HL7 - REFACTORED

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

Global Profile (Differential)
	Seq#	Data Element	Description	Flags	Implement	Vocabulary
IN2

Global Profile (Snapshot)
	Seq#	Data Element	Description	Flags	Implement	Cardinality	Vocabulary	Data Type
IN2
	1	00472	Insured's Employee ID		MAY	[0..*]		CX Extended Composite ID with Check Digit
	2	00473	Insured's Social Security Number	= Truncation not allowed!	MAY	[0..1]		ST String Data
	3	00474	Insured's Employer's Name and ID		MAY	[0..*]		XCN Extended Composite ID Number and Name for Persons
	4	00475	Employer Information Data		MAY	[0..1]	EmployerInformationData (CD)	CWE Coded with Exceptions
	5	00476	Mail Claim Party		MAY	[0..*]	ex.:MailClaimParty (CD) hl7VS-mailClaimParty (VS) mailClaimParty (CS)	CWE Coded with Exceptions
	6	00477	Medicare Health Ins Card Number	= Truncation not allowed!	MAY	[0..1]		ST String Data
	7	00478	Medicaid Case Name		MAY	[0..*]		XPN Extended Person Name
	8	00479	Medicaid Case Number	= Truncation not allowed!	MAY	[0..1]		ST String Data
	9	00480	Military Sponsor Name		MAY	[0..*]		XPN Extended Person Name
	10	00481	Military ID Number	= Truncation not allowed!	MAY	[0..1]		ST String Data
	11	00482	Dependent Of Military Recipient		MAY	[0..1]	MilitaryRecipient (CD)	CWE Coded with Exceptions
	12	00483	Military Organization	= Truncation not allowed!	MAY	[0..1]		ST String Data
	13	00484	Military Station	= Truncation not allowed!	MAY	[0..1]		ST String Data
	14	00485	Military Service		MAY	[0..1]	ex.:MilitaryService (CD) hl7VS-militaryService (VS) militaryService (CS)	CWE Coded with Exceptions
	15	00486	Military Rank/Grade		MAY	[0..1]	ex.:MilitaryRank/grade (CD)	CWE Coded with Exceptions
	16	00487	Military Status		MAY	[0..1]	ex.:MilitaryStatus (CD) hl7VS-militaryStatus (VS) militaryStatus (CS)	CWE Coded with Exceptions
	17	00488	Military Retire Date		MAY	[0..1]		DT Date
	18	00489	Military Non-Avail Cert On File		MAY	[0..1]	univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	19	00490	Baby Coverage		MAY	[0..1]	univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	20	00491	Combine Baby Bill		MAY	[0..1]	univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	21	00492	Blood Deductible	= Truncation not allowed!	MAY	[0..1]		ST String Data
	22	00493	Special Coverage Approval Name		MAY	[0..*]		XPN Extended Person Name
	23	00494	Special Coverage Approval Title	= Truncation allowed.	MAY	[0..1]		ST String Data
	24	00495	Non-Covered Insurance Code		MAY	[0..*]	Non-coveredInsuranceCode (CD)	CWE Coded with Exceptions
	25	00496	Payor ID		MAY	[0..*]		CX Extended Composite ID with Check Digit
	26	00497	Payor Subscriber ID		MAY	[0..*]		CX Extended Composite ID with Check Digit
	27	00498	Eligibility Source		MAY	[0..1]	ex.:EligibilitySource (CD) hl7VS-eligibilitySource (VS) eligibilitySource (CS)	CWE Coded with Exceptions
	28	00499	Room Coverage Type/Amount		MAY	[0..*]		RMC Room Coverage
	29	00500	Policy Type/Amount		MAY	[0..*]		PTA Policy Type and Amount
	30	00501	Daily Deductible		MAY	[0..1]		DDI Daily Deductible Information
	31	00755	Living Dependency		MAY	[0..1]	ex.:LivingDependency (CD) hl7VS-livingDependency (VS) livingDependency2 (CS)	CWE Coded with Exceptions
	32	00145	Ambulatory Status		MAY	[0..*]	repr: AmbulatoryStatus (CD) hl7VS-ambulatoryStatus (VS) ambulatoryStatus (CS)	CWE Coded with Exceptions
	33	00129	Citizenship		MAY	[0..*]	Citizenship (CD)	CWE Coded with Exceptions
	34	00118	Primary Language		MAY	[0..1]	PrimaryLanguage (CD)	CWE Coded with Exceptions
	35	00742	Living Arrangement		MAY	[0..1]	ex.:V2LivingArrangement (CD) hl7VS-livingArrangement (VS) livingArrangement (CS)	CWE Coded with Exceptions
