References to other Chapters

Index HL7
Chapter 1: Introduction
Chapter 2: Control Query
Chapter 3: Patient Administration
Chapter 4: Order Entry
Chapter 5: Query
Chapter 6: Financial Management
Chapter 7: Observation Reporting
Chapter 8: Master Files
Chapter 9: Medical Records/Information Management
Chapter 10: Scheduling
Chapter 11: Patient Referral
Chapter 12: Patient Care
Appendix B: Lower Layer Protocols
Appendix C: Network Management
Appendix D: Version 2.2 BNF Message Descriptions
Appendix E: Glossary

Data Definition Tables

A.6 DATA ELEMENT NAMES

This section reflects the HL7 database which is available through HL7 Headquarters (see the last section in Chapter 1 for information on how to contact HL7).

Name

Item#

Seg

Seq#

Chp

Len

DT

Rep

Qty

Table


Abnormal Flags 00576 OBX 008 7 5 ID Yes 5 0078
Abnormal Text/Codes for Categorical Observations 00639 OM3 005 8 200 CE No

Absolute Range for Ordinal & Continuous Obs 00633 OM2 008 8 200 CM No

Accept Acknowledgment Type 00015 MSH 015 2 2 ID No
0155
Accident Code 00528 ACC 002 6 60 CE No
0050
Accident Date/Time 00527 ACC 001 6 26 TS No

Accident Death Indicator 00814 ACC 006 6 2 ID No
0136
Accident Job Related Indicator 00813 ACC 005 6 2 ID No
0136
Accident Location 00529 ACC 003 6 25 ST No

Accommodation Code 00182 PV2 002 3 60 CE No
0129
Accommodation Type 00980 LCC 003 8 60 CE Yes

Account ID 00236 BLG 003 4 100 CK No

Account Status 00171 PV1 041 3 2 IS No
0117
Acknowledgment Code 00018 MSA 001 2 2 ID No
0008
Action By 00233 ORC 019 4 120 XCN No

Action Code 00816 GOL 001 12 2 ID No
0287
Action Code 00816 PRB 001 12 2 ID No
0287
Action Code 01224 RXA 021 4 2 ID No
0323
Action Code 00816 PTH 001 12 2 ID No
0287
Action Code 00816 ROL 002 12 2 ID No
0287
Action Date/Time 00817 GOL 002 12 26 TS No

Action Date/Time

00817 PRB 002 12 26 TS No

Action Taken In Response To The Event 01118 PCR 021 7 2 ID Yes 6 0251
Activation Date 00680 STF 012 8 26 CM Yes

Activation Date 00969 LDP 007 8 26 TS No

Active/Inactive Flag 00675 LDP 006 8 1 ID No
0183
Active/Inactive Flag 00675 STF 007 8 1 ID No
0183
Active/Inactive Flag 00675 PRC 016 8 1 ID No
0183
Active/Inactive Flag 00675 CDM 008 8 1 ID No
0183
Activity Date/Time 00917 TXA 004 9 26 TS No

Actual Dispense Amount 00337 RXD 004 4 20 NM No

Actual Dispense Units 00338 RXD 005 4 60 CE No

Actual Dosage Form 00339 RXD 006 4 60 CE No

Actual Length of Inpatient Stay 00712 PV2 011 3 3 NM No

Actual Problem Resolution Date/Time 00844 PRB 009 12 26 TS No

Actual Strength 01132 RXD 016 4 20 NM No

Actual Strength Unit 01133 RXD 017 4 60 CE No

Addendum Continuation Pointer 00066 ADD 001 2 65536 ST No

Additional Insured on Auto 01275 STF 021 8 1 ID No
0136
Additive 00647 OM4 007 8 60 CE No

Address 00193 NK1 004 3 106 XAD Yes

Address of Outside Site(s) 00613 OM1 028 8 1000 XAD No

Administered Amount 00348 RXA 006 4 20 NM No

Administered Code 00347 RXA 005 4 100 CE No
0292
Administered Dosage Form 00350 RXA 008 4 60 CE No

Administered Per (Time Unit) 00354 RXA 012 4 20 ST No

Administered Strength 01134 RXA 013 4 20 NM No

Administered Strength Units 01135 RXA 014 4 60 CE No

Administered Units 00349 RXA 007 4 60 CE No

Administered-at Location 00353 RXA 011 4 200 CM No

Administering Provider 00352 RXA 010 4 200 XCN No

Administration Device 00311 RXR 003 4 60 CE No
0164
Administration Method 00312 RXR 004 4 60 CE No
0165
Administration Notes 00351 RXG 009 4 200 CE Yes

Administration Notes 00351 RXA 009 4 200 CE Yes

Administration Sub-ID Counter 00344 RXA 002 4 4 NM No

Admission Type 00134 PV1 004 3 2 IS No
0007
Admit Date/Time 00174 PV1 044 3 26 TS No

Admit Reason 00183 PV2 003 3 60 CE No

Admit Source 00144 PV1 014 3 3 IS No
0023
Admitting Doctor 00147 PV1 017 3 60 XCN Yes
0010
Allergy Code/Mnemonic/ Description 00205 AL1 003 3 60 CE No

Allergy Reaction 00207 AL1 005 3 15 ST No

Allergy Severity 00206 AL1 004 3 2 IS No
0128
Allergy Type 00204 AL1 002 3 2 IS No
0127
Allow Substitution Code 00895 AIS 009 10 10 IS No
0279
Allow Substitution Code 00895 AIP 011 10 10 IS No
0279
Allow Substitution Code 00895 AIG 013 10 10 IS No
0279
Allow Substitution Code 00895 AIL 011 10 10 IS No
0279
Allow Substitutions 00300 RXO 009 4 1 ID No
0161
Alternate Patient ID - CSR 01039 CSR 005 7 30 CX No

Alternate Patient ID - PID 00107 PID 004 3 20 ST Yes

Alternate Study ID 01036 CSR 002 7 60 EI No

Alternate Study ID 01012 CM0 003 8 60 CE Yes 3
Alternate Visit ID 00180 PV1 050 3 20 CX No
0192
Ambulatory Status 00145 PV1 015 3 2 IS Yes
0009
Ambulatory Status 00145 GT1 034 6 2 IS No
0009
Ambulatory Status 00145 NK1 018 3 2 IS Yes
0009
Ambulatory Status 00145 IN2 032 6 2 IS No
0009
Anesthesia Code 00399 PR1 009 6 2 IS No
0019
Anesthesia Minutes 00400 PR1 010 6 4 NM No

Anesthesiologist 00398 PR1 008 6 120 XCN Yes
0010
Anticipated Price 00285 RQ1 001 4 10 ST No

Anticipated Problem Resolution Date/Time 00843 PRB 008 12 26 TS No

Appeal Reason 00518 IN3 017 6 60 CE No

Application Acknowledgment Type 00016 MSH 016 2 2 ID No
0155
Appointment Reason 00869 ARQ 010 10 200 CE No

Appointment Duration 00868 SCH 009 10 20 NM No

Appointment Duration 00868 ARQ 009 10 20 NM No

Appointment Duration Units 01304 SCH 010 10 200 CE No

Appointment Reason 00866 SCH 007 10 200 CE No
0276
Appointment Reason 00866 ARQ 007 10 200 CE No
0276
Appointment Timing Quantity 00884 SCH 011 10 200 TQ Yes

Appointment Type 00867 ARQ 008 10 200 CE No
0277
Appointment Type 00867 SCH 008 10 200 CE No
0277
Assigned Document Authenticator 00923 TXA 010 9 60 XCN Yes

Assigned Patient Location 00133 PV1 003 3 80 PL No

Assigned Patient Location 00133 FT1 016 6 12 PL No

Assignment of Benefits 00445 IN1 020 6 2 IS No
0135
Assistant Result Interpreter 00265 OBR 033 4 200 CM Yes

Associated Diagnosis Code 00772 PR1 015 6 80 CE No

Associated Party's Identifiers 00751 NK1 033 3 32 CX Yes

Attending Doctor 00137 PV1 007 3 60 XCN Yes
0010
Attestation Date/Time 00768 DG1 019 6 26 TS No

Authentication Person, Time Stamp 00934 TXA 022 9 60 CM Yes

Authorization Effective Date 01149 AUT 004 11 26 TS No

Authorization Expiration Date 01150 AUT 005 11 26 TS No

Authorization Identifier 01151 AUT 006 11 30 EI No

Authorization Information 00439 IN1 014 6 55 CM No

Authorized Number of Treatments 01154 AUT 009 11 2 NM No

Authorizing Payor, Company ID 01147 AUT 002 11 200 CE No
0285
Authorizing Payor, Company Name 01148 AUT 003 11 45 ST No

Authorizing Payor, Plan Code 01146 AUT 001 11 200 CE No
0072
Auto Accident State 00812 ACC 004 6 60 CE No

Auto Ins. Expires 01232 STF 024 8 8 DT No

Baby Coverage 00490 IN2 019 6 1 ID No
0136
Baby Detained Indicator 00738 PV2 037 3 1 ID No
0136
Backup Person ID 00682 STF 014 8 60 CE Yes

Bad Debt Agency Code 00161 PV1 031 3 10 IS No
0021
Bad Debt Recovery Amount 00163 PV1 033 3 12 NM No

Bad Debt Transfer Amount 00162 PV1 032 3 12 NM No

Batch Comment 00090 BHS 010 2 80 ST No

Batch Comment 00090 BTS 002 2 80 ST No

Batch Control ID 00091 BHS 011 2 20 ST No

Batch Creation Date/Time 00087 BHS 007 2 26 TS No

Batch Encoding Characters 00082 BHS 002 2 3 ST No

Batch Field Separator 00081 BHS 001 2 1 ST No

Batch Message Count 00093 BTS 001 2 10 ST No

Batch Name/ID/Type 00089 BHS 009 2 20 ST No

Batch Receiving Application 00085 BHS 005 2 15 ST No

Batch Receiving Facility 00086 BHS 006 2 20 ST No

Batch Security 00088 BHS 008 2 40 ST No

Batch Sending Application 00083 BHS 003 2 15 ST No

Batch Sending Facility 00084 BHS 004 2 20 ST No

Batch Totals 00095 BTS 003 2 100 NM Yes

Bed Location 00209 NPU 001 3 80 PL No

Bed Status 00170 NPU 002 3 1 IS No
0116
Bed Status 00170 PV1 040 3 1 IS No
0116
Billing Category 01007 PRC 014 8 60 CE Yes
0293
Billing Media Code 00733 PV2 032 3 1 ID No
0136
Billing Status 00457 IN1 032 6 2 IS No
0022
Birth Order 00128 PID 025 3 2 NM No

Birth Place 00126 PID 023 3 60 ST No

Blood Deductible 00492 IN2 021 6 1 ST No

Blood Deductible (43) 00531 UB1 002 6 1 NM No

Blood Furnished Pints Of (40) 00532 UB1 003 6 2 NM No

Blood Not Replaced Pints(42) 00534 UB1 005 6 2 NM No

Blood Replaced Pints (41) 00533 UB1 004 6 2 NM No

Brand Name 01249 PDC 003 7 60 ST No 0
Business Phone Number 00195 NK1 006 3 40 XTN Yes

Call Back Phone Number 00228 ORC 014 4 40 XTN Yes 2
Case Manager 00522 IN3 021 6 48 ST No

Catalogue Identifier 01253 PDC 007 7 60 ST No 0
Cause Of Death 01090 PEO 018 7 60 CE Yes

Certainty of Problem 00854 PRB 019 12 60 CE No

Certification Agency 00519 IN3 018 6 60 CE No

Certification Agency Phone Number 00520 IN3 019 6 40 XTN Yes

Certification Begin Date 00510 IN3 009 6 8 DT No

Certification Contact 00516 IN3 015 6 48 ST No

Certification Contact Phone Number 00517 IN3 016 6 40 XTN Yes

Certification Date/Time 00507 IN3 006 6 26 TS No

Certification End Date 00511 IN3 010 6 8 DT No

Certification Modify Date/Time 00508 IN3 007 6 26 TS No

Certification Number 00503 IN3 002 6 59 CX No

Certification Required 00505 IN3 004 6 1 ID No
0136
Certified By 00504 IN3 003 6 60 XCN Yes

Chairman of Study 01014 CM0 005 8 60 XCN No

Challenge Information 00939 OM1 044 8 200 TX No

Champus ID Number 00481 IN2 010 6 20 ST No

Champus Non-Avail Cert on File 00489 IN2 018 6 1 ID No
0136
Champus Organization 00483 IN2 012 6 25 ST No

Champus Rank/Grade 00486 IN2 015 6 2 IS No
0141
Champus Retire Date 00488 IN2 017 6 8 DT No

