The message transaction checklist documents the trigger events and messages defined by Version 2.1 of the HL7 standard. The checklist contains:
A checklist and cover sheet should be completed for each interface being designed, including interfaces that broadcast to more than one system. In the case of broadcast interfaces, every effort should be made to agree on a single format for the message from the sender.
Certain messages may include different segments and fields, depending on the trigger event (e.g., Pharmacy Orders and Lab Orders both use the same message). Complete copies of the message selection/definition documentation for each trigger event. In the interest of conserving paper, only one copy of each segment definition is included in the checklist. Copy the appropriate segment definitions for each message to be implemented.
A 'Z' segment line is included at the bottom of each message to document site-specific segments. The location and name of the segment should be indicated for the message if 'Z' segments are used.
The checklist does not replace the HL7 Interface Standards document. Refer to the HL7 standard throughout the design and development process. Keep in mind that the HL7 checklist and the HL7 standard itself may be interpreted differently by individual vendors as they apply the standard to the events and data that their systems process. It is essential that all parties involved in an interface reach agreement on its details. The HL7 checklist can facilitate that discussion.
As the health care community gains experience implementing HL7 interfaces, the HL7 standard will evolve to both clarify its usage and expand its scope. The HL7 Implementation Committee is very interested in learning about your experience implementing the HL7 standard. Please direct your comments to the people listed at the end of this document.
A.1 HL7 Interface Checklist Cover Sheet
Describing the interface between:
System A:
System B:
Checklist completed on: / /
Agreed to by:
NOTE:
System "A" and "B" are used to designate the sender/receiver in the message checklist section of the document.
General Interface Description
Separators
System System
A B
Segment Terminator:
Field Separator:
Component Separator:
Sub-Component Separator:
Repetition Separator:
NOTE:
The interface must still parse the incoming message for the separators. This section provides a mechanism for deciding on and documenting these separators.
Data Type Descriptions
ST - String Data:
TX - Text Data:
FT - Formatted Text:
NM - Numeric:
DT - Date:
TM - Time:
TS - Time Stamp:
PN - Person Name:
TN - Telephone Number:
AD - Address:
NOTE:
The HL7 Standard allow for different data formats for each of these data types. This section provides a place to document general attributes of each data type format.
Presentation
ASCII/EBCDIC:
The message checklist lists each HL7 message together with its required and optional message segments. Select the HL7 messages for the interface from this checklist. Decide which of the optional segments will be used. Make a copy of the segment checklist for each of the required and chosen segments and decide which fields to use in the interface.
Each message listed is presented by HL7 specification chapter. A blank line is provided after each message name to be checked off if that message will be included in the interface. Under each message is a message selection section. This section lists all the required and optional segments in the message. Under the required/optional (R/O) heading, a check mark indicates the segment is required. If the segment is optional, a blank line is provided. A check mark can be used to indicate that an optional segment will be used in the interface.
The messages described in the checklist are based on Version 2.1 of the HL7 Interface Standard published June 30, 1990.
