HL7 - REFACTORED

Segment (new)
(differential)
Segment (new)
(snapshot)

Global Profile (Differential)
	Seq#	Data Element	Description	Flags	Implement	Vocabulary
IN1
	1	00426	Set ID - IN1		SHALL
	2	00368	Health Plan ID		SHALL	InsurancePlanId (CD)
	3	00428	Insurance Company ID		SHALL

Global Profile (Snapshot)
	Seq#	Data Element	Description	Flags	Implement	Cardinality	Vocabulary	Data Type
IN1
	1	00426	Set ID - IN1		SHALL	[1..1]		SI Sequence ID
	2	00368	Health Plan ID		SHALL	[1..1]	InsurancePlanId (CD)	CWE Coded with Exceptions
	3	00428	Insurance Company ID		SHALL	[1..*]		CX Extended Composite ID with Check Digit
	4	00429	Insurance Company Name		MAY	[0..*]		XON Extended Composite Name and Identification Number for Organizations
	5	00430	Insurance Company Address		MAY	[0..*]		XAD Extended Address
	6	00431	Insurance Co Contact Person		MAY	[0..*]		XPN Extended Person Name
	7	00432	Insurance Co Phone Number		MAY	[0..*]		XTN Extended Telecommunication Number
	8	00433	Group Number	= Truncation not allowed!	MAY	[0..1]		ST String Data
	9	00434	Group Name		MAY	[0..*]		XON Extended Composite Name and Identification Number for Organizations
	10	00435	Insured's Group Emp ID		MAY	[0..*]		CX Extended Composite ID with Check Digit
	11	00436	Insured's Group Emp Name		MAY	[0..*]		XON Extended Composite Name and Identification Number for Organizations
	12	00437	Plan Effective Date		MAY	[0..1]		DT Date
	13	00438	Plan Expiration Date		MAY	[0..1]		DT Date
	14	00439	Authorization Information		MAY	[0..1]		AUI Authorization Information
	15	00440	Plan Type		MAY	[0..1]	PlanId (CD)	CWE Coded with Exceptions
	16	00441	Name Of Insured		MAY	[0..*]		XPN Extended Person Name
	17	00442	Insured's Relationship To Patient		MAY	[0..1]	ex.:Relationship (CD) hl7VS-relationship (VS) relationship (CS)	CWE Coded with Exceptions
	18	00443	Insured's Date Of Birth		MAY	[0..1]		DTM Date/Time
	19	00444	Insured's Address		MAY	[0..*]		XAD Extended Address
	20	00445	Assignment Of Benefits		MAY	[0..1]	repr: AssignmentOfBenefits (CD) hl7VS-assignmentOfBenefits (VS) assignmentOfBenefits (CS)	CWE Coded with Exceptions
	21	00446	Coordination Of Benefits		MAY	[0..1]	repr: CoordinationOfBenefits (CD) hl7VS-coordinationOfBenefits (VS) coordinationOfBenefits (CS)	CWE Coded with Exceptions
	22	00447	Coord Of Ben. Priority	= Truncation not allowed!	MAY	[0..1]		ST String Data
	23	00448	Notice Of Admission Flag		MAY	[0..1]	univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	24	00449	Notice Of Admission Date		MAY	[0..1]		DT Date
	25	00450	Report Of Eligibility Flag		MAY	[0..1]	univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	26	00451	Report Of Eligibility Date		MAY	[0..1]		DT Date
	27	00452	Release Information Code		MAY	[0..1]	ReleaseInformation (CD)	CWE Coded with Exceptions
	28	00453	Pre-Admit Cert (PAC)	= Truncation not allowed!	MAY	[0..1]		ST String Data
	29	00454	Verification Date/Time		MAY	[0..1]		DTM Date/Time
	30	00455	Verification By		MAY	[0..*]		XCN Extended Composite ID Number and Name for Persons
	31	00456	Type Of Agreement Code		MAY	[0..1]	ex.:TypeOfAgreement (CD)	CWE Coded with Exceptions
	32	00457	Billing Status		MAY	[0..1]	BillingStatus (CD)	CWE Coded with Exceptions
	33	00458	Lifetime Reserve Days	= Truncation not allowed!	MAY	[0..1]		NM Numeric
	34	00459	Delay Before L.R. Day	= Truncation not allowed!	MAY	[0..1]		NM Numeric
	35	00460	Company Plan Code		MAY	[0..1]	CompanyPlanCode (CD)	CWE Coded with Exceptions
	36	00461	Policy Number	= Truncation not allowed!	MAY	[0..1]		ST String Data
	37	00462	Policy Deductible		MAY	[0..1]		CP
	38	00463	Policy Limit - Amount	W withdrawn Element	SHOULD NOT
	39	00464	Policy Limit - Days	= Truncation not allowed!	MAY	[0..1]		NM Numeric
	40	00465	Room Rate - Semi-Private	W withdrawn Element	SHOULD NOT
	41	00466	Room Rate - Private	W withdrawn Element	SHOULD NOT
	42	00467	Insured's Employment Status		MAY	[0..1]	repr: EmploymentStatus (CD) hl7VS-employmentStatus (VS) employmentStatus (CS)	CWE Coded with Exceptions
	43	00468	Insured's Administrative Sex		MAY	[0..1]	repr: AdministrativeSex (CD) hl7VS-administrativeSex (VS) administrativeSex (CS)	CWE Coded with Exceptions
	44	00469	Insured's Employer's Address		MAY	[0..*]		XAD Extended Address
	45	00470	Verification Status	= Truncation not allowed!	MAY	[0..1]		ST String Data
	46	00471	Prior Insurance Plan ID		MAY	[0..1]	InsurancePlanId (CD)	CWE Coded with Exceptions
	47	01227	Coverage Type		MAY	[0..1]	ex.:CoverageType (CD) hl7VS-coverageType (VS) coverageType (CS)	CWE Coded with Exceptions
	48	00753	Handicap		MAY	[0..1]	Handicap (CD)	CWE Coded with Exceptions
	49	01230	Insured's ID Number		MAY	[0..*]		CX Extended Composite ID with Check Digit
	50	01854	Signature Code		MAY	[0..1]	ex.:SignatureCode (CD) hl7VS-signatureCode (VS) signatureType (CS)	CWE Coded with Exceptions
	51	01855	Signature Code Date		MAY	[0..1]		DT Date
	52	01899	Insured's Birth Place		MAY	[0..1]		ST String Data
	53	01852	VIP Indicator		MAY	[0..1]	VipIndicator (CD)	CWE Coded with Exceptions
	54	03292	External Health Plan Identifiers		MAY	[0..*]		CX Extended Composite ID with Check Digit
	55	03335	Insurance Action Code		MAY	[0..1]	univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS)	ID Coded Value for HL7 Defined Tables

IN1 - Insurance Segment (IN1)