Champus Service 00485 IN2 014 6 14 IS No
0140
Champus Sponsor Name 00480 IN2 009 6 48 XPN Yes

Champus Station 00484 IN2 013 6 25 ST No

Champus Status 00487 IN2 016 6 3 IS No
0142
Change Pathway Lifecycle Status Date/Time 01211 PTH 006 12 26 TS No

Character Set 00692 MSH 018 2 6 ID Yes 3 0211
Charge Code 00981 LCC 004 8 60 CE Yes
0132
Charge Code Alias 00983 CDM 002 8 200 CE Yes

Charge Description Long 00985 CDM 004 8 250 ST No

Charge Description Short 00984 CDM 003 8 20 ST No

Charge On Indicator 01009 PRC 018 8 1 ID No
0269
Charge Price Indicator 00151 PV1 021 3 2 IS No
0032
Charge To Practice 00256 OBR 023 4 40 CM No

Charge Type 00235 BLG 002 4 50 ID No
0122
Chargeable Flag 01008 PRC 015 8 1 ID No
0136
Checksum Errors Received 01182 NST 010 C 10 NM No

Citizenship 00129 GT1 035 6 4 IS No
0171
Citizenship 00129 NK1 019 3 4 IS Yes
0171
Citizenship 00129 IN2 033 6 4 IS No
0171
Citizenship 00129 PID 026 3 4 IS Yes
0171
Clinic Organization Name 00724 PV2 023 3 90 XON Yes

Co Insurance Days (25) 00535 UB1 006 6 2 NM No

Co-Insurance Days (9) 00554 UB2 002 6 3 ST No

Coded Representation of Method 00599 OM1 014 8 200 CE No

Collection Volume 00243 OBR 009 4 20 CQ No

Collector Identifier 00244 OBR 010 4 60 XCN Yes

Collector's Comment 01030 OBR 039 4 200 CE Yes

Column Description 00702 RDF 002 2 40 CM Yes

Column Value 00703 RDT 1-n 2 Variable Variable No

Combine Baby Bill 00491 IN2 020 6 1 ID No
0136
Comment 00098 NTE 003 2 65536 FT Yes

Company Plan Code 00460 IN1 035 6 8 IS No
0042
Completion Status 01223 RXA 020 4 2 ID No
0322
Component Amount 00315 RXC 003 4 20 NM No

Component Code 00314 RXC 002 4 100 CE No

Component Strength 01124 RXC 005 4 20 NM No

Component Strength Units 01125 RXC 006 4 60 CE No

Component Units 00316 RXC 004 4 60 CE No

Condition Code (24-30) 00555 UB2 003 6 2 IS Yes 7 0043
Condition Code (35-39) 00536 UB1 007 6 14 IS Yes 5 0043
Confidential Indicator 00767 DG1 018 6 1 ID No
0136
Confidential Indicator 00767 DRG 010 6 1 ID No
0136
Confidentiality Code 00615 OM1 030 8 1 IS No
0177
Confirmation Provided By 01095 PEO 023 7 1 ID No
0242
Connect Timeouts 01185 NST 013 C 10 NM No

Consent Code 00403 PR1 013 6 60 CE No
0059
Consulting Doctor 00139 PV1 009 3 60 XCN Yes
0010
Contact Address 01268 FAC 007 7 200 XAD Yes 0
Contact Address 01166 CTD 003 11 60 XAD No

Contact Communication Information 01168 CTD 005 11 100 XTN Yes

Contact for Study 01018 CM0 009 8 60 XCN No

Contact Identifiers 01171 CTD 007 11 100 CM Yes

Contact Location 01167 CTD 004 11 60 EI No

Contact Name 01165 CTD 002 11 106 XPN Yes

Contact Person 01266 FAC 005 7 60 XCN Yes 0
Contact Person Social Security Number 00754 NK1 037 3 16 ST No

Contact Person's Address 00750 NK1 032 3 106 XAD Yes

Contact Person's Name 00748 NK1 030 3 48 XPN Yes

Contact Person's Name 00748 GT1 045 6 48 XPN Yes

Contact Person's Telephone Number 00749 NK1 031 3 40 XTN Yes

Contact Person's Telephone Number 00749 GT1 046 6 40 XTN Yes

Contact Phone 00978 LDP 011 8 40 XTN No

Contact Reason 00747 GT1 047 6 80 CE No
0222
Contact Reason 00747 NK1 029 3 80 CE Yes
0222
Contact Relationship Code 00784 GT1 048 6 2 IS No
0063
Contact Role 00196 NK1 007 3 60 CE No
0131
Contact Telecommunication 01269 FAC 008 7 44 XTN Yes 0
Contact Title 01267 FAC 006 7 60 ST Yes 0
Contact's Address 01020 CM0 011 8 100 XAD No

Contact's Tel. Number 01019 CM0 010 8 40 XTN No

Container Description 00643 OM4 003 8 60 TX No

Container Units 00645 OM4 005 8 60 CE No

Container Volume 00644 OM4 004 8 20 NM No

Continuation Pointer 00014 DSC 001 2 180 ST No

Continuation Pointer 00014 MSH 014 2 180 ST No

Contract Amount 00156 PV1 026 3 12 NM Yes

Contract Code 00154 PV1 024 3 2 IS Yes
0044
Contract Effective Date 00155 PV1 025 3 8 DT Yes

Contract Number 00992 CDM 011 8 200 CK Yes

Contract Organization 00993 CDM 012 8 200 XON No

Contract Period 00157 PV1 027 3 3 NM Yes

Contraindications to Observations 00618 OM1 033 8 65536 CE No

Coord of Ben. Priority 00447 IN1 022 6 2 ST No

Coordination of Benefits 00446 IN1 021 6 2 IS No
0173
Copay Limit Flag 00807 IN2 067 6 2 ID No
0136
Copy Auto Ins 01229 STF 023 8 1 ID No
0136
Corresponding SI Units of Measure 00629 OM2 004 8 60 CE No

Cost 00989 PRC 017 8 12 CP No

Country 01248 PDC 002 7 60 CE No 0
Country Code 00017 MSH 017 2 2 ID No

County Code 00115 PID 012 3 4 IS No

Courtesy Code 00152 PV1 022 3 2 IS No
0045
Coverage Type 01277 IN1 047 6 3 IS No
0309
Covered Days (23) 00537 UB1 008 6 3 NM No

Covered Days (7) 00556 UB2 004 6 3 ST No

Credit Rating 00153 PV1 023 3 2 IS No
0046
Critical Range for Ordinal & Continuous Obs 00632 OM2 007 8 200 CM No

Critical Text Codes for Categorical Observations 00640 OM3 006 8 200 CE No

Current Application 01191 NSC 004 C 30 ST No

Current CPU 01189 NSC 002 C 30 ST No

Current Facility 01192 NSC 005 C 30 ST No

Current Fileserver 01190 NSC 003 C 30 ST No

Current Goal Review Date/Time 00828 GOL 012 12 26 TS No

Current Goal Review Status 00827 GOL 011 12 80 CE No

Current Patient Balance 00176 PV1 046 3 12 NM No

D/T of Most Recent Refill or Dose Dispensed 00328 RXE 018 4 26 TS No

Daily Deductible 00501 IN2 030 6 25 CM No

Danger Code 00246 OBR 012 4 60 CE No

Data Line 00063 DSP 003 2 300 TX No

Date Entered Practice 01296 PRA 008 8 8 DT No

Date First Marked 01260 PDC 014 7 26 TS No 0
Date Last DMV Review 01298 STF 025 8 8 DT No

Date Last Marked 01261 PDC 015 7 26 TS No 0
Date Last Obs Normal Values 00580 OBX 012 7 26 TS No

Date Needed 00284 RQD 010 4 8 DT No

Date Next DMV Review 01234 STF 026 8 8 DT No

Date Product Returned To Manufacturer 01115 PCR 018 7 26 TS No

Date/Time Dispensed 00336 RXD 003 4 26 TS No

Date/Time End of Administration 00346 RXA 004 4 26 TS No

Date/time Ended Study 01049 CSR 015 7 26 TS No

Date/Time Goal Established 00822 GOL 007 12 26 TS No

Date/Time of Birth 00110 NK1 016 3 26 TS No

Date/Time of Birth 00110 STF 006 8 26 TS No

Date/Time of Birth 00110 PID 007 3 26 TS No

Date/Time of Event 00100 EVN 002 3 26 TS No

Date/Time of Message 00007 MSH 007 2 26 TS No

Date/Time of Patient Study Registration 01040 CSR 006 7 26 TS No

Date/Time of the Observation 00582 OBX 014 7 26 TS No

Date/Time of Transaction 00223 ORC 009 4 26 TS No

Date/time Patient Study Consent Signed 01043 CSR 009 7 26 TS No

Date/Time Planned Event 00101 EVN 003 3 26 TS No

Date/Time Problem Established 00842 PRB 007 12 26 TS No

Date/Time Selection Qualifier 00044 QRF 008 2 12 ID Yes
0158
Date/Time Stamp for Any Change in Def Attri for Obs 00606 OM1 021 8 26 TS No

Date/Time Start of Administration 00345 RXA 003 4 26 TS No

Date/time Study Phase Began 01052 CSP 002 7 26 TS No

Date/time Study Phase Ended 01053 CSP 003 7 26 TS No

Days 00512 IN3 011 6 3 CM No
0149
Deferred Response Date/Time 00030 QRD 006 2 26 TS No

Deferred Response Type 00029 QRD 005 2 1 ID No
0107
Delay Before L. R. Day 00459 IN1 034 6 4 NM No

Delayed Acknowledgment Type 00022 MSA 005 2 1 ID No
0102
Delete Account Date 00165 PV1 035 3 8 DT No

Delete Account Indicator 00164 PV1 034 3 1 IS No
0111
Deliver To ID 00283 RQD 009 4 60 CE No

Deliver-to Location 00299 RXE 008 4 200 CM No

Deliver-to Location 00299 RXO 008 4 200 CM No

Delta Check Criteria 00634 OM2 009 8 200 CM Yes

Department 00676 STF 008 8 200 CE Yes
0184
Department 00996 PRC 003 8 60 CE Yes

Department Code 00367 FT1 013 6 60 CE No
0049
Dependent of Champus Recipient 00482 IN2 011 6 80 CE No

Dept. Cost Center 00281 RQD 007 4 30 IS No
0319
Derivation Rule 00657 OM6 002 8 10240 TX No

Derived Specimen 00642 OM4 002 8 1 ID No
0170
Description of Study Phase 01023 CM1 003 8 300 ST No

Description of Test Methods 00626 OM1 041 8 65536 TX No

Description of Time Point 01026 CM2 003 8 300 ST No

Description Override Indicator 00986 CDM 005 8 1 IS No
0268
Device Family Name 01250 PDC 004 7 60 ST No 0
Device Operator Qualifications 01116 PCR 019 7 1 ID No
0242
Disabled Indicator 01286 DB1 004 3 1 ID No 0 0136
Diagnosing Clinician 00390 DG1 016 6 60 XCN Yes

Diagnosis Classification 00766 DG1 017 6 3 IS No
0228
Diagnosis Code 00377 DG1 003 6 60 CE No
0051
Diagnosis Code 00371 FT1 019 6 60 CE Yes
0051
Diagnosis Coding Method 00376 DG1 002 6 2 ID No
0053
Diagnosis Date/Time 00379 DG1 005 6 26 TS No

Diagnosis Description 00378 DG1 004 6 40 ST No

Diagnosis/DRG Priority 00389 DG1 015 6 2 NM No

Diagnosis/DRG Type 00380 DG1 006 6 2 IS No
0052
Diagnostic Related Group 00382 DRG 001 6 60 CE No
0055
Diagnostic Related Group 00382 DG1 008 6 60 CE No
0055
Diagnostic Serv Sect ID 00257 OBR 024 4 10 ID No
0074
Diet Type 00168 PV1 038 3 2 IS No
0114
Diet, Supplement, or Preference Code 00271 ODS 003 4 60 CE Yes 20
Disability end date 01288 DB1 006 3 8 DT No 0
Disability return to work date 01289 DB1 007 3 8 DT No 0
Disability start date 01287 DB1 005 3 8 DT No 0
Disability unable to work date 01290 DB1 008 3 8 DT No 0
Disabled person code 01284 DB1 002 3 2 IS No 0 0034
Disabled person identifier 01285 DB1 003 3 32 CX Yes 0
Discharge Date/Time 00175 PV1 045 3 26 TS No

Discharge Disposition 00166 PV1 036 3 3 IS No
0112
Discharged to Location 00167 PV1 037 3 25 CM No
0113
Dispense Amount 00323 RXE 010 4 20 NM No