ACK - General Acknowledgement Originator (A or B)
Seg Name R/O
MSH Message Header R
MSA Message Acknowledgement R
ERR Error
MCF - Delayed Acknowledgement Originator (A or B)
First Message
Seg Name R/O
MSH Message Header R
MSA Message Acknowledgement R
Second Message
Seg Name R/O
MSH Message Header R
MSA Message Acknowledgement R
ERR Error
A.2.2 Admission, Discharge, and Transfer Messages
A01 - Admit a Patient Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
NK1 Next of Kin R
PV1 Patient Visit R
DG1 Diagnosis Information
Z__ ______________________
A02 - Transfer Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
A03 - Discharge Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
A04 - Register A Patient Originator (A or B)
MSH Message Header R
EVN Event Type R
PID Patient Identification R
NK1 Next of Kin R
PV1 Patient Visit R
DG1 Diagnosis Information
A05 - Pre-Admit a Patient Originator (A or B)
MSH Message Header R
EVN Event Type R
PID Patient Identification R
NK1 Next of Kin R
PV1 Patient Visit R
DG1 Diagnosis Information
A06 - Transfer Outpatient-Inpatient Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
A07 - Transfer Inpatient-Outpatient Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
A08 - Update Patient Information Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
NK1 Next of Kin R
PV1 Patient Visit R
DG1 Diagnosis Information
A09 - Patient Departing Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
DG1 Diagnosis Information
A10 - Patient Arriving Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
DG1 Diagnosis Information
A11 - Cancel Admit Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
DG1 Diagnosis Information
A12 - Cancel Transfer Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
DG1 Diagnosis Information
A13 - Cancel Discharge Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
DG1 Diagnosis Information
A14 - Pending Admit Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
DG1 Diagnosis Information
A15 - Pending Transfer Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
DG1 Diagnosis Information
A16 - Pending Discharge Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
DG1 Diagnosis Information
A17 - Swap Patients Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
A18 - Merge Patient Information Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
MRG Merge Information R
PV1 Patient Visit
A19 - Patient Query Originator (A or B)
Seg Name R/O
MSH Message Header R
QRD Query Definition R
Response
Seg Name R/O
MSH Message Header R
MSA Message Acknowledgement R
QRD Query Definition R
EVN Event Type
PID Patient Identification R
PV1 Patient Visit R
DSC Continuation Pointer
A20 - Nursing/Census Updates Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
NPU Non-Patient Update R
A21 - Patient Out on LOA Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
A22 - Patient Returns from LOA Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
A23 - Delete a Patient Record Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
A24 - Create a Patient Link Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit R
PID Patient Identification R
ORM - Order Message Originator (A or B)
Seg Name R/O
MSH Message Header R
NTE Notes and Comments
PID Patient Identification
NTE Notes and Comments
PV1 Patient Visit
ORC Common Order R
OBR Observation Request
ORO Order Other
RX1 Pharmacy Order
NTE Notes and Comments
OBX Results
NTE Notes and Comments
BLG Billing
ORR - Order Response Originator (A or B)
Seg Name R/O
MSH Message Header R
MSA Message Acknowledgement R
NTE Notes and Comments
PID Patient Identification
NTE Notes and Comments
PV1 Patient Visit
ORC Common Order
OBR Observation Request
ORO Order Other
RX1 Pharmacy Order
NTE Notes and Comments
Q01 - Query for Immediate Response Originator (A or B)
Seg Name R/O
MSH Message Header R
QRD Query Definition R
QRF Query Filter
DSC Continuation Pointer R
Response
Seg Name R/O
MSH Message Header R
MSA Message Acknowledgement R
QRD Query Definition R
QRF Query Filter
DSP Display Data R
DSC Continuation Pointer R
Q03 - Query for Deferred Response Originator (A or B)
Seg Name R/O
MSH Message Header R
QRD Query Definition R
QRF Query Filter
DSC Continuation Pointer R
Response (Sent later as an unsolicited message, maybe multiple times)
Seg Name R/O
MSH Message Header R
QRD Query Definition R
QRF Query Filter
DSP Display Data R
DSC Continuation Pointer R
Q05 - Unsolicited Updates Originator (A or B)
Seg Name R/O
MSH Message Header R
URD Results/Update Definition R
URS Results/Update Selection Criteria
DSP Display Data R
DSC Continuation Pointer R
A.2.5 Finance: Patient Accounting
P01 - Add/Update Patient Accounts Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit
DG1 Patient Diagnosis
PR1 Procedures
GT1 Guarantor
NK1 Next of Kin
IN1 Insurance
ACC Accident Information
UB1 Univeral Bill Information
P02 - Purge Patient Accounts Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit
P03 - Detail Financial Transaction Originator (A or B)
Seg Name R/O
MSH Message Header R
EVN Event Type R
PID Patient Identification R
PV1 Patient Visit
FT1 Financial Transaction
A.2.6 Ancillary Data Reporting
ORU - Unsolicited Observation Originator (A or B)
Seg Name R/O
MSH Message Header R
MSA Message Acknowledgement R
PID Patient Identification
NTE Notes and Comments
PV1 Patient Visit
ORC Order Common
OBR Observations Report ID R
NTE Notes and Comments
OBX Result
NTE Notes and Comments
DSC Continuation Pointer
ORF - Observational Report Originator (A or B)
Sent in response to a Query (QRY) message
Seg Name R/O
MSH Message Header R
MSA Message Acknowledgement R
QRD Query Definition R
QRF Query Filter
PID Patient Identification
NTE Notes and Comments
ORC Order Common
OBR Observations Report ID R
NTE Notes and Comments
OBX Result
NTE Notes and Comments
DSC Continuation Pointer
The segment checklist provides detailed information about the fields contained in each segment. This checklist can be used to identify optional fields that will be used in each message, the characteristics of each field used, and the name of the variable assigned to the corresponding data in each application. A copy of each segment checklist should be completed for each segment identified in the message checklist section.
