18.8.114 PD1 - Patient Additional Demographic Segment (3.4.11)

The patient additional demographic segment contains demographic information that is likely to change about the patient.

HL7 Attribute Table - PD1 - Patient Additional Demographic

18.8.114.1 PD1 field definitions (3.4.11.0)

18.8.114.2 PD1-1 Living Dependency (CWE) 00755 (3.4.11.1)

Definition: This field identifies specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patient's healthcare needs. This information can be used for discharge planning. This field repeats because, for example, "spouse dependent" and "medical supervision required" can apply at the same time. Refer to User-defined Table 0223 - Living Dependency in Chapter 2C, Code Tables, for suggested values.

18.8.114.3 PD1-2 Living Arrangement (CWE) 00742 (3.4.11.2)

Definition: This field identifies the situation in which the patient lives at his residential address. Examples might include Alone, Family, Relatives, Institution, etc. Refer to User-defined Table 0220 - Living Arrangement in Chapter 2C, Code Tables, for suggested values.

18.8.114.4 PD1-3 Patient Primary Facility (XON) 00756 (3.4.11.3)

Definition: This field contains the name and identifier that specifies the "primary care" healthcare facility selected by the patient at the time of enrolment in an HMO Insurance Plan. Multiple names and identifiers are allowed for the same facility. The legal name of the healthcare facility must be sent in the first sequence. If the legal name of the facility is not sent, then the repeat delimiter must be sent in the first sequence. Refer to User-defined Table 0204 - Organizational Name Type in Chapter 2C, Code Tables, for suggested values.

18.8.114.5 PD1-4 Patient Primary Care Provider Name & ID No. 00757 (3.4.11.4)

Definition: The PD1-4 field was retained for backward compatibility only as of v 2.4 and withdrawn as of v 2.7. The reader is advised that the PRT segment is now used to convey more complete information about the primary care provider.

18.8.114.6 PD1-5 Student Indicator (CWE) 00745 (3.4.11.5)

Definition: This field indicates if the patient is currently a student or not, and whether the patient is a full-time or a part-time student. This field does not indicate the student's degree level (high school, college, elementary) or the student's field of study (accounting, engineering, etc.). Refer to User-defined Table 0231 - Student Status in chapter 2C, for suggested values.

18.8.114.7 PD1-6 Handicap (CWE) 00753 (3.4.11.6)

Definition: This field indicates the nature of the patient's permanent handicapped condition (e.g., deaf, blind). A handicapped condition is defined as a physical or mental disability that is permanent. Transient handicapped conditions should be sent in the ambulatory status. Refer to User-defined Table 0295 - Handicap in Chapter 2C, Code Tables, for suggested values.

18.8.114.8 PD1-7 Living Will Code (CWE) 00759 (3.4.11.7)

Definition: This field indicates whether or not the patient has a living will and, if so, whether a copy of the living will is on file at the healthcare facility. If the patient does not have a living will, the value of this field indicates whether the patient was provided information on living wills. Refer to User-defined Table 0315 - Living Will Code in Chapter 2C, Code Tables, for suggested values. See also PV2-43 - Living Will Code.

18.8.114.9 PD1-8 Organ Donor Code (CWE) 00760 (3.4.11.8)

Definition: This field indicates whether the patient wants to donate his/her organs and whether an organ donor card or similar documentation is on file with the healthcare organization. Refer to User-defined Table 0316 - Organ Donor Code in Chapter 2C, Code Tables, for suggested values. See also PV2-44 - Organ donor Code.

18.8.114.10 PD1-9 Separate Bill (ID) 00761 (3.4.11.9)

Definition: This field specifies that charges for this patient are to be billed separately from other patient bills with the same guarantor. (This bill is now a patient bill rather than a guarantor bill.) Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• YBill separately

• Nnormal processing

18.8.114.11 PD1-10 Duplicate Patient (CX) 00762 (3.4.11.10)

Definition: This field indicates that a patient is the same as, or a duplicate of, another patient found on the sending system. The intent is to be informational only and no action is required by the receiver. Include the patient identifier if the sender knows an identifier for the patient. The assigning authority and identifier type code are strongly recommended for all CX data types.