Dispense Notes 00340 RXD 009 4 200 CE Yes

Dispense Package Method 01222 RXE 030 4 2 ID No
0321
Dispense Package Method 01222 RXD 024 4 2 ID No
0321
Dispense Package Size 01220 RXE 028 4 20 NM No

Dispense Package Size 01220 RXD 022 4 20 NM No

Dispense Package Size Unit 01221 RXE 029 4 60 CE No

Dispense Package Size Unit 01221 RXD 023 4 60 CE No

Dispense Sub-ID Counter 00334 RXD 001 4 4 NM No

Dispense Sub-ID Counter 00334 RXG 002 4 4 NM No

Dispense Units 00324 RXE 011 4 60 CE No

Dispense-to Location 01303 RXD 013 4 200 CM No

Dispense-to Location 01303 RXG 011 4 200 CM No

Dispense/Give Code 00335 RXD 002 4 100 CE No
0292
Dispensing Provider 00341 RXD 010 4 200 XCN No

Display Level 00062 DSP 002 2 4 SI No

Distributed Copies (Code and Name of Recipients) 00935 TXA 023 9 60 XCN Yes

Document Availability Status 00930 TXA 019 9 2 ID No
0273
Document Change Reason 00933 TXA 021 9 30 ST No
0
Document Completion Status 00928 TXA 017 9 2 ID No
0271
Document Confidentiality Status 00929 TXA 018 9 2 ID No
0272
Document Content Presentation 00916 TXA 003 9 2 ID No
0191
Document Control Number 00564 UB2 012 6 23 ST Yes 3
Document Storage Status 00932 TXA 020 9 2 ID No
0275
Document Type 00915 TXA 002 9 30 IS No
0270
Documented Date/Time 01213 VAR 002 12 26 TS No

DRG Approval Indicator 00383 DRG 003 6 2 ID No
0136
DRG Approval Indicator 00383 DG1 009 6 2 ID No
0136
DRG Assigned Date/Time 00769 DRG 002 6 26 TS No

DRG Grouper Review Code 00384 DRG 004 6 2 IS No
0056
DRG Grouper Review Code 00384 DG1 010 6 2 IS No
0056
DRG Payor 00770 DRG 008 6 1 IS No
0229
Driver's License - Patient 00123 PID 020 3 25 CM No

Driver's License - Staff 01302 STF 022 8 25 CM No

Duplicate Patient 00762 PD1 010 3 2 CX Yes
0
Duration 00893 AIS 007 10 20 NM No

Duration 00893 AIG 011 10 20 NM No

Duration 00893 AIP 009 10 20 NM No

Duration 00893 AIL 009 10 20 NM No

Duration Units 00894 AIG 012 10 200 CE No

Duration Units 00894 AIP 010 10 200 CE No

Duration Units 00894 AIL 010 10 200 CE No

Duration Units 00894 AIS 008 10 200 CE No

E-mail Address 00683 STF 015 8 40 ST Yes

Edit Date/Time 00921 TXA 008 9 26 TS Yes

Effective Date 01143 RF1 007 11 26 TS No

Effective Date/Time 00662 MFI 005 8 26 TS No

Effective Date/Time 00662 MFE 003 8 26 TS No

Effective Date/Time of Change in Test Procedure that Make Results Non-Comparable 00607 OM1 022 8 26 TS No

Effective End Date 01005 PRC 012 8 26 TS No

Effective End Date of Role 01164 PRD 009 11 26 TS No

Effective Start Date 01004 PRC 011 8 26 TS No

Effective Start Date of Role 01163 PRD 008 11 26 TS No

Eligibility Source 00498 IN2 027 6 1 IS No
0144
Employer Contact Person Name 00789 IN2 049 6 48 XPN Yes
0311
Employer Contact Person Phone Number 00790 IN2 050 6 40 XTN Yes

Employer Contact Reason 00791 IN2 051 6 2 IS No
0222
Employer Information Data 00475 IN2 004 6 1 IS No
0139
Employment Illness Related Indicator 00716 PV2 015 3 1 ID No
0136
Employment Start Date 00787 IN2 044 6 8 DT No

Employment Status 01276 STF 020 8 2 ID No
0066
Employment Stop Date 00783 GT1 032 6 8 DT No

Employment Stop Date 00783 IN2 045 6 8 DT No

Encoding Characters 00002 MSH 002 2 4 ST No

End Date 00198 NK1 009 3 8 DT No

Entered By 00224 ORC 010 4 120 XCN No

Entered By Code 00765 FT1 024 6 120 XCN No

Entered by Location 00880 SCH 022 10 80 PL No 0
Entered By Location 00880 ARQ 021 10 80 PL No

Entered By Person 00878 ARQ 019 10 48 XCN No

Entered by Person 00878 SCH 020 10 48 XCN No 0
Entered by Phone Number 00879 SCH 021 10 40 XTN Yes 0
Entered By Phone Number 00879 ARQ 020 10 40 XTN Yes

Entered Date/Time 00661 MFI 004 8 26 TS No

Enterer's Location 00227 ORC 013 4 80 PL No

Entering Device 00232 ORC 018 4 60 CE No

Entering Organization 00231 ORC 017 4 60 CE No

Episode of Care ID 00820 GOL 005 12 60 EI No

Episode of Care ID 00820 PRB 005 12 60 EI No

EQL Query Name 00709 EQL 003 2 60 CE No

EQL Query Statement 00710 EQL 004 2 4096 ST No

Error Code and Location 00024 ERR 001 2 80 CM Yes

Error Condition 00023 MSA 006 2 100 CE No

Error Return Code and/or Text 00669 MFA 004 8 60 CE No
0181
Escort Required 01033 OBR 042 4 1 ID No
0225
Estimated Length of Inpatient Stay 00711 PV2 010 3 3 NM No

Ethnic Group 00125 NK1 028 3 3 IS No
0189
Ethnic Group 00125 PID 022 3 3 IS No
0189
Ethnic Group 00125 GT1 044 6 3 IS No
0189
Ethnic Group 00125 IN2 042 6 3 IS No
0189
Evaluated Product Source 01114 PCR 017 7 8 ID No
0248
Event Occurred 01278 EVN 006
26 TS No 0
Event Causality Observations 01119 PCR 022 7 2 ID Yes 6 0232
Event Completion Date/Time 00668 MFA 003 8 26 TS No

Event Description From Autopsy 01089 PEO 017 7 600 FT Yes

Event Description From Others 01085 PEO 013 7 600 FT Yes

Event Description From Patient 01087 PEO 015 7 600 FT Yes

Event Description From Practitioner 01088 PEO 016 7 600 FT Yes

Event Ended Data/Time 01078 PEO 006 7 26 TS No

Event Exacerbation Date/Time 01076 PEO 004 7 26 TS No

Event Expected 01082 PEO 010 7 1 ID No
0239
Event From Original Reporter 01086 PEO 014 7 600 FT Yes

Event Identifier 00706 ERQ 002 2 60 CE No

Event Identifiers Used 01073 PEO 001 7 60 CE Yes

Event Improved Date/Time 01077 PEO 005 7 26 TS No

Event Location Occurred Address 01079 PEO 007 7 106 XAD No

Event Onset Date/Time 01075 PEO 003 7 26 TS No

Event Outcome 01083 PEO 011 7 1 ID Yes
0240
Event Qualification 01080 PEO 008 7 1 ID Yes
0237
Event Reason 00883 SCH 006 10 200 CE No

Event Reason Code 00102 EVN 004 3 3 IS No
0062
Event Report Date 01069 PES 010 7 26 TS No

Event Report Source 01071 PES 012 7 1 ID No
0235
Event Report Timing/Type 01070 PES 011 7 3 ID Yes 2 0234
Event Reported To 01072 PES 013 7 1 ID Yes
0236
Event Serious 01081 PEO 009 7 1 ID No
0238
Event Symptom/Diagnosis Code 01074 PEO 002 7 60 CE Yes

Event Type Code 00099 EVN 001 3 3 ID No
0003
Events Scheduled This Time Point 01027 CM2 004 8 60 CE Yes 200
Expected Admit Date 00188 PV2 008 3 8 DT No

Expected Discharge Date 00189 PV2 009 3 8 DT No

Expected Discharge Disposition 00728 PV2 027 3 2 IS No
0112
Expected Goal Achievement Date/Time 00824 GOL 008 12 26 TS No

Expected Number of Insurance Plans 00721 PV2 020 3 1 NM No

Expected Sequence Number 00021 MSA 004 2 15 NM No

Expected Shelf Life 01259 PDC 013 7 12 CQ No 0
Expected Surgery Date & Time 00734 PV2 033 3 26 TS No

Expiration Date 01144 RF1 008 11 26 TS No

Exploding Charges 00987 CDM 006 8 60 CE Yes

External Referral Identifier 01300 RF1 011 11 30 EI Yes

Facility Address 01264 FAC 003 7 200 XAD No 0
Facility ID 01262 FAC 001 7 20 EI No 0
Facility ID 00995 PRC 002 8 60 CE Yes

Facility Telecommunication 01265 FAC 004 7 44 XTN No 0
Facility Type 01263 FAC 002 7 1 ID No 0 0331
Factors that may Effect the Observation 00624 OM1 039 8 200 TX No

Family/Significant Other Awareness of Problem/Prognosis 00859 PRB 024 12 200 ST No

Fee Schedule 00370 FT1 017 6 1 IS No
0024
Field Separator 00001 MSH 001 2 1 ST No

File Batch Count 00079 FTS 001 2 10 NM No

File Control ID 00077 FHS 011 2 20 ST No

File Creation Date/Time 00073 FHS 007 2 26 TS No

File Encoding Characters 00068 FHS 002 2 4 ST No

File Field Separator 00067 FHS 001 2 1 ST No

File Header Comment 00076 FHS 010 2 80 ST No

File Name/ID 00075 FHS 009 2 20 ST No

File Receiving Application 00071 FHS 005 2 15 ST No

File Receiving Facility 00072 FHS 006 2 20 ST No

File Security 00074 FHS 008 2 40 ST No

File Sending Application 00069 FHS 003 2 15 ST No

File Sending Facility 00070 FHS 004 2 20 ST No

File Trailer Comment 00080 FTS 002 2 80 ST No

File-Level Event Code 00660 MFI 003 8 3 ID No
0178
Filler Appointment ID 00861 SCH 002 10 22 EI No

Filler Appointment ID 00861 ARQ 002 10 22 EI No

Filler Contact Address 00887 SCH 018 10 106 XAD No

Filler Contact Location 00888 SCH 019 10 80 PL No

Filler Contact Person 00885 SCH 016 10 38 XCN No

Filler Contact Phone Number 00886 SCH 017 10 40 XTN No

Filler Field 1 00253 OBR 020 4 60 ST No

Filler Field 2 00254 OBR 021 4 60 ST No

Filler Order Number 00217 TXA 015 9 22 EI No

Filler Order Number 00217 ORC 003 4 22 EI No

Filler Order Number 00217 FT1 023 6 22 EI No

Filler Order Number 00217 OBR 003 4 22 EI No

Filler Override Criteria 00912 APR 005 10 80 CM Yes

Filler Status Code 00889 AIG 014 10 200 CE No
0278
Filler Status Code 00889 AIP 012 10 200 CE No
0278
Filler Status Code 00889 AIL 012 10 200 CE No
0278
Filler Status Code 00889 SCH 025 10 200 CE No
0278
Filler Status Code 00889 AIS 010 10 200 CE No
0278
Financial Class 00150 PV1 020 3 50 CM Yes
0064
First Similar Illness Date 00730 PV2 029 3 8 DT No

Fixed Canned Message 00621 OM1 036 8 65536 CE No

Formula 00999 PRC 006 8 200 ST Yes

Generic Name 01251 PDC 005 7 60 CE No 0
Generic Product 01099 PCR 002 7 1 IS No
0239
Give Amount - Maximum 00319 RXE 004 4 20 NM No

Give Amount - Maximum 00319 RXG 006 4 20 NM No

Give Amount - Minimum 00318 RXE 003 4 20 NM No

Give Amount - Minimum 00318 RXG 005 4 20 NM No

Give Code 00317 RXG 004 4 100 CE No
0292
Give Code 00317 RXE 002 4 100 CE No
0292
Give Dosage Form 00321 RXG 008 4 60 CE No