The segment checklist includes the following definitions:
ADD - Addendum
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00641 Addendum Cont. Pointer ST (60)
BHS - Batch Header
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00685 Batch Field Separator R ST (1)
2 00686 Batch Encoding Characters R ST (3)
3 00687 Batch Sending Application ST (15)
4 00688 Batch Sending Facility ST (20)
5 00689 Batch Rcving Application ST (15)
6 00690 Batch Receiving Facility ST (20)
7 00655 Batch Creation Date/Time TS (19)
8 00691 Batch Security ST (40)
9 00656 Batch Name/ID/Type ST (20)
10 00657 Batch Comment ST (80)
11 00658 Batch Control ID ST (20)
12 00659 Reference Batch Cntrl ID ST (20)
BLG - Billing
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00066 When to Charge CM (15)
2 00676 Value Type CM (50)
3 00560 Observation Identifier CM (100)
BTS - Batch Trailer
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00664 Batch Message Count ST (10)
2 00665 Batch Comment ST (80)
3 00666 Batch Totals CM (100)
DG1 - Diagnosis Information
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00506 Set ID - Diagnosis R SI (4)
2 00394 Diagnosis Coding Method R ID (2) (0053)
3 00293 Diagnosis Code ID (8) (0051)
4 00294 Diagnosis Description ST (40)
5 00295 Diagnosis Date/Time TS (19)
6 00297 Diagnosis/DRG Type R ID (2) (0052)
7 00298 Major Diagnostic Category ST (4) (0118)
8 00299 Diagnostic Related Group ID (4) (0055)
9 00373 DRG Approval Indicator ID (2)
10 00374 DRG Grouper Review Code ID (2) (0056)
11 00375 Outlier Type ID (2) (0083)
12 00300 Outlier Days NM (3)
13 00376 Outlier Cost NM (12)
14 00781 Grouper Version and Type ST (4)
DSC - Continuation Pointer
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00167 Continuation Pointer ST (60)
DSP - Display Data
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00570 Set ID - Display Data SI (4)
2 00571 Display Level SI (4)
3 00153 Data Line R TX (300)
4 00154 Logical Break Point ST (2)
5 00599 Result ID TX (20)
ERR - Error
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00080 Error Code and Location R ID (80)
EVN - Event Type
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00029 Event Type Code R ID (3) (0003)
2 00030 Date/Time of Event R TS (19)
3 00032 Date/Time Planned Event TS (19)
4 00369 Event Reason Code ID (3) (0062)
FHS - File Header
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00692 File Field Separators R ST (1)
2 00693 File Encoding Characters R ST (4)
3 00694 File Sending Application ST (15)
4 00695 File Sending Facility ST (20)
5 00696 File Rcving Application ST (15)
6 00697 File Receiving Facility ST (20)
7 00660 File Creation Date/Time TS (19)
8 00698 File Security ST (40)
9 00661 File Name/ID/Type ST (20)
10 00662 File Comment ST (80)
11 00663 File Control ID ST (20)
12 00768 Reference File Cntrl ID ST (20)