	36	00743	Publicity Code		MAY	[0..1]	ex.:PublicityCode (CD)	CWE Coded with Exceptions
	37	00744	Protection Indicator		MAY	[0..1]	univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	38	00745	Student Indicator		MAY	[0..1]	repr: StudentStatus (CD) hl7VS-studentStatus (VS) studentStatus (CS)	CWE Coded with Exceptions
	39	00120	Religion		MAY	[0..1]	repr: Religion (CD) hl7VS-religion2 (VS) religion2 (CS)	CWE Coded with Exceptions
	40	00109	Mother's Maiden Name		MAY	[0..*]		XPN Extended Person Name
	41	00739	Nationality		MAY	[0..1]	Nationality (CD)	CWE Coded with Exceptions
	42	00125	Ethnic Group		MAY	[0..*]	ex.:EthnicGroup (CD)	CWE Coded with Exceptions
	43	00119	Marital Status		MAY	[0..*]	repr: V2MaritalStatus (CD) hl7VS-maritalStatus (VS) maritalStatus (CS)	CWE Coded with Exceptions
	44	00787	Insured's Employment Start Date		MAY	[0..1]		DT Date
	45	00783	Employment Stop Date		MAY	[0..1]		DT Date
	46	00785	Job Title	= Truncation allowed.	MAY	[0..1]		ST String Data
	47	00786	Job Code/Class		MAY	[0..1]		JCC Job Code/Class
	48	00752	Job Status		MAY	[0..1]	JobStatus (CD) hl7VS-jobStatus (VS) jobStatus (CS)	CWE Coded with Exceptions
	49	00789	Employer Contact Person Name		MAY	[0..*]		XPN Extended Person Name
	50	00790	Employer Contact Person Phone Number		MAY	[0..*]		XTN Extended Telecommunication Number
	51	00791	Employer Contact Reason		MAY	[0..1]	ContactReason (CD)	CWE Coded with Exceptions
	52	00792	Insured's Contact Person's Name		MAY	[0..*]		XPN Extended Person Name
	53	00793	Insured's Contact Person Phone Number		MAY	[0..*]		XTN Extended Telecommunication Number
	54	00794	Insured's Contact Person Reason		MAY	[0..*]	ContactReason (CD)	CWE Coded with Exceptions
	55	00795	Relationship to the Patient Start Date		MAY	[0..1]		DT Date
	56	00796	Relationship to the Patient Stop Date		MAY	[0..*]		DT Date
	57	00797	Insurance Co Contact Reason		MAY	[0..1]	ex.:InsuranceCompanyContactReason (CD)	CWE Coded with Exceptions
	58	00798	Insurance Co Contact Phone Number		MAY	[0..*]		XTN Extended Telecommunication Number
	59	00799	Policy Scope		MAY	[0..1]	PolicyScope (CD)	CWE Coded with Exceptions
	60	00800	Policy Source		MAY	[0..1]	PolicySource (CD)	CWE Coded with Exceptions
	61	00801	Patient Member Number		MAY	[0..1]		CX Extended Composite ID with Check Digit
	62	00802	Guarantor's Relationship to Insured		MAY	[0..1]	ex.:Relationship (CD) hl7VS-relationship (VS) relationship (CS)	CWE Coded with Exceptions
	63	00803	Insured's Phone Number - Home		MAY	[0..*]		XTN Extended Telecommunication Number
	64	00804	Insured's Employer Phone Number		MAY	[0..*]		XTN Extended Telecommunication Number
	65	00805	Military Handicapped Program		MAY	[0..1]	MilitaryHandicappedProgramCode (CD)	CWE Coded with Exceptions
	66	00806	Suspend Flag		MAY	[0..1]	univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	67	00807	Copay Limit Flag		MAY	[0..1]	univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	68	00808	Stoploss Limit Flag		MAY	[0..1]	univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	69	00809	Insured Organization Name and ID		MAY	[0..*]		XON Extended Composite Name and Identification Number for Organizations
	70	00810	Insured Employer Organization Name and ID		MAY	[0..*]		XON Extended Composite Name and Identification Number for Organizations
	71	00113	Race		MAY	[0..*]	US: V2Race (CD) PHVS_Race_HL7_2x (VS)	CWE Coded with Exceptions
	72	00811	Patient's Relationship to Insured		MAY	[0..1]	repr: Patient'sRelationshipToInsured (CD) hl7VS-patient�sRelationshipToInsured (VS) patientsRelationshipToInsured (CS)	CWE Coded with Exceptions
	73	01620	Co-Pay Amount		MAY	[0..1]		CP Composite Price

IN2 - Insurance Additional Information Segment (IN2)