Give Dosage Form 00321 RXE 006 4 60 CE No

Give Indication 01128 RXE 027 4 200 CE Yes

Give Per (Time Unit) 00331 RXG 014 4 20 ST No

Give Per (Time Unit) 00331 RXE 022 4 20 ST No

Give Rate Amount 00332 RXE 023 4 6 ST No

Give Rate Amount 00332 RXG 015 4 6 ST No

Give Rate Units 00333 RXE 024 4 60 CE No

Give Rate Units 00333 RXG 016 4 60 CE No

Give Strength 01126 RXG 017 4 20 NM No

Give Strength 01126 RXE 025 4 20 NM No

Give Strength Units 01127 RXE 026 4 60 CE No

Give Strength Units 01127 RXG 018 4 60 CE No

Give Sub-ID Counter 00342 RXA 001 4 4 NM No

Give Sub-ID Counter 00342 RXG 001 4 4 NM No

Give Units 00320 RXE 005 4 60 CE No

Give Units 00320 RXG 007 4 60 CE No

Goal Classification 00825 GOL 009 12 80 CE No

Goal Evaluation 00832 GOL 016 12 80 CE No

Goal Evaluation Comment 00833 GOL 017 12 300 ST Yes

Goal ID 00818 GOL 003 12 80 CE No

Goal Instance ID 00819 GOL 004 12 60 EI No

Goal Life Cycle Status 00834 GOL 018 12 80 CE No

Goal Life Cycle Status Date/Time 00835 GOL 019 12 26 TS No

Goal Management Discipline 00826 GOL 010 12 80 CE No

Goal Review Interval 00831 GOL 015 12 200 TQ No

Goal Target Name 00837 GOL 021 12 80 XPN Yes

Goal Target Type 00836 GOL 020 12 80 CE Yes

Group Name 00434 IN1 009 6 130 XON Yes

Group Number 00433 IN1 008 6 12 ST No

Grouper Version and Type 00388 DG1 014 6 4 ST No

Guarantor Address 00409 GT1 005 6 106 XAD Yes

Guarantor Billing Hold Flag 00773 GT1 022 6 1 ID No
0136
Guarantor Charge Adjustment Code 00777 GT1 026 6 80 CE No
0218
Guarantor Credit Rating Code 00774 GT1 023 6 80 CE No

Guarantor Date - Begin 00417 GT1 013 6 8 DT No

Guarantor Date - End 00418 GT1 014 6 8 DT No

Guarantor Date/Time of Birth 00412 GT1 008 6 26 TS No

Guarantor Death Date And Time 00775 GT1 024 6 26 TS No

Guarantor Death Flag 00776 GT1 025 6 1 ID No
0136
Guarantor Employ Phone Number 00422 GT1 018 6 40 XTN Yes

Guarantor Employee ID Number 00423 GT1 019 6 20 CX Yes

Guarantor Employer Address 00421 GT1 017 6 106 XAD Yes

Guarantor Employer ID Number 00780 GT1 029 6 20 CX Yes

Guarantor Employer Name 00420 GT1 016 6 130 XPN Yes

Guarantor Employer's Organization Name 01299 GT1 051 6 130 XON Yes

Guarantor Employment Status 00424 GT1 020 6 2 IS No
0066
Guarantor Financial Class 01231 GT1 054 6 0 CM No

Guarantor Hire Effective Date 00782 GT1 031 6 8 DT No

Guarantor Household Annual Income 00778 GT1 027 6 10 CP No

Guarantor Household Size 00779 GT1 028 6 3 NM No

Guarantor Marital Status Code 00781 GT1 030 6 1 IS No
0002
Guarantor Name 00407 GT1 003 6 48 XPN Yes

Guarantor Number 00406 GT1 002 6 59 CX Yes

Guarantor Organization 00425 GT1 021 6 130 XON Yes

Guarantor Ph Num- Home 00410 GT1 006 6 40 XTN Yes

Guarantor Ph Num-Business 00411 GT1 007 6 40 XTN Yes

Guarantor Priority 00419 GT1 015 6 2 NM No

Guarantor Race 01291 GT1 055 6 1 IS No 0 0005
Guarantor Relationship 00415 GT1 011 6 2 IS No
0063
Guarantor Sex 00413 GT1 009 6 1 IS No
0001
Guarantor Spouse Name 00408 GT1 004 6 48 XPN Yes

Guarantor SSN 00416 GT1 012 6 11 ST No

Guarantor Type 00414 GT1 010 6 2 IS No
0068
Guarantor's Relationship To Insured 00802 IN2 062 6 2 IS No
0063
Handicap 00753 NK1 036 3 2 IS No
0295
Handicap 00753 IN1 048 6 2 IS No
0310
Handicap 00753 GT1 052 6 2 IS No
0310
Handicap 00753 PD1 006 3 2 IS No
0295
HCFA Patient Relationship to Insured 00811 IN2 072 6 60 CE No

Hospital Item Code 00278 RQD 004 4 60 CE No

Hospital Service 00140 PV1 010 3 3 IS No
0069
Identification Date 00208 AL1 006 3 8 DT No

Identity of Instrument Used to Perform this Study 00598 OM1 013 8 60 CE Yes

Implicated Product 01098 PCR 001 7 60 CE No

Inactivated Reason 00971 LDP 009 8 80 ST No

Inactivation Date - LDP 00970 LDP 008 8 26 TS No

Inactivation Date - STF 00681 STF 013 8 26 CM Yes

Indication 01123 RXD 021 4 200 CE Yes

Indication 01123 RXG 022 4 200 CE Yes

Indication 01123 RXA 019 4 200 CE Yes

Indication 01123 RXO 020 4 200 CE Yes

Indication For Product Use 01107 PCR 010 7 60 CE No

Indirect Exposure Mechanism 01120 PCR 023 7 1 ID Yes 3 0253
Individual Awareness of Problem 00856 PRB 021 12 80 CE No

Individual Awareness of Prognosis 00858 PRB 023 12 80 CE No

Input Parameter List 00705 SPR 004 2 256 CM Yes

Input Parameter List 00705 ERQ 003 2 256 CM Yes

Institution Registering the Patient 01037 CSR 003 7 60 CE No

Insurance Amount 00369 FT1 015 6 12 CP No

Insurance Co Contact Phone Number 00798 IN2 058 6 40 XTN No

Insurance Co Phone Number 00432 IN1 007 6 40 XTN Yes

Insurance Co. Contact Person 00431 IN1 006 6 48 XPN Yes

Insurance Co. Contact Reason 00797 IN2 057 6 2 IS No
0232
Insurance Company Address 00430 IN1 005 6 106 XAD Yes

Insurance Company ID 00428 IN1 003 6 59 CX Yes

Insurance Company Name 00429 IN1 004 6 130 XON Yes

Insurance Plan ID 00368 IN1 002 6 60 CE No
0072
Insurance Plan ID 00368 FT1 014 6 60 CE No
0072
Insured Employer Organization Name And ID 00810 IN2 070 6 130 XON Yes

Insured Organization Name And ID 00809 IN2 069 6 130 XON Yes

Insured's Address 00444 IN1 019 6 106 XAD Yes

Insured's Contact Person Reason 00794 IN2 054 6 2 IS Yes
0222
Insured's Contact Person Telephone Number 00793 IN2 053 6 40 XTN Yes

Insured's Contact Person's Name 00792 IN2 052 6 48 XPN Yes

Insured's Date of Birth 00443 IN1 018 6 26 TS No

Insured's Employee ID 00472 IN2 001 6 59 CX Yes

Insured's Employer Address 00469 IN1 044 6 106 XAD Yes

Insured's Employer Name 00474 IN2 003 6 130 XCN Yes

Insured's Employer Telephone Number 00804 IN2 064 6 40 XTN Yes

Insured's Employment Status 00467 IN1 042 6 60 CE No
0066
Insured's Group Emp ID 00436 IN1 011 6 130 XON Yes

Insured's Group Emp Name 00435 IN1 010 6 12 CX Yes

Insured's ID Number 01230 IN1 049 6 12 CX No

Insured's Relationship to Patient 00442 IN1 017 6 2 IS No
0063
Insured's Sex 00468 IN1 043 6 1 IS No
0001
Insured's Social Security Number 00473 IN2 002 6 11 ST No

Insured's Telephone Number - Home 00803 IN2 063 6 40 XTN Yes

Interest Code 00158 PV1 028 3 2 IS No
0073
Interpretation of Observations 00617 OM1 032 8 65536 TX No

Inventory Number 00990 CDM 009 8 60 CE Yes

Item Code - External 00277 RQD 003 4 60 CE No

Item Code - Internal 00276 RQD 002 4 60 CE No

Item Natural Account Code 00282 RQD 008 4 30 IS No
0320
Job Code/Class 00786 IN2 047 6 20 CM No

Job Code/Class 00786 GT1 050 6 20 CM No

Job Code/Class 00786 STF 019 8 20 CM No

Job Status 00752 GT1 053 6 2 IS No
0311
Job Status 00752 IN2 048 6 2 IS No

Job Status 00752 NK1 034 3 2 IS No
0311
Job Title 00785 GT1 049 6 20 ST No

Job Title 00785 STF 018 8 240 ST No

Job Title 00785 IN2 046 6 20 ST No

Kind of Quantity Observed 00937 OM1 042 8 60 CE No
0254
Labeled Shelf Life 01258 PDC 012 7 12 CQ No 0
Last Accrual Date 01017 CM0 008 8 8 DT No

Last IRB Approval Date 01015 CM0 006 8 8 DT No

Length Errors Received 01183 NST 011 C 10 NM No

License Number 00951 LOC 007 8 60 CE Yes

Lifetime Reserve Days 00458 IN1 033 6 4 NM No

Living Arrangement 00742 GT1 037 6 2 IS No
0220
Living Arrangement 00742 PD1 002 3 2 IS No
0220
Living Arrangement 00742 NK1 021 3 2 IS No
0220
Living Arrangement 00742 IN2 035 6 2 IS No
0220
Living Dependency 00755 IN2 031 6 2 IS No
0223
Living Dependency 00755 PD1 001 3 2 IS Yes
0223
Living Dependency 00755 NK1 017 3 2 IS Yes
0223
Living Dependency 00755 GT1 033 6 2 IS No
0223
Living Will 00759 PD1 007 3 2 IS No
0315
Location Address 00948 LOC 005 8 106 XAD No

Location Characteristic ID 01295 LCH 004 8 80 CE No 0 0324
Location Characteristic Value 01294 LCH 005 8 80 CE No 0
Location Department 00964 LCC 002 8 10 IS No
0264
Location Department 00964 LDP 002 8 10 IS No
0264
Location Description 00944 LOC 002 8 48 ST No

Location Equipment 00953 LOC 008 8 3 IS Yes
0261
Location Group 00905 AIL 005 10 200 CE No

Location Phone 00949 LOC 006 8 40 XTN Yes

Location Relationship ID 01227 LRL 004 8 80 CE No
0325
Location Resource ID 00903 AIL 003 10 80 PL No

Location Selection Criteria 00910 APR 003 10 80 CM Yes

Location Service 00965 LDP 003 8 3 IS Yes
0069
Location Type 00904 AIL 004 10 200 CE No

Location Type 00945 LOC 003 8 2 IS Yes
0260
Logical Break Point 00064 DSP 004 2 2 ST No

Mail Claim Party 00476 IN2 005 6 1 IS Yes
0137
Major Diagnostic Category 00381 DG1 007 6 60 CE No
0118
Manufactured ID 00286 RQ1 002 4 60 CE No

Manufacturer's Catalog 00287 RQ1 003 4 16 ST No

Manufacturer/Distributor 01247 PDC 001 7 80 XON No 0
Marital Status 00119 NK1 014 3 2 IS No
0002
Marital Status 00119 PID 016 3 1 IS No
0002
Marital Status 00119 STF 017 8 1 IS No
0002
Marital Status 00119 IN2 043 6 1 IS Yes
0002
Marketing Approval Identifier 01257 PDC 011 7 60 ST No 0
Marketing Basis 01256 PDC 010 7 4 ID No 0 0330
Master File Application Identifier 00659 MFI 002 8 180 HD No

Master File Identifier 00658 MFI 001 8 60 CE No
0175
Master Goal List Number 00821 GOL 006 12 60 NM No

Master Problem List Number 00841 PRB 006 12 60 NM No

Maximum Price 01003 PRC 010 8 12 CP No

Maximum Quantity 01001 PRC 008 8 4 NM No

Medicaid Case Name 00478 IN2 007 6 48 XPN Yes

Medicaid Case Number 00479 IN2 008 6 15 ST No

Medicare Health Ins Card Number 00477 IN2 006 6 15 ST No

Message Control ID 00010 MSH 010 2 20 ST No

Message Control ID 00010 MSA 002 2 20 ST No

Message Type 00009 MSH 009 2 7 CM No

Messages Received 01180 NST 008 C 10 NM No

Messages Sent 01181 NST 009 C 10 NM No

MFN Control ID 00665 MFA 002 8 20 ST No

MFN Control ID 00665 MFE 002 8 20 ST No

Military Handicapped Program 00805 IN2 065 6 60 CE No

Military Non-Availabiltiy Code 00736 PV2 035 3 2 ID No
0136
Military Partnership Code 00735 PV2 034 3 2 ID No
0136
Minimum Collection Volume 00651 OM4 011 8 20 CQ No