FT1 - Financial Transaction
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00507 Set ID - Financial Trans SI (4)
2 00366 Transaction ID ST (12)
3 00503 Transaction Batch ID ST (5)
4 00351 Transaction Date R DT (8)
5 00352 Transaction Posting Date DT (8)
6 00353 Transaction Type R ID (8) (0017)
7 00354 Transaction Code R ID (20) (0096)
8 00356 Transaction Description ST (40)
9 00706 Transaction Desc. - Alt ST (40)
10 00357 Transaction Quantity NM (4)
11 00358 Transaction Amount - Ext. NM (12)
12 00782 Transaction Amount - Unit NM (12)
13 00355 Department Code ST (16) (0049)
14 00359 Insurance Plan ID ID (8) (0072)
15 00360 Insurance Amount NM (12)
16 00361 Patient Location ST (12) (0079)
17 00362 Fee Schedule ID (1) (0024)
18 00363 Patient Type ID (2) (0018)
19 00364 Diagnosis Code ID (8) (0051)
20 00377 Performed by Code CN (60) (0084)
21 00783 Ordered by Code CN (60)
22 00784 Unit Cost NM (12)
FTS - File Trailer
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00667 File Batch Count ST (10)
2 00668 File Trailer Comment CM (80)
GT1 - Guarantor
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00321 Set ID - Guarantor R SI (4)
2 00322 Guarantor Number ID (20)
3 00323 Guarantor Name R PN (48)
4 00707 Guarantor Spouse Name PN (48)
5 00324 Guarantor Address AD (106)
6 00329 Guarantor Phone - Home TN (40)
7 00330 Guarantor Phone - Bus. TN (40)
8 00331 Guarantor Date of Birth DT (8)
9 00332 Guarantor Sex ID (1) (0001)
10 00333 Guarantor Type ID (2) (0068)
11 00334 Guarantor Relationship ID (2) (0063)
12 00335 Guarantor SSN ST (11)
13 00338 Guarantor Date - Begin DT (8)
14 00339 Guarantor Date - End DT (8)
15 00340 Guarantor Priority NM (2)
16 00341 Guarantor Employer Name ST (45)
17 00342 Guarantor Employer Addr AD (106)
18 00347 Guarantor Employer Phone TN (40)
19 00391 Guarantor Employee ID # ST (20)
20 00392 Guarantor Employmt Status ID (2) (0066)
IN1 - Insurance
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00234 Set ID - Insurance R SI (4)
2 00378 Insurance Plan ID R ID (8) (0072)
3 00235 Insurance Company ID R ST (6)
4 00236 Insurance Company Name ST (45)
5 00237 Insurance Company Address AD (106)
6 00242 Insurance Co Contact Pers PN (48)
7 00243 Insurance Co Phone Number TN (40)
8 00248 Group Number ST (12)
9 00249 Group Name ST (35)
10 00250 Insured's Group Emp. ID ST (12)
11 00251 Insured's Group Emp. Name ST (45)
12 00252 Plan Effective Date DT (8)
13 00253 Plan Expiration Date DT (8)
14 00254 Authorization Information ST (55)
15 00260 Plan Type ID (2) (0086)
16 00261 Name of Insured PN (48)
17 00262 Insured's Relation to Pat ID (2) (0063)
18 00708 Insured's Date of Birth DT (8)
19 00709 Insured's Address AD (106)
20 00263 Assignment of Benefits ID (2)
21 00264 Coordination of Benefits ID (2)
22 00265 Coord. of Ben. Priority ST (2)
IN1 - Insurance (Cont.)
