	00224	Entered By	O				XCN Extended Composite ID Number and Name for Persons
	6	00661	Entered Date/Time	O				DTM Date/Time
	7	01004	Effective Start Date	O				DTM Date/Time
	8	02185	Expiration Date	O				DTM Date/Time
	9	03495	Coded Comment	O	Y		(0611)	CWE Coded with Exceptions

18.8.91.1 NTE field definitions (2.14.10.0)

18.8.91.2 NTE-1 Set ID - NTE- (SI) 00096 (2.14.10.1)

Definition: This field MAY be used where multiple NTE segments are included in a message. Their numbering must be described in the application message definition.

18.8.91.3 NTE-2 Source of Comment (ID) 00097 (2.14.10.2)

Definition: This field is used when source of comment must be identified. This table MAY be extended locally during implementation. Refer to HL7 Table 0105 - Source of Comment in Chapter 2C, Code Tables, for valid values.

18.8.91.4 NTE-3 Comment (FT) 00098 (2.14.10.3)

Definition: This field contains the comment contained in the segment.

Conditionality Predicate: In support of backwards compatibility, when NTE-9 is populated, the sending system SHALL also populate a human-readable version of the comment in NTE-3. When NTE-9 is not populated then NTE-3 MAY be populated.

Note: NTE-3 has been left blank for the use cases where legacy systems are sending a blank NTE as a line feed.

Note: As of v2.2, this field uses the FT rather than a TX data type. Since there is no difference between an FT data type without any embedded formatting commands, and a TX data type, this change is compatible with the previous version.

18.8.91.5 NTE-4 Comment Type (CWE) 01318 (2.14.10.4)

Definition: This field contains a value to identify the type of comment text being sent in the specific comment record. Refer to User-Defined Table 0364 - Comment Type in Chapter 2C, Code Tables, for suggested values.

Note:A field already exists on the NTE record that identifies the Sources of Comment (e.g., ancillary, placer, other). However some applications need to support other types of comment text (e.g., instructions, reason, remarks, etc.). A separate NTE segment can be used for each type of comment (e.g., instructions are on one NTE and remarks on another NTE).

18.8.91.6 NTE-5 Entered By (XCN) 00224 (2.14.10.5)

Definition: This field contains the identity of the person who actually keyed the comment into the application. It provides an audit trail in case the comment is entered incorrectly and the ancillary department needs to clarify the comment. By local agreement, either the ID number or name component MAY be omitted.

18.8.91.7 NTE-6 Entered Date/Time (DTM) 00661 (2.14.10.6)

Definition: This field contains the actual date the comment was keyed into the application.

18.8.91.8 NTE-7 Effective Start Date (DTM) 01004 (2.14.10.7)

Definition: This field contains the date the comment becomes or became effective.

18.8.91.9 NTE-8 Expiration Date (DTM) 02185 (2.14.10.8)

Definition: This field contains the date the comment becomes or became non-effective.

18.8.91.10 NTE-9 Coded Comment (CWE) 03495 (2.14.10.9)

Components: ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^

Definition: This field contains a value to identify a codified comment being sent in the specific comment record. If this field is valued, NTE-3 will be populated with text from this field. In support of backwards compatibility, when NTE-9 is populated, the sending system SHALL also populate a human-readable version of the comment in NTE-3. Refer to Table 0611 - Coded Comment in Chapter 2C for valid values.