Minimum Meaningful Increments 00635 OM2 010 8 20 NM No

Minimum Price 01002 PRC 009 8 12 CP No

Minimum Quantity 01000 PRC 007 8 4 NM No

Modality of Imaging Measurement 00942 OM1 047 8 200 CE No
0259
Model Identifier 01252 PDC 006 7 60 ST Yes 0
Mother's Identifier 00124 PID 021 3 20 CX Yes

Mother's Maiden Name 00746 GT1 042 6 48 XPN No

Mother's Maiden Name 00109 PID 006 3 48 XPN No

Mother's Maiden Name 00746 IN2 040 6 48 XPN No

Mother's Maiden Name 00746 NK1 026 3 48 XPN No

Multiple Birth Indicator 00127 PID 024 3 2 ID No
0136
Name 00191 NK1 002 3 48 XPN Yes

Name of Insured 00441 IN1 016 6 48 XPN Yes

Nationality 00739 NK1 027 3 80 CE No
0212
Nationality 00739 GT1 043 6 80 CE No
0212
Nationality 00739 IN2 041 6 80 CE No
0212
Nationality 00739 PID 028 3 80 CE No
0212
Nature of Abnormal Test 00578 OBX 010 7 2 ID Yes
0080
Nature of Test/Observation 00603 OM1 018 8 1 IS No
0174
Needs Human Review 00307 RXG 012 4 1 ID No
0136
Needs Human Review 00307 RXD 014 4 1 ID No
0136
Needs Human Review 00307 RXO 016 4 1 ID No
0136
Needs Human Review 00307 RXE 020 4 1 ID No
0136
Network Change Type 01188 NSC 001 C 4 ID No

Network Errors 01187 NST 015 C 10 NM No

New Application 01195 NSC 008 C 30 ST No

New CPU 01193 NSC 006 C 30 ST No

New Facility 01196 NSC 009 C 30 ST No

New Fileserver 01194 NSC 007 C 30 ST No

Newborn Baby Indicator 00737 PV2 036 3 1 ID No
0136
Next Goal Review Date/Time 00829 GOL 013 12 26 TS No

Next of Kin Job/Associated Parties Code/Class 00200 NK1 011 3 20 CM No

Next of Kin/Associated Parties Employee Number 00201 NK1 012 3 20 CX No

Next of Kin/Associated Parties Job Title 00199 NK1 010 3 60 ST No

Non Covered Days (24) 00538 UB1 009 6 3 NM No

Non-Concur Code/Description 00513 IN3 012 6 60 CE No
0233
Non-Concur Effective Date/Time 00514 IN3 013 6 26 TS No

Non-Covered Days (8) 00557 UB2 005 6 4 ST No

Non-Covered Insurance Code 00495 IN2 024 6 8 IS Yes
0143
Normal Collection Volume 00650 OM4 010 8 20 CQ No

Normal Text/Codes for Categorical Observations 00638 OM3 004 8 200 CE Yes

Notice of Admission Date 00449 IN1 024 6 8 DT No

Notice of Admission Flag 00448 IN1 023 6 2 ID No
0136
Number of Columns per Row 00701 RDF 001 2 3 NM No

Number Of Grace Days (90) 00540 UB1 011 6 2 NM No

Number of Product Experience Reports Filed by Distributor 01246 PSH 014 7 2 NM Yes 8
Number of Product Experience Reports Filed by Facility 01245 PSH 013 7 2 NM Yes 8
Number of Refills 00304 RXE 012 4 3 NM No

Number of Refills 00304 RXO 013 4 3 NM No

Number of Refills Remaining 00326 RXD 008 4 20 NM No

Number of Refills Remaining 00326 RXE 016 4 20 NM No

Number of Refills/Doses Dispensed 00327 RXE 017 4 20 NM No

Number Of Sample Containers 01028 OBR 037 4 4 NM No

Observ Result Status 00579 OBX 011 7 1 ID No
0085
Observation Date/Time 00241 OBR 007 4 26 TS No

Observation Description 00591 OM1 006 8 200 CE No

Observation End Date/Time 00242 OBR 008 4 26 TS No

Observation ID Suffixes 00656 OM5 003 8 200 ST No

Observation Identifier 00571 OBX 003 7 590 CE No

Observation Method 00936 OBX 017 7 60 CE Yes

Observation Producing Department/Section 00601 OM1 016 8 60 CE Yes

Observation Sub-ID 00572 OBX 004 7 20 ST No

Observation Value 00573 OBX 005 7 65536 Varies Yes

Observations Required to Interpret the Obs 00616 OM1 031 8 200 CE No

Occur Span End Date (33) 00548 UB1 019 6 8 DT No

Occur Span Start Date(33) 00547 UB1 018 6 8 DT No

Occurrence (28 32) 00545 UB1 016 6 20 CM Yes 5
Occurrence Code & Date (32-35) 00559 UB2 007 6 11 CM Yes 8 0153
Occurrence Number 00862 ARQ 003 10 5 NM No

Occurrence Number 00862 SCH 003 10 5 NM No

Occurrence Span (33) 00546 UB1 017 6 2 CE No
0
Occurrence Span Code/Dates (36) 00560 UB2 008 6 28 CM Yes 2
Office/Home Address 00679 STF 011 8 106 XAD Yes

Operator 00509 IN3 008 6 60 XCN Yes

Operator ID 00103 EVN 005 3 60 XCN No
0188
Order Callback Phone Number 00250 OBR 017 4 40 XTN Yes 2
Order Control 00215 ORC 001 4 2 ID No
0119
Order Control Code Reason 00230 ORC 016 4 200 CE No

Order Effective Date/Time 00229 ORC 015 4 26 TS No

Order Status 00219 ORC 005 4 2 ID No
0038
Orderability 00597 OM1 012 8 1 ID No
0136
Ordered By Code 00373 FT1 021 6 120 XCN No

Ordering Provider 00226 OBR 016 4 80 XCN Yes

Ordering Provider 00226 ORC 012 4 120 XCN No

Ordering Provider's DEA Number 00305 RXE 013 4 60 XCN No

Ordering Provider's DEA Number 00305 RXO 014 4 60 XCN No

Organ Donor 00760 PD1 008 3 2 IS No
0316
Organization Name 00202 NK1 013 3 60 XON Yes

Organization Name 00947 LOC 004 8 90 XON No

Organizational Location Relationship Value 01301 LRL 005 8 80 XON No

Originating Referral Identifier 01142 RF1 006 11 30 EI No

Origination Date/Time 00919 TXA 006 9 26 TS No

Originator Code/Name 00922 TXA 009 9 60 XCN No

Other Errors Received 01184 NST 012 C 10 NM No

Other Healthcare Provider 01274 PV1 052 3 60 XCN Yes
0010
Other Identifier 01254 PDC 008 7 60 ST Yes 0
Other Names 00593 OM1 008 8 200 ST Yes

Other QRY Subject Filter 00041 QRF 005 2 60 ST Yes

Other Test/Observation IDs for the Observation 00592 OM1 007 8 200 CE No

Outlier Cost 00387 DG1 013 6 12 CP No

Outlier Cost 00387 DRG 007 6 12 CP No

Outlier Days 00386 DRG 006 6 3 NM No

Outlier Days 00386 DG1 012 6 3 NM No

Outlier Reimbursement 00771 DRG 009 6 9 CP No

Outlier Type 00385 DRG 005 6 60 CE No
0083
Outlier Type 00385 DG1 011 6 60 CE No
0083
Outside Site(s) Where Observation may be Performed 00612 OM1 027 8 200 CE Yes

Parent 00222 ORC 008 4 200 CM No

Parent Document Number 00926 TXA 013 9 30 ST No

Parent Filler Appointment ID 00882 ARQ 023 10 22 EI No

Parent Filler Appointment ID 00882 SCH 024 10 22 EI No

Parent Number 00261 OBR 029 4 150 CM No

Parent Placer Appointment ID 00881 ARQ 022 10 22 EI No

Parent Placer Appointment ID 00881 SCH 023 10 22 EI No

Parent Result 00259 OBR 026 4 400 CM No

Pathway Established Date/Time 01209 PTH 004 12 26 TS No

Pathway ID 01207 PTH 002 12 80 CE No

Pathway Instance ID 01208 PTH 003 12 60 EI No

Pathway Lifecycle Status 01210 PTH 005 12 80 CE No

Patient Account Number 00121 PID 018 3 20 CX No

Patient Address 00114 PID 011 3 106 XAD Yes

Patient Alias 00112 PID 009 3 48 XPN Yes

Patient Charge Adjustment Code 00731 PV2 030 3 3 IS No
0218
Patient Class 00132 PV1 002 3 1 IS No
0004
Patient Death Date and Time 00740 PID 029 3 26 TS No

Patient Death Indicator 00741 PID 030 3 1 ID No
0136
Patient Evaluability Status 01048 CSR 014 7 60 CE No

Patient ID (External ID) 00105 PID 002 3 20 CK No

Patient ID (Internal ID) 00106 PID 003 3 20 CX Yes

Patient Location Relationship Value 01292 LRL 006
80 PL No 0
Patient Member Number 00801 IN2 061 6 60 CX No

Patient Name 00108 PID 005 3 48 XPN No

Patient Outcome 01084 PEO 012 7 1 ID No
0241
Patient Preparation 00622 OM1 037 8 200 TX No

Patient Primary Care Provider Name & ID No. 00757 PD1 004 3 90 XCN Yes

Patient Primary Facility 00756 PD1 003 3 90 XON Yes

Patient Status Code 00725 PV2 024 3 2 IS No
0216
Patient Study Eligibility Status 01044 CSR 010 7 60 CE No

Patient Type 00148 FT1 018 6 2 IS No
0018
Patient Type 00148 PV1 018 3 2 IS No
0018
Patient Valuables 00185 PV2 005 3 25 ST Yes

Patient Valuables Location 00186 PV2 006 3 25 ST No

Payor ID 00496 IN2 025 6 59 CX Yes

Payor Subscriber ID 00497 IN2 026 6 59 CX Yes

Penalty 00506 IN3 005 6 10 CM No
0148
Pending Location 00172 PV1 042 3 80 PL No

Performed By Code 00372 FT1 020 6 120 XCN No
0084
Permitted Data Types 00588 OM1 003 8 12 ID Yes
0125
Person Performing Study Registration 01041 CSR 007 7 60 XCN No

Personnel Resource ID 00913 AIP 003 10 80 XCN No

Pharmacist/Treatment Supplier's Verifier ID 00306 RXO 015 4 60 XCN No

Pharmacist/Treatment Supplier's Verifier ID 00306 RXE 014 4 60 XCN No

Pharmacy/Treatment Supplier Special Administration Instructions 00343 RXG 013 4 200 CE Yes

Pharmacy/Treatment Supplier's Special Dispensing Instructions 00330 RXD 015 4 200 CE Yes

Pharmacy/Treatment Supplier's Special Dispensing Instructions 00330 RXE 021 4 200 CE Yes

Phone 00678 STF 010 8 40 XTN Yes

Phone Number 00194 NK1 005 3 40 XTN Yes

Phone Number - Business 00117 PID 014 3 40 XTN Yes

Phone Number - Home 00116 PID 013 3 40 XTN Yes

Phone Number of Outside Site 00614 OM1 029 8 400 XTN No

Physician Reviewer 00515 IN3 014 6 60 XCN Yes

Placer Appointment ID 00860 ARQ 001 10 22 EI No

Placer Appointment ID 00860 SCH 001 10 22 EI No

Placer Contact Address 00876 ARQ 017 10 106 XAD No

Placer Contact Address 00876 SCH 014 10 106 XAD No

Placer Contact Location 00877 SCH 015 10 80 PL No

Placer Contact Location 00877 ARQ 018 10 80 PL No

Placer Contact Person 00874 ARQ 015 10 48 XCN No

Placer Contact Person 00874 SCH 012 10 48 XCN No

Placer Contact Phone Number 00875 ARQ 016 10 40 XTN Yes

Placer Contact Phone Number 00875 SCH 013 10 40 XTN No

Placer Field 1 00251 OBR 018 4 60 ST No

Placer Field 2 00252 OBR 019 4 60 ST No

Placer Group Number 00218 SCH 004 10 75 EI No

Placer Group Number 00218 ORC 004 4 22 EI No

Placer Group Number 00218 ARQ 004 10 75 EI No

Placer Order Number 00216 ORC 002 4 22 EI No

Placer Order Number 00216 OBR 002 4 22 EI No

Placer Order Number 00216 TXA 014 9 22 EI Yes

Plan Effective Date 00437 IN1 012 6 8 DT No

Plan Expiration Date 00438 IN1 013 6 8 DT No

Plan Type 00440 IN1 015 6 3 IS No
0086
Planned Patient Transport Comment 01034 OBR 043 4 200 CE Yes

Point Versus Interval 00938 OM1 043 8 60 CE No
0255
Policy Deductible 00462 IN1 037 6 12 CP No

Policy Limit - Amount 00463 IN1 038 6 12 CP No

Policy Limit - Days 00464 IN1 039 6 4 NM No

Policy Number 00461 IN1 036 6 15 ST No

Policy Scope 00799 IN2 059 6 2 IS No
0312
Policy Source 00800 IN2 060 6 2 IS No
0313
Policy Type/Amount 00500 IN2 029 6 25 CM Yes

Portable 00600 OM1 015 8 1 ID No
0136
Practitioner Category 00687 PRA 003 8 3 IS Yes
0186
Practitioner Group 00686 PRA 002 8 60 CE Yes

Practitioner ID Numbers 00690 PRA 006 8 100 CM Yes
0338
Pre-Admit Cert (PAC) 00453 IN1 028 6 15 ST No

Pre-Certification Req/Window 00521 IN3 020 6 40 CM Yes
0150
Preadmit Number 00135 PV1 005 3 20 CX No

Preadmit Test Indicator 00142 PV1 012 3 2 IS No
0087
Preferred Coding System 00636 OM3 002 8 60 CE No

Preferred Long Name for the Observation 00596 OM1 011 8 200 ST No

Preferred Method of Contact 01161 PRD 006 11 200 CE No
0185
Preferred Method of Contact 01170 CTD 006 11 200 CE No
0185
Preferred Method of Contact 00684 STF 016 8 1 ID No
0185
Preferred Report Name for the Observation 00594 OM1 009 8 30 ST No

Preferred Short Name or Mnemonic for Observation 00595 OM1 010 8 8 ST No

Preparation 00648 OM4 008 8 10240 TX No

Prescription Number 00325 RXD 007 4 20 ST No

Prescription Number 00325 RXE 015 4 20 ST No

Previous Goal Review Date/Time 00830 GOL 014 12 26 TS No

Previous Service Date 00715 PV2 014 3 8 DT No

Previous Treatment Date 00727 PV2 026 3 8 DT No

Price 00998 PRC 005 8 12 CP Yes

Price Override Flag 01006 PRC 013 8 1 IS No
0268
Primary Activity Provider Code/Name 00918 TXA 005 9 60 XCN No

Primary Key Value - MFA 01308 MFA 005 8 60 CE Yes

Primary Key Value - MFE 00667 MFE 004 8 200 Varies Yes

Primary Key Value - CDM 01306 CDM 001 8 200 CE No
0132
Primary Key Value - LCC 00979 LCC 001 8 200 PL No

Primary Key Value - LCH 01305 LCH 001 8 200 PL No

Primary Key Value - LDP 00963 LDP 001 8 200 PL No

Primary Key Value - LOC 01307 LOC 001 8 200 PL No

Primary Key Value - LRL 00943 LRL 001 8 200 PL No

Primary Key Value - PRA 00685 PRA 001 8 20 ST No

Primary Key Value - PRC 00982 PRC 001 8 200 CE No
0132
Primary Key Value - STF 00671 STF 001 8 60 CE No

Primary Language 00118 GT1 036 6 60 CE No
0296
Primary Language 00118 PID 015 3 60 CE No
0296
Primary Language 00118 NK1 020 3 60 CE No
0296
Primary Language 00118 IN2 034 6 60 CE No
0296
Primary Observer Address 01092 PEO 020 7 106 XAD Yes

Primary Observer Aware Date/Time 01096 PEO 024 7 26 TS No

Primary Observer Name 01091 PEO 019 7 46 XPN No

Primary Observer Telephone 01093 PEO 021 7 40 XTN Yes

Primary Observer's Identity May Be Divulged 01097 PEO 025 7 1 ID No
0243
Primary Observer's Qualification 01094 PEO 022 7 1 ID No
0242
Principal Language of Message 00693 MSH 019 2 60 CE No

Principal Result Interpreter 00264 OBR 032 4 200 CM No

Prior Alternate Patient ID 00212 MRG 002 3 16 CX Yes

Prior Alternate Visit ID 01280 MRG 006 3 20 CX No 0
Prior Insurance Plan ID 00471 IN1 046 6 8 IS No
0072
Prior Patient Account Number 00213 MRG 003 3 20 CX No

Prior Patient ID - External 00214 MRG 004 3 16 CX No

Prior Patient ID - Internal 00211 MRG 001 3 20 CX Yes

Prior Patient Location 00136 PV1 006 3 80 PL No

Prior Patient Name 01281 MRG 007 3 48 XPN No 0
Prior Pending Location 00181 PV2 001 3 80 PL No

Prior Temporary Location 00173 PV1 043 3 80 PL No

Prior Visit Number 01279 MRG 005 3 15 CX No 0
Priority 00871 ARQ 012 10 5 ST No

Priority 00239 OBR 005 4 2 ID No

Privileges 00691 PRA 007 8 200 CM Yes

Probability 00577 OBX 009 7 5 NM No

Probability of Problem (0-1) 00855 PRB 020 12 5 NM No

Problem Classification 00845 PRB 010 12 80 CE No

Problem Confirmation Status 00848 PRB 013 12 80 CE No

Problem Date of Onset 00851 PRB 016 12 26 TS No

Problem ID 00838 PRB 003 12 80 CE No

Problem Instance ID 00839 PRB 004 12 60 EI No

Problem Life Cycle Status 00849 PRB 014 12 80 CE No

Problem Life Cycle Status Date/Time 00850 PRB 015 12 26 TS No

Problem Management Discipline 00846 PRB 011 12 80 CE Yes

Problem Onset Text 00852 PRB 017 12 80 ST No

Problem Persistence 00847 PRB 012 12 80 CE No

Problem Prognosis 00857 PRB 022 12 80 CE No

Problem Ranking 00853 PRB 018 12 80 CE No

Procedure Code 00988 CDM 007 8 200 CE Yes

Procedure Code 00393 PR1 003 6 80 CE No
0088
Procedure Code 00393 FT1 025 6 80 CE No
0088
Procedure Coding Method 00392 PR1 002 6 2 IS No
0089
Procedure Date/Time 00395 PR1 005 6 26 TS No

Procedure Description 00394 PR1 004 6 40 ST No

Procedure Medication 00623 OM1 038 8 200 CE No

Procedure Minutes 00397 PR1 007 6 4 NM No

Procedure Practitioner 00402 PR1 012 6 230 XCN Yes
0010
Procedure Priority 00404 PR1 014 6 2 NM No

Procedure Type 00396 PR1 006 6 2 IS No
0230
Process Date 01145 RF1 009 11 26 TS No

Process Date 01145 AUT 010 11 26 TS No

Processing ID 00011 MSH 011 2 3 PT No

Processing Priority 00610 OM1 025 8 40 ID Yes
0168
Processing Time 00609 OM1 024 8 20 NM No

Producer ID 00590 OM1 005 8 200 CE No

Producer's ID 00583 OBX 015 7 60 CE No

Producer's Test/Observation ID 00587 OM1 002 8 200 CE No

Product Available For Inspection 01110 PCR 013 7 1 IS No
0239
Product Class 01100 PCR 003 7 60 CE No

Product Code 01255 PDC 009 7 60 CE No 0
Product Evaluation Performed 01111 PCR 014 7 60 CE No

Product Evaluation Results 01113 PCR 016 7 60 CE No

Product Evaluation Status 01112 PCR 015 7 60 CE No
0247
Product Expiration Date 01103 PCR 006 7 26 TS No

Product Explanation Date 01105 PCR 008 7 26 TS No

Product Implantation Date 01104 PCR 007 7 26 TS No

Product Manufacture Date 01102 PCR 005 7 26 TS No

Product Problem 01108 PCR 011 7 8 IS No
0239
Product Serial/Lot Number 01109 PCR 012 7 30 ST Yes 3
Protection Indicator 00744 IN2 037 6 1 ID No
0136
Protection Indicator 00744 NK1 023 3 1 ID No
0136
Protection Indicator 00744 GT1 039 6 1 ID No
0136
Protection Indicator 01293 PD1 012 3 1 ID No 0 0136
Provider Address 01157 PRD 003 11 60 XAD No

Provider Billing 00688 PRA 004 8 1 ID No
0187
Provider Communication Information 01159 PRD 005 11 100 XTN Yes

Provider Identifiers 01162 PRD 007 11 100 CM Yes

Provider Location 01158 PRD 004 11 60 CM No

Provider Name 01156 PRD 002 11 106 XPN Yes

Provider's Administration Instructions 00298 RXE 007 4 200 CE Yes

Provider's Administration Instructions 00298 RXO 007 4 200 CE Yes

Provider's Pharmacy Instructions 00297 RXO 006 4 200 CE Yes

PSRO/UR Approval Indicator (87) 00542 UB1 013 6 60 CE No
0
PSRO/UR Approved Stay Fm (88) 00543 UB1 014 6 8 DT No

PSRO/UR Approved Stay To (89) 00544 UB1 015 6 8 DT No

Publicity Indicator 00743 PD1 011 3 80 CE No 0 0125
Publicity Indicator 00743 IN2 036 6 80 CE No 0 0215
Publicity Indicator 00743 NK1 022 3 80 CE No 0 0215
Publicity Indicator 00743 GT1 038 6 80 CE No 0 0215
Purge Status Code 00717 PV2 016 3 1 IS No
0213
Purge Status Date 00718 PV2 017 3 8 DT No

Quantity Distributed 01239 PSH 007 7 12 CQ No 0
Quantity Distributed Comment 01241 PSH 009 7 600 FT No 0
Quantity Distributed Method 01240 PSH 008 7 1 ID No 0 0329
Quantity in Use 01242 PSH 010 7 12 CQ No 0
Quantity in Use Comment 01244 PSH 012 7 600 FT No 0
Quantity in Use Method 01243 PSH 011 7 1 ID No 0 0329
Quantity Limited Request 00031 QRD 007 2 10 CQ No
0126
Quantity Manufactured 01238 PSH 006 7 12 CQ No 0
Quantity/Timing 00221 ORC 007 4 200 TQ No

Quantity/Timing 00221 OBR 027 4 200 TQ Yes

Quantity/Timing 00221 RXG 003 4 200 TQ No

Quantity/Timing 00221 RXE 001 4 200 TQ No

Query Date/Time 00025 QRD 001 2 26 TS No

Query Format Code 00026 QRD 002 2 1 ID No
0106
Query ID 00028 QRD 004 2 10 ST No

Query Priority 00027 QRD 003 2 1 ID No
0091
Query Response Status 00708 QAK 002 2 2 ID No
0208
Query Results Level 00036 QRD 012 2 1 ID No
0108
Query Tag 00696 ERQ 001 2 32 ST No

Query Tag 00696 QAK 001 2 32 ST No

Query Tag 00696 EQL 001 2 32 ST No

Query Tag 00696 VTQ 001 2 32 ST No

Query Tag 00696 SPR 001 2 32 ST No

Query/Response Format Code 00697 SPR 002 2 1 ID No
0106
Query/Response Format Code 00697 EQL 002 2 1 ID No
0106
Query/Response Format Code 00697 VTQ 002 2 1 ID No
0106
R/U Date/Time 00045 URD 001 2 26 TS No

R/U Date/Time Selection Qualifier 00059 URS 008 2 12 ID Yes
0158
R/U Display/Print Locations 00050 URD 006 2 20 ST Yes

R/U Other Results Subject Definition 00056 URS 005 2 20 ST Yes

R/U Quantity/Timing Qualifier 00695 URS 009 2 60 TQ No

R/U Results Level 00051 URD 007 2 1 ID No
0108
R/U What Department Code 00049 URD 005 2 60 CE Yes

R/U What Subject Definition 00048 URD 004 2 60 CE Yes
0048
R/U What User Qualifier 00055 URS 004 2 20 ST Yes

R/U When Data End Date/Time 00054 URS 003 2 26 TS No

R/U When Data Start Date/Time 00053 URS 002 2 26 TS No

R/U Where Subject Definition 00052 URS 001 2 20 ST Yes

R/U Which Date/Time Qualifier 00057 URS 006 2 12 ID Yes
0156
R/U Which Date/Time Status Qualifier 00058 URS 007 2 12 ID Yes
0157
R/U Who Subject Definition 00047 URD 003 2 60 XCN Yes

Race 00113 NK1 035 3 1 IS No
0005
Race 00113 IN2 071 6 1 IS No
0005
Race 00113 PID 010 3 1 IS No
0005
Range of Decimal Precision 00628 OM2 003 8 10 NM Yes

Readmission Indicator 00143 PV1 013 3 2 IS No
0092
Reason Ended Study 01050 CSR 016 7 60 CE No

Reason For Study 00263 OBR 031 4 300 CE Yes

Receive Character Count 01178 NST 006 C 10 NM No

Receive Timeouts 01186 NST 014 C 10 NM No

Receiving Application 00005 MSH 005 2 180 HD No

Receiving Facility 00006 MSH 006 2 180 HD No

Record-Level Event Code 00664 MFE 001 8 3 ID No
0180
Record-Level Event Code 00664 MFA 001 8 3 ID No
0180
Recurring Service Code 00732 PV2 031 3 2 IS No
0219
Reference (Normal) Range - Ordinal & Continuous Obs 00631 OM2 006 8 200 CM No

Reference Batch Control ID 00092 BHS 012 2 20 ST No

Reference File Control ID 00078 FHS 012 2 20 ST No

References Range 00575 OBX 007 7 10 ST No

Referral Category 01141 RF1 005 11 200 CE No
0284
Referral Disposition 01140 RF1 004 11 200 CE Yes
0282
Referral Priority 01138 RF1 002 11 200 CE No
0280
Referral Reason 01228 RF1 010 11 200 CE Yes
0336
Referral Source Code 00714 PV2 013 3 90 XCN No

Referral Status 01137 RF1 001 11 200 CE No
0283
Referral Type 01139 RF1 003 11 200 CE No
0281
Referring Doctor 00138 PV1 008 3 60 XCN Yes
0010
Reflex Tests/Observations 00619 OM1 034 8 200 CE Yes

Reimbursement Limit 01152 AUT 007 11 25 CP No

Relatedness Assessment 01117 PCR 020 7 1 ID No
0250
Relationship 00192 NK1 003 3 60 CE No
0063
Relationship Modifier 00940 OM1 045 8 200 CE No
0258
Relationship To The Patient Start Date 00795 IN2 055 6 8 DT No

Relationship To The Patient Stop Date 00796 IN2 056 6 8 DT Yes

Release Information Code 00452 IN1 027 6 2 IS No
0093
Relevant Clinical Info. 00247 OBR 013 4 300 ST No

Religion 00120 NK1 025 3 3 IS No
0006
Religion 00120 GT1 041 6 3 IS No
0006
Religion 00120 PID 017 3 3 IS No
0006
Religion 00120 IN2 039 6 3 IS No
0006
Repeating Interval 00872 ARQ 013 10 100 CM No

Repeating Interval Duration 00873 ARQ 014 10 5 ST No

Report Date 01235 PSH 003 7 26 TS No 0
Report Display Order 00605 OM1 020 8 20 ST No

Report Form Identifier 01297 PSH 002 7 60 ST No 0
Report Interval End Date 01237 PSH 005 7 26 TS No 0
Report Interval Start Date 01236 PSH 004 7 26 TS No 0
Report Priority 00046 URD 002 2 1 ID No
0109
Report Subheader 00604 OM1 019 8 200 CE No

Report Type 01233 PSH 001 7 60 ST No 0
Reporting Priority 00611 OM1 026 8 5 ID No
0169
Request Event Reason 00865 ARQ 006 10 200 CE No

Requested Date/Time 00240 OBR 006 4 26 TS No

Requested Dispense Amount 00302 RXO 011 4 20 NM No

Requested Dispense Code 00301 RXO 010 4 100 CE No

Requested Dispense Units 00303 RXO 012 4 60 CE No

Requested Dosage Form 00296 RXO 005 4 60 CE No

Requested Give Amount - Maximum 00294 RXO 003 4 20 NM No

Requested Give Amount - Minimum 00293 RXO 002 4 20 NM No

Requested Give Code 00292 RXO 001 4 100 CE No

Requested Give Per (Time Unit) 00308 RXO 017 4 20 ST No

Requested Give Rate Amount 01218 RXO 021 4 6 ST No

Requested Give Rate Units 01219 RXO 022 4 60 CE No

Requested Give Strength 01121 RXO 018 4 20 NM No

Requested Give Strength Units 01122 RXO 019 4 60 CE No

Requested Give Units 00295 RXO 004 4 60 CE No

Requested Number of Treatments 01153 AUT 008 11 2 NM No

Requested Start Date/Time Range 00870 ARQ 011 10 53 CM Yes

Requisition Line Number 00275 RQD 001 4 4 SI No

Requisition Quantity 00279 RQD 005 4 6 NM No

Requisition Unit of Measure 00280 RQD 006 4 60 CE No

Resource Group 00899 AIP 005 10 200 CE No

Resource Group 00899 AIG 005 10 200 CE Yes

Resource Group ID 01204 RGS 003 10 200 CE No

Resource ID 00897 AIG 003 10 200 CE No

Resource Load 00991 CDM 010 8 12 NM No

Resource Quantity 00900 AIG 006 10 5 NM No

Resource Quantity Units 00901 AIG 007 10 200 CE No

Resource Role 00907 AIP 004 10 200 CE No

Resource Selection Criteria 00909 APR 002 10 80 CM Yes

Resource Type 00898 AIG 004 10 200 CE No

Response Flag 00220 ORC 006 4 1 ID No
0121
Response Level Code 00663 MFI 006 8 2 ID No
0179
Responsible Observer 00584 OBX 016 7 80 XCN No

Result Copies To 00260 OBR 028 4 150 XCN Yes 5
Result ID 00065 DSP 005 2 20 TX No

Result Status 00258 OBR 025 4 1 ID No
0123
Results Rpt/Status Chng - Date/Time 00255 OBR 022 4 26 TS No

Retention Indicator 00720 PV2 019 3 1 ID No
0136
Role 01155 CTD 001 11 200 CE Yes
0131
Role 01197 ROL 003 12 80 CE No

Role 01155 PRD 001 11 200 CE Yes
0286
Role Assumption Reason 01205 ROL 008 12 80 CE No

Role Begin Date/Time 01199 ROL 005 12 26 TS No

Role Duration 01201 ROL 007 12 80 CE No

Role End Date/Time 01200 ROL 006 12 26 TS No

Role Instance ID 01206 ROL 001 12 60 EI No

Role Person 01198 ROL 004 12 80 XCN No

Room Coverage Type/Amount 00499 IN2 028 6 25 CM Yes

Room Fee Indicator 00994 CDM 013 8 1 ID No
0136
Room Rate - Private 00466 IN1 041 6 12 CP No

Room Rate - Semi-Private 00465 IN1 040 6 12 CP No

Route 00309 RXR 001 4 60 CE No
0162
Rpt of Eligibility Flag 00450 IN1 025 6 2 ID No
0136
Rpt of Eligibility Date 00451 IN1 026 6 8 DT No

Rules that Trigger Reflex Testing 00620 OM1 035 8 80 ST No

RX Component Type 00313 RXC 001 4 1 ID No
0166
Schedule ID 00864 SCH 005 10 200 CE No

Schedule ID 00864 ARQ 005 10 200 CE No

Scheduled Date/Time 00268 OBR 036 4 26 TS No

Scheduled Time Point 01025 CM2 002 8 60 CE No

Second Opinion Date 00523 IN3 022 6 8 DT No

Second Opinion Documentation Received 00525 IN3 024 6 1 IS Yes
0152
Second Opinion Physician 00526 IN3 025 6 60 XCN Yes

Second Opinion Status 00524 IN3 023 6 1 IS No
0151
Security 00008 MSH 008 2 40 ST No

Security/Sensitivity 00823 PRB 025 12 80 CE No

Segment Action Code 00763 LCH 002 8 1 ID No 0 0206
Segment Action Code 00763 LRL 002 8 3 ID No 0 0206
Segment Action Code 00763 AIS 002 10 3 ID No 0 0206
Segment Action code 00763 AIP 002 10 3 ID No 0 0206
Segment Action Code 00763 AIL 002 10 1 ID No 0 0206
Segment Action Code 00763 AIG 002 10 3 ID No 0 0206
Segment Action Code 00763 RGS 002 10 3 ID No 0
Segment Unique Key 00764 LCH 003 8 80 EI No 0
Segment Unique Key 00764 LRL 003 8 80 EI No 0
Selection Criteria 00700 VTQ 005 2 256 QSC Yes

Send Character Count 01179 NST 007 C 10 NM No

Sender Address 01062 PES 003 7 200 XAD Yes

Sender Aware Date/Time 01068 PES 009 7 26 TS No

Sender Comment 01067 PES 008 7 600 FT No

Sender Event Description 01066 PES 007 7 600 FT Yes

Sender Event Identifier 01064 PES 005 7 75 EI No

Sender Individual Name 01060 PES 002 7 60 XCN Yes

Sender Organization Name 01059 PES 001 7 80 XON No

Sender Sequence Number 01065 PES 006 7 2 NM No

Sender Telephone 01063 PES 004 7 44 XTN Yes

Sending Application 00003 MSH 003 2 180 HD No

Sending Facility 00004 MSH 004 2 180 HD No

Separate Bill 00761 PD1 009 3 2 ID No
0136
Sequence Number 00013 MSH 013 2 15 NM No

Sequence Number - Test/ Observation Master File 00586 OM4 001 8 4 NM No

Sequence Number - Test/ Observation Master File 00586 OM5 001 8 4 NM No

Sequence Number - Test/ Observation Master File 00586 OM3 001 8 4 NM No

Sequence Number - Test/ Observation Master File 00586 OM2 001 8 4 NM No

Sequence Number - Test/ Observation Master File 00586 OM1 001 8 4 NM No

Sequence Number - Test/ Observation Master File 00586 OM6 001 8 4 NM No

Service 00677 STF 009 8 200 CE Yes

Service Period 00270 ODT 002 4 60 CE Yes 10
Service Period 00270 ODS 002 4 60 CE Yes 10
Servicing Facility 00169 PV1 039 3 2 IS No
0115
Set ID - AIG 00896 AIG 001 10 4 SI No

Set ID - AIL 00902 AIL 001 10 4 SI No

Set ID - AIP 00906 AIP 001 10 4 SI No

Set ID - AIS 00890 AIS 001 10 4 SI No

Set ID - AL1 00203 AL1 001 3 4 SI No

Set ID - CM0 01010 CM0 001 8 4 SI No

Set ID - CM1 01021 CM1 001 8 4 SI No

Set ID - CM2 01024 CM2 001 8 4 SI No

Set ID - DB1 01283 DB1 001 3 4 SI No 0
Set ID - DG1 00375 DG1 001 6 4 SI No

Set ID - DSP 00061 DSP 001 2 4 SI No

Set ID - FT1 00355 FT1 001 6 4 SI No

Set ID - GT1 00405 GT1 001 6 4 SI No

Set ID - IN1 00426 IN1 001 6 4 SI No

Set ID - IN3 00502 IN3 001 6 4 SI No

Set ID - NK1 00190 NK1 001 3 4 SI No

Set ID - NTE 00096 NTE 001 2 4 SI No

Set ID - OBR 00237 OBR 001 4 4 SI No

Set ID - OBX 00569 OBX 001 7 10 SI No

Set ID - PID 00104 PID 001 3 4 SI No

Set ID - PR1 00391 PR1 001 6 4 SI No

Set ID - PV1 00131 PV1 001 3 4 SI No

Set ID - RGS 01203 RGS 001 10 4 SI No

Set ID - UB1 00530 UB1 001 6 4 SI No

Set ID - UB2 00553 UB2 001 6 4 SI No

Set ID- TXA 00914 TXA 001 9 4 SI No

Sex 00111 PID 008 3 1 IS No
0001
Sex 00111 STF 005 8 1 IS No
0001
Sex 00111 NK1 015 3 1 IS No
0001
SI Conversion Factor 00630 OM2 005 8 60 TX No

Signature Authority 01270 FAC 009 7 60 XCN No 0
Signature Authority Address 01272 FAC 011 7 200 XAD No 0
Signature Authority Telecommunication 01273 FAC 012 7 44 XTN No 0
Signature Authority Title 01271 FAC 010 7 60 ST No 0
Signature on File Date 00729 PV2 028 3 8 DT No

Single Use Device 01106 PCR 009 7 8 IS No
0239
Site 00310 RXR 002 4 60 CE No
0163
Slot Spacing Criteria 00911 APR 004 10 5 NM No