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
23 00266 Notice of Admission Code ID (2) (0081)
24 00267 Notice of Admission Date DT (8)
25 00268 Rpt of Eligibility Code ID (2) (0094)
26 00269 Rpt of Eligibility Date DT (8)
27 00270 Release Information Code ID (2) (0093)
28 00271 Pre-Admit Cert. (PAC) ST (15)
29 00272 Verification Date DT (8)
30 00273 Verification By CM (60)
31 00277 Type of Agreement Code ID (2) (0098)
32 00278 Billing Status ID (2) (0022)
33 00280 Lifetime Reserve Days NM (4)
34 00281 Delay Before L. R. Day NM (4)
35 00282 Company Plan Code ST (8) (0042)
36 00283 Policy Number ST (15)
37 00284 Policy Deductible NM (12)
38 00285 Policy Limit - Amount NM (12)
39 00286 Policy Limit - Days NM (4)
40 00287 Room Rate - Semi-Private NM (12)
41 00288 Room Rate - Private NM (12)
42 00710 Insured's Employ Status ID (1) (0066)
43 00711 Insured's Sex ID (1) (0001)
44 00713 Insured's Employer Addr AD (106)
MRG - Merge Patient Information
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00576 Prior Patient ID - Int R CK (16) (0061)
2 00577 Prior Alt Patient ID CK (16) (0061)
3 00578 Prior Patient Account # ST (20) (0061)
MSA - Message Acknowledgement
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00002 Acknowledgement Code R ID (2) (0008)
2 00003 Message Control ID R ST (20)
3 00004 Text Message ST (80)
4 00598 Expected Sequence Number NM (15)
5 00632 Delayed Ack Type ID (1) (0102)
MSH - Message Header R
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00005 Field Separator R ST (1)
2 00509 Encoding Characters R ST (4)
3 00006 Sending Application ST (15)
4 00512 Sending Facility ST (20)
5 00009 Receiving Application ST (15)
6 00513 Receiving Facility ST (30)
7 00010 Date/Time of Message TS (19)
8 00008 Security ST (40)
9 00012 Message Type R ID (7)
10 00013 Message Control ID R ST (20)
11 00014 Processing ID R ID (1)
12 00015 Version ID R NM (8)
13 00633 Sequence Number NM (15)
14 00699 Continuation Pointer ST (180)
NK1 - Next of Kin
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00712 Set ID - Next of Kin R SI (4)
2 00048 Next of Kin Name NM (48)
3 00047 Next of Kin Relationship ST (15) (0063)
4 00225 Next of Kin Address AD (106)
5 00230 Next of Kin Phone Number TN (40)
NTE - Notes and Comments
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00573 Set ID SI (4)
2 00574 Source of Comment ID (8) (0105)
3 00575 Comment R TX (120)
OBR - Observation Request
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00520 Set Id SI (4)
2 00732 Placer Orders # CM (75)
3 00733 Fillers Order # CM (75)
4 00523 Universal Service ID R CE (200)
5 00524 Priority ST (2)
6 00529 Requested Date/Time TS (19)
7 00530 Observation Date/Time R TS (19)
8 00531 Observation End Date/Time R TS (19)
9 00532 Collection Volume R CQ (20)
10 00533 Collector Identifier CN (60)
11 00534 Specimen Action Code ST (1)
12 00535 Danger Code CM (60)
13 00536 Relevant Clinical Info. ST (300)
14 00537 Specimen Rcvd Date/Time R TS (19)
15 00538 Specimen Source CM (300)
16 00539 Ordering Provider CN (60)
17 00540 Order Call Back Phone Num TN (40)
18 00541 Placers Field #1 ST (60)
19 00542 Placers Field #2 ST (60)
20 00543 Fillers Field #1 ST (60)
21 00544 Fillers Field #2 ST (60)
22 00546 Results Rpt/Status Chg-dt R TS (19)
OBR - Observation Request (Cont.)