18.8.114.12 PD1-11 Publicity Code (CWE) 00743 (3.4.11.11)

Definition: This field contains a user-defined code indicating what level of publicity is allowed (e.g., No Publicity, Family Only) for the patient. Refer to User-defined Table 0215 - Publicity Code in Chapter 2C, Code Tables, for suggested values. Refer to PV2-21 - Visit Publicity Code for visit level code.

18.8.114.13 PD1-12 Protection Indicator (ID) 00744 (3.4.11.12)

Definition: From V2.6 onward, this field has been retained for backward compatibility only. Use the ARV segment instead. This field identifies the patient's protection that determines, in turn, whether access to information about this person should be kept from users who do not have adequate authority for the patient. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Yprotect access to information

• Nnormal access

Refer to PV2-22 - Visit Protection Indicator for visit level code.

18.8.114.14 PD1-13 Protection Indicator Effective Date (DT) 01566 (3.4.11.13)

Definition: From v 2.6 onward, this field has been retained for backward compatibility only. Use the ARV segment instead. This field indicates the effective date for PD1-12 - Protection Indicator.

18.8.114.15 PD1-14 Place of Worship (XON) 01567 (3.4.11.14)

Definition: The patient's place of worship. For example, the patient attends the First Baptist Church of Atlanta.

18.8.114.16 PD1-15 Advance Directive Code (CWE) 01548 (3.4.11.15)

Definition: This field indicates the patient's instructions to the healthcare facility. Refer to User-defined Table 0435 - Advance Directive Code in Chapter 2C, Code Tables, for suggested values. See also PV2-45 - Advance Directive Code. When PD1-22 - Advanced Directive Last Verified Date is valued, this field is required.

18.8.114.17 PD1-16 Immunization Registry Status (CWE) 01569 (3.4.11.16)

Definition: This field identifies the immunization registry status of the patient. Refer to User-defined Table 0441 - Immunization Registry Status in Chapter 2C, Code Tables, for suggested values.

18.8.114.18 PD1-17 Immunization Registry Status Effective Date (DT) 01570 (3.4.11.17)

Definition: This field indicates the effective date for the immunization registry status reported in PD1-16 - Immunization Registry Status.

18.8.114.19 PD1-18 Publicity Code Effective Date (DT) 01571 (3.4.11.18)

Definition: This is the effective date for PD1-11 - Publicity Code.

18.8.114.20 PD1-19 Military Branch (CWE) 01572 (3.4.11.19)

Definition: This field is defined by CMS or other regulatory agencies. Refer to User-defined Table 0140 - Military Service in Chapter 2C, Code Tables, for suggested values.

18.8.114.21 PD1-20 Military Rank/Grade (CWE) 00486 (3.4.11.20)

Definition: This user-defined field identifies the military rank/grade of the patient. Refer to User-defined Table 0141 - Military Rank/Grade in Chapter 2C, Code Tables, for suggested values.

18.8.114.22 PD1-21 Military Status (CWE) 01573 (3.4.11.21)

Definition: This field is defined by CMS or other regulatory agencies. Refer to User-defined Table 0142 - Military Status in Chapter 2C, Code Tables, for suggested values.

18.8.114.23 PD1-22 Advance Directive Last Verified Date (DT) 02141 (3.4.11.22)

Definition: This field indicates the date that all the advance directives held in PD1-15 - Advance Directive Code were last validated. When this field is valued, the field PD1-15 - Advance Directive Code is required.

18.8.114.24 PD1-23 Retirement Date (DT) 03511 (3.4.11.23)

Definition: This field asserts a self-identified date that an individual considers themselves to have ‘retired’.