Source Identifier 01174 NST 002 C 30 ST No

Source of Comment 00097 NTE 002 2 8 ID No
0105
Source Type 01175 NST 003 C 3 ID No

Spec Program Indicator (44) 00541 UB1 012 6 60 CE No
0
Special Coverage Approval Name 00493 IN2 022 6 48 XPN Yes

Special Coverage Approval Title 00494 IN2 023 6 30 ST No

Special Handling Requirements 00649 OM4 009 8 10240 TX No

Special Program Code 00719 PV2 018 3 2 IS No
0214
Special Visit Count 00815 UB2 017 6 3 NM No

Specialty Type 00966 LDP 004 8 60 CE Yes
0265
Specialty 00689 PRA 005 8 100 CM Yes
0337
Specimen 00646 OM4 006 8 60 CE No

Specimen Action Code 00245 OBR 011 4 1 ID No
0065
Specimen Priorities 00653 OM4 013 8 1 ID Yes
0027
Specimen Received Date/Time 00248 OBR 014 4 26 TS No

Specimen Required 00589 OM1 004 8 1 ID No
0136
Specimen Requirements 00652 OM4 012 8 10240 TX No

Specimen Retention Time 00654 OM4 014 8 20 CQ No

Specimen Source 00249 OBR 015 4 300 CM No
0070
Sponsor Patient ID 01038 CSR 004 7 30 CX No

Sponsor Study ID 01011 CM0 002 8 60 CE No

Sponsor Study ID 01035 CSR 001 7 60 EI No

Sponsor Study Identifier 01058 CTI 001 7 60 CE No

SSN Number - Patient 00122 PID 019 3 16 ST No

Staff ID Code 00672 STF 002 8 60 CE Yes

Staff Name 00673 STF 003 8 48 XPN No

Staff Type 00674 STF 004 8 2 IS Yes
0182
Start Date 00197 NK1 008 3 8 DT No

Start Date/Time 01202 AIL 006 10 26 TS No

Start Date/Time 01202 AIS 004 10 26 TS No

Start Date/Time 01202 AIP 006 10 26 TS No

Start Date/Time 01202 AIG 008 10 26 TS No

Start Date/Time Offset 00891 AIP 007 10 20 NM No

Start Date/Time Offset 00891 AIS 005 10 20 NM No

Start Date/Time Offset 00891 AIL 007 10 20 NM No

Start Date/Time Offset 00891 AIG 009 10 20 NM No

Start Date/Time Offset Units 00892 AIP 008 10 200 CE No

Start Date/Time Offset Units 00892 AIG 010 10 200 CE No

Start Date/Time Offset Units 00892 AIS 006 10 200 CE No

Start Date/Time Offset Units 00892 AIL 008 10 200 CE No

Stated Variance Date/Time 01214 VAR 003 12 26 TS No

Statistics Available 01173 NST 001 C 1 ID No
0136
Statistics End 01177 NST 005 C 26 TS No

Statistics Start 01176 NST 004 C 26 TS No

Stoploss Limit Flag 00808 IN2 068 6 2 ID No
0136
Stored Procedure Name 00704 SPR 003 2 60 CE No

Stratum for Study Randomization 01047 CSR 013 7 200 CE Yes 3
Student Indicator 00745 GT1 040 6 2 IS No
0231
Student Indicator 00745 PD1 005 3 2 IS No
0231
Student Indicator 00745 NK1 024 3 2 IS No
0231
Student Indicator 00745 IN2 038 6 2 IS No
0231
Study Authorizing Provider 01042 CSR 008 7 60 XCN No

Study Phase Evaluability 01054 CSP 004 7 60 CE No

Study Phase Identifier 01051 CM1 002 8 60 CE No 0
Study Phase Identifier 01051 CSP 001 7 60 CE No 0
Study Phase Identifier 01051 CTI 002 7 60 CE No 0
Study Quality Control Codes 01057 CSS 003 7 60 CE Yes 3
Study Randomization Date/time 01045 CSR 011 7 26 TS Yes 3
Study Randomized Arm 01046 CSR 012 7 200 CE Yes 3
Study Scheduled Patient Time Point 01056 CSS 002 7 26 TS No

Study Scheduled Time Point 01055 CSS 001 7 60 CE No

Study Scheduled Time Point 01055 CTI 003 7 60 CE No

Substance Expiration Date 01130 RXD 019 4 26 TS Yes

Substance Expiration Date 01130 RXA 016 4 26 TS Yes

Substance Expiration Date 01130 RXG 020 4 26 TS Yes

Substance Lot Number 01129 RXD 018 4 20 ST Yes

Substance Lot Number 01129 RXG 019 4 20 ST Yes

Substance Lot Number 01129 RXA 015 4 20 ST Yes

Substance Manufacturer Name 01131 RXG 021 4 60 CE Yes

Substance Manufacturer Name 01131 RXA 017 4 60 CE Yes
0227
Substance Manufacturer Name 01131 RXD 020 4 60 CE Yes

Substance Refusal Reason 01136 RXA 018 4 200 CE Yes

Substitute Allowed 00291 RQ1 007 4 1 ID No
0136
Substitution Status 00322 RXE 009 4 1 ID No
0167
Substitution Status 00322 RXD 011 4 1 ID No
0167
Substitution Status 00322 RXG 010 4 1 ID No
0167
Surgeon 00401 PR1 011 6 120 XCN Yes
0010
Suspend Flag 00806 IN2 066 6 2 ID No
0136
System Date/Time 01172 NCK 001 C 26 TS No

System Entry Date/Time 01225 RXA 022 4 26 TS No

Target Anatomic Site of Test 00941 OM1 046 8 200 CE No

Taxable 00290 RQ1 006 4 1 ID No
0136
Technician 00266 OBR 034 4 200 CM Yes

Telephone Number of Section 00602 OM1 017 8 40 XTN No

Temporary Location 00141 PV1 011 3 80 PL No

Test/Observation Performance Schedule 00625 OM1 040 8 60 ST Yes

Test/Observations Included w/an Ordered Test Battery 00655 OM5 002 8 200 CE Yes

Text Instruction 00272 ODS 004 4 80 ST Yes 2
Text Instruction 00272 ODT 003 4 80 ST No

Text Message 00020 MSA 003 2 80 ST No

Time Selection Criteria 00908 APR 001 10 80 CM Yes
0294
Title of Study 01013 CM0 004 8 300 ST No

Total Accrual to Date 01016 CM0 007 8 8 NM No

Total Adjustments 00178 PV1 048 3 12 NM No

Total Charges 00177 PV1 047 3 12 NM No

Total Daily Dose 00329 RXE 019 4 10 CQ No

Total Daily Dose 00329 RXD 012 4 10 CQ No

Total Duration Of Therapy 01101 PCR 004 7 8 CQ No

Total Payments 00179 PV1 049 3 12 NM No

Transaction Amount - Extended 00365 FT1 011 6 12 CP No

Transaction Amount - Unit 00366 FT1 012 6 12 CP No

Transaction Batch ID 00357 FT1 003 6 10 ST No

Transaction Code 00361 FT1 007 6 80 CE No
0132
Transaction Date 00358 FT1 004 6 26 TS No

Transaction Description 00362 FT1 008 6 40 ST No

Transaction Description - Alt 00363 FT1 009 6 40 ST No

Transaction ID 00356 FT1 002 6 12 ST No

Transaction Posting Date 00359 FT1 005 6 26 TS No

Transaction Quantity 00364 FT1 010 6 6 NM No

Transaction Type 00360 FT1 006 6 8 IS No
0017
Transcription Date/Time 00920 TXA 007 9 26 TS No

Transcriptionist 00267 OBR 035 4 200 CM Yes

Transcriptionist Code/Name 00924 TXA 011 9 48 XCN No

Transfer Reason 00184 PV2 004 3 60 CE No

Transfer to Bad Debt Code 00159 PV1 029 3 1 IS No
0110
Transfer to Bad Debt Date 00160 PV1 030 3 8 DT No

Transport Arranged 01032 OBR 041 4 30 ID No
0224
Transport Arrangement Responsibility 01031 OBR 040 4 60 CE No

Transport Logistics Of Collected Sample 01029 OBR 038 4 60 CE Yes

Transportation Mode 00262 OBR 030 4 20 ID No
0124
Tray Type 00273 ODT 001 4 60 CE No
0160
Type 00269 ODS 001 4 1 ID No
0159
Type of Agreement Code 00456 IN1 031 6 2 IS No
0098
Typical Turn-Around Time 00608 OM1 023 8 20 NM No

UB 82 Locator 2 00549 UB1 020 6 30 ST No

UB 82 Locator 27 00551 UB1 022 6 8 ST No

UB 82 Locator 45 00552 UB1 023 6 17 ST No

UB 82 Locator 9 00550 UB1 021 6 7 ST No

UB92 Locator 11 (State) 00562 UB2 010 6 12 ST Yes 2
UB92 Locator 2 (State) 00561 UB2 009 6 29 ST Yes 2
UB92 Locator 31 (National) 00563 UB2 011 6 5 ST No

UB92 Locator 49 (National) 00565 UB2 013 6 4 ST Yes 23
UB92 Locator 56 (State) 00566 UB2 014 6 14 ST Yes 5
UB92 Locator 57 (National) 00567 UB2 015 6 27 ST No

UB92 Locator 78 (State) 00568 UB2 016 6 2 ST Yes 2
Unique Document File Name 00927 TXA 016 9 30 ST No

Unique Document Number 00925 TXA 012 9 30 EI No

Unit Cost 00374 FT1 022 6 12 CP No

Units 00574 OBX 006 7 60 CE No

Units of Measure 00627 OM2 002 8 60 CE No

Universal Service Identifier 00238 AIS 003 10 200 CE No

Universal Service Identifier 00238 OBR 004 4 200 CE No

User Defined Access Checks 00581 OBX 013 7 20 ST No

Valid Coded "Answers" 00637 OM3 003 8 60 CE No

Valid Patient Classes 00967 PRC 004 8 1 IS Yes
0004
Valid Patient Classes 00967 LDP 005 8 1 IS Yes
0004
Value Amount & Code 00558 UB2 006 6 11 CM Yes 12
Value Amount & Code (46-49) 00539 UB1 010 6 12 CM Yes 8 0153
Value Type 00570 OM3 007 8 3 ID No
0125
Value Type 00570 OBX 002 7 2 ID No
0125
Variance Classification 01216 VAR 005 12 60 CE No

Variance Description 01217 VAR 006 12 512 ST Yes

Variance Instance ID 01212 VAR 001 12 60 EI No

Variance Originator 01215 VAR 004 12 860 XCN No

Vendor Catalog 00288 RQ1 005 4 16 ST No

Vendor ID 00289 RQ1 004 4 60 CE No

Verification By 00455 IN1 030 6 60 XPN No

Verification Date/Time 00454 IN1 029 6 26 TS No

Verification Status 00470 IN1 045 6 2 ST No

Verified By 00225 ORC 011 4 120 XCN No

Version ID 00012 MSH 012 2 8 ID No
0104
Veterans Military Status 00130 PID 027 3 60 CE No
0172
VIP Indicator 00146 PV1 016 3 2 IS No
0099
Virtual Table Name 00699 VTQ 004 2 60 CE No

Visit Description 00713 PV2 012 3 50 ST No

Visit Indicator 01226 PV1 051 3 1 IS No
0326
Visit Number 00149 PV1 019 3 20 CX No

Visit Priority Code 00726 PV2 025 3 1 IS No
0217
Visit Protection Indicator 00723 PV2 022 3 1 ID No
0136
Visit Publicity Code 00722 PV2 021 3 1 IS No
0215
Visit User Code 00187 PV2 007 3 2 IS No
0130
Visiting Hours 00976 LDP 010 8 80 CM Yes
0267
VT Query Name 00698 VTQ 003 2 60 CE No

What Data Code Value Qual. 00035 QRD 011 2 20 ST Yes

What Department Data Code 00034 QRD 010 2 60 CE Yes

What Subject Filter 00033 QRD 009 2 60 CE Yes
0048
What User Qualifier 00040 QRF 004 2 60 ST Yes

When Data End Date/Time 00039 QRF 003 2 26 TS No

When Data Start Date/Time 00038 QRF 002 2 26 TS No

When Quantity/Timing Qualifier 00694 QRF 009 2 60 TQ No

When to Charge 00234 BLG 001 4 40 CM No
0100
Where Subject Filter 00037 QRF 001 2 20 ST Yes

Which Date/Time Qualifier 00042 QRF 006 2 12 ID Yes
0156
Which Date/Time Status Qualifier 00043 QRF 007 2 12 ID Yes
0157
Who Subject Filter 00032 QRD 008 2 60 XCN Yes