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
23 00547 Charge to Practice CM (40)
24 00548 Diagnostic Serv Sect Id ID (10)
25 00734 Result Status ID (1)
26 00550 Linked Results CE (200)
27 00735 Quantity/Timing CM (200)
28 00551 Result Copies to CN (80)
29 00737 Parent Accession # CM (150)
30 00625 Transportation Mode ID (20)
31 00626 Reason for Study CE (300)
32 00627 Prin Result Interpreter CN (60)
33 00628 Asst Result Interpreter CN (60)
34 00630 Technician CN (60)
35 00629 Transcriptionist CN (60)
36 00736 Scheduled Date/Time TS (19)
OBX - Result
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00559 Set Id SI (4)
2 00676 Value Type ID (2)
3 00560 Observation Identifier R CE (80)
4 00769 Observation Sub-Id ST (20)
5 00561 Observation Results R ST (65)
6 00562 Units ST (20)
7 00563 Reference Range ST (60)
8 00564 Abnormal Flags ST (10)
9 00639 Probability NM (5)
10 00565 Nature of Abnormal Test ID (5)
11 00566 Observ Result Status ID (2)
12 00567 Date Last Normal Value TS (19)
ORC - Common Order
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00714 Order Control R ST (2)
2 00715 Placer Order # CM (75)
3 00716 Filler Order # CM (75)
4 00717 Placer Order # CM (75)
5 00718 Order Status ST (2)
6 00719 Response Flag ST (200)
7 00720 Timing/Quantity CM (200)
8 00721 Parent CM (19)
9 00722 Date/Time of Transaction TS (80)
10 00723 Enterted BY CN (80)
11 00724 Verified By CN (80)
12 00725 Ordering Provider CN (80)
13 00726 Enterer's Location CM (80)
14 00727 Call Back Phone Number TN (40)
ORO - Order Other
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00731 Order Item Id CE (200)
2 00120 Substitute Allowed ID (1)
3 00586 Results Copied To CN (80)
4 00068 Stock Location ID (2)
PID - Patient Identification
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00572 Set ID - Patient ID SI (4)
2 00581 Patient ID (External ID) CK (16) (0061)
3 00034 Patient ID (Internal ID) R CK (16) (0061)
4 00038 Alternate Patient ID ST (12)
5 00041 Patient's Name R PN (48)
6 00582 Mother's Maiden Name ST (30)
7 00043 Date of Birth DT (8)
8 00042 Sex ID (1) (0001)
9 00597 Patient Alias PN (48)
10 00044 Ethnic Group ID (1) (0005)
11 00020 Patient Address AD (106)
12 00026 County Code ID (4)
13 00049 Phone Number - Home TN (40) 1
14 00050 Phone Number - Business TN (40) 1
15 00464 Language - Patient ST (25)
16 00046 Marital Status ID (1) (0002)
17 00045 Religion ID (3) (0006)
18 00035 Patient Account Number CK (20) (0061)
19 00457 SSN Number - Patient ST (16)
20 00453 Drivers License - Patient CM (25)
PR1 - Procedures
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00304 Set ID - Procedure R SI (4)
2 00393 Procedure Coding Method R ID (2) (0089)
3 00305 Procedure Code R ID (10) (0088)
4 00306 Procedure Description ST (40)
5 00307 Procedure Date/Time R TS (19)
6 00309 Procedure Type R ID (2) (0090)
7 00310 Procedure Minutes NM (4)
8 00311 Anesthesiologist CN (60) (0010)
9 00313 Anesthesia Code ID (2) (0019)
10 00314 Anesthesia Minutes NM (4)
11 00315 Surgeon CN (60) (0010)
12 00318 Resident Code CN (60) (0010)
13 00317 Consent Code ID (2) (0059)
PV1 - Patient Visit
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00458 Set Id SI (4)
2 00052 Patient Class R ID (1) (0004)
3 00053 Assigned Patient Location R ID (12) (0079)
4 00218 Admission Type ID (2) (0007)
5 00219 Pre-Admit Number ST (20)
6 00056 Prior Patient Location ID (12) (0079)
7 00057 Attending Doctor CN (60) (0010)
8 00579 Refering Doctor CN (60) (0010)
9 00580 Consulting Doctor CN (60) (0010)
10 00059 Hospital Service ID (3) (0069)
11 00060 Temporary Location ID (12) (0079)
12 00220 Pre-Admit Test Indicator ID (2) (0087)
13 00221 Re-Admission Indicator ