| Global Profile (Differential) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Vocabulary | |||||
 PM1 | ||||||||||
  | 1 | 00368 | Health Plan ID | SHALL | InsurancePlanId (CD) | |||||
| 2 | 00428 | Insurance Company ID | SHALL | ||||||
| Global Profile (Snapshot) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Cardinality | Vocabulary | Data Type | |||
| PM1 | ||||||||||
| 1 | 00368 | Health Plan ID | SHALL | [1..1] | InsurancePlanId (CD) | CWE Coded with Exceptions | |||
| 2 | 00428 | Insurance Company ID | SHALL | [1..*] | CX Extended Composite ID with Check Digit | ||||
| 3 | 00429 | Insurance Company Name | MAY | [0..*] | XON Extended Composite Name and Identification Number for Organizations | ||||
| 4 | 00430 | Insurance Company Address | MAY | [0..*] | XAD Extended Address | ||||
| 5 | 00431 | Insurance Co Contact Person | MAY | [0..*] | XPN Extended Person Name | ||||
| 6 | 00432 | Insurance Co Phone Number | MAY | [0..*] | XTN Extended Telecommunication Number | ||||
| 7 | 00433 | Group Number | = Truncation not allowed! | MAY | [0..1] | ST String Data | |||
| 8 | 00434 | Group Name | MAY | [0..*] | XON Extended Composite Name and Identification Number for Organizations | ||||
| 9 | 00437 | Plan Effective Date | MAY | [0..1] | DT Date | ||||
| 10 | 00438 | Plan Expiration Date | MAY | [0..1] | DT Date | ||||
| 11 | 03454 | Patient DOB Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 12 | 03455 | Patient Gender Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 13 | 03456 | Patient Relationship Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 14 | 03457 | Patient Signature Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 15 | 03458 | Diagnosis Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 16 | 03459 | Service Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 17 | 03460 | Patient Name Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 18 | 03461 | Patient Address Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 19 | 03462 | Subscribers Name Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 20 | 03463 | Workman's Comp Indicator | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 21 | 03464 | Bill Type Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 22 | 03465 | Commercial Carrier Name and Address Required | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 23 | 03466 | Policy Number Pattern | MAY | [0..1] | ST String Data | ||||
 | 24 | 03467 | Group Number Pattern | MAY | [0..1] | ST String Data | ||||
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