| Global Profile (Differential) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Vocabulary | |||||
 FT1 | ||||||||||
  | 4 | 00358 | Transaction Date | SHALL | ||||||
| 6 | 00360 | Transaction Type | SHALL | ex.:TransactionType (CD) hl7VS-transactionType (VS) transactionType (CS) | |||||
| 7 | 00361 | Transaction Code | SHALL | TransactionCode (CD) | |||||
| Global Profile (Snapshot) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Cardinality | Vocabulary | Data Type | |||
| FT1 | ||||||||||
| 1 | 00355 | Set ID - FT1 | MAY | [0..1] | SI Sequence ID | ||||
| 2 | 00356 | Transaction ID | MAY | [0..1] | CX Extended Composite ID with Check Digit | ||||
| 3 | 00357 | Transaction Batch ID | MAY | [0..1] | ST String Data | ||||
| 4 | 00358 | Transaction Date | SHALL | [1..1] | DR Date/Time Range | ||||
| 5 | 00359 | Transaction Posting Date | MAY | [0..1] | DTM Date/Time | ||||
| 6 | 00360 | Transaction Type | SHALL | [1..1] | ex.:TransactionType (CD) hl7VS-transactionType (VS) transactionType (CS) | CWE Coded with Exceptions | |||
| 7 | 00361 | Transaction Code | SHALL | [1..1] | TransactionCode (CD) | ||||
| 8 | 00362 | Transaction Description | W withdrawn Element | SHOULD NOT | |||||
| 9 | 00363 | Transaction Description - Alt | W withdrawn Element | SHOULD NOT | |||||
| 10 | 00364 | Transaction Quantity | = Truncation not allowed! | MAY | [0..1] | NM Numeric | |||
| 11 | 00365 | Transaction Amount - Extended | MAY | [0..1] | CP Composite Price | ||||
| 12 | 00366 | Transaction Amount - Unit | MAY | [0..1] | CP Composite Price | ||||
| 13 | 00367 | Department Code | MAY | [0..1] | DepartmentCode (CD) | CWE Coded with Exceptions | |||
| 14 | 00368 | Health Plan ID | MAY | [0..1] | InsurancePlanId (CD) | CWE Coded with Exceptions | |||
| 15 | 00369 | Insurance Amount | MAY | [0..1] | CP Composite Price | ||||
| 16 | 00133 | Assigned Patient Location | MAY | [0..1] | PL Person Location | ||||
| 17 | 00370 | Fee Schedule | MAY | [0..1] | FeeSchedule (CD) | CWE Coded with Exceptions | |||
| 18 | 00148 | Patient Type | MAY | [0..1] | PatientType (CD) | CWE Coded with Exceptions | |||
| 19 | 00371 | Diagnosis Code - FT1 | MAY | [0..*] | DiagnosisCode (CD) | CWE Coded with Exceptions | |||
| 20 | 00372 | Performed By Code | MAY | [0..*] | PerformedBy (CD) | XCN Extended Composite ID Number and Name for Persons | |||
| 21 | 00373 | Ordered By Code | MAY | [0..*] | XCN Extended Composite ID Number and Name for Persons | ||||
| 22 | 00374 | Unit Cost | MAY | [0..1] | CP Composite Price | ||||
| 23 | 00217 | Filler Order Number | MAY | [0..1] | EI Entity Identifier | ||||
| 24 | 00765 | Entered By Code | MAY | [0..*] | XCN Extended Composite ID Number and Name for Persons | ||||
| 25 | 00393 | Procedure Code | MAY | [0..1] | ProcedureCode (CD) | CNE Coded with No Exceptions | |||
| 26 | 01316 | Procedure Code Modifier | MAY | [0..*] | ProcedureCodeModifier (CD) | CNE Coded with No Exceptions | |||
| 27 | 01310 | Advanced Beneficiary Notice Code | MAY | [0..1] | repr: AdvancedBeneficiaryNoticeCode (CD) hl7VS-advancedBeneficiaryNoticeCode (VS) advancedBeneficiaryNotice (CS) | CWE Coded with Exceptions | |||
| 28 | 01646 | Medically Necessary Duplicate Procedure Reason | MAY | [0..1] | V2MedicallyNecessaryDuplicateProcedureReason (CD) | CWE Coded with Exceptions | |||
| 29 | 01845 | NDC Code | MAY | [0..1] | NdcCodes (CD) | CWE Coded with Exceptions | |||
| 30 | 01846 | Payment Reference ID | MAY | [0..1] | CX Extended Composite ID with Check Digit | ||||
| 31 | 01847 | Transaction Reference Key | MAY | [0..*] | SI Sequence ID | ||||
| 32 | 02361 | Performing Facility | MAY | [0..*] | XON Extended Composite Name and Identification Number for Organizations | ||||
| 33 | 02362 | Ordering Facility | MAY | [0..1] | XON Extended Composite Name and Identification Number for Organizations | ||||
| 34 | 02363 | Item Number | MAY | [0..1] | CWE Coded with Exceptions | ||||
| 35 | 02364 | Model Number | = Truncation not allowed! | MAY | [0..1] | ST String Data | |||
| 36 | 02365 | Special Processing Code | MAY | [0..*] | CWE Coded with Exceptions | ||||
| 37 | 02366 | Clinic Code | MAY | [0..1] | CWE Coded with Exceptions | ||||
| 38 | 02367 | Referral Number | MAY | [0..1] | CX Extended Composite ID with Check Digit | ||||
| 39 | 02368 | Authorization Number | MAY | [0..1] | CX Extended Composite ID with Check Digit | ||||
| 40 | 02369 | Service Provider Taxonomy Code | MAY | [0..1] | CWE Coded with Exceptions | ||||
| 41 | 01600 | Revenue Code | MAY | [0..1] | US: RevenueCode (CD) | CWE Coded with Exceptions | |||
| 42 | 00325 | Prescription Number | = Truncation not allowed! | MAY | [0..1] | ST String Data | |||
| 43 | 02370 | NDC Qty and UOM | MAY | [0..1] | CQ Composite Quantity with Units | ||||
| 44 | 03496 | DME Certificate of Medical Necessity Transmission Code | MAY | [0..1] | CWE Coded with Exceptions | ||||
| 45 | 03497 | DME Certification Type Code | MAY | [0..1] | CWE Coded with Exceptions | ||||
| 46 | 03498 | DME Duration Value | MAY | [0..1] | NM Numeric | ||||
| 47 | 03499 | DME Certification Revision Date | MAY | [0..1] | DT Date | ||||
| 48 | 03500 | DME Initial Certification Date | MAY | [0..1] | DT Date | ||||
| 49 | 03501 | DME Last Certification Date | MAY | [0..1] | DT Date | ||||
| 50 | 03502 | DME Length of Medical Necessity Days | MAY | [0..1] | NM Numeric | ||||
| 51 | 03503 | DME Rental Price | MAY | [0..1] | MO Money | ||||
| 52 | 03504 | DME Purchase Price | MAY | [0..1] | MO Money | ||||
| 53 | 03505 | DME Frequency Code | MAY | [0..1] | CWE Coded with Exceptions | ||||
| 54 | 03506 | DME Certification Condition Indicator | MAY | [0..1] | ID Coded Value for HL7 Defined Tables | ||||
| 55 | 03507 | DME Condition Indicator Code | MAY | [0..2] | CWE Coded with Exceptions | ||||
 | 56 | 03508 | Service Reason Code | MAY | [0..1] | univ: ServiceReason (CD) | CWE Coded with Exceptions | |||
The Demo site for our new HL7 Version 2+ (plus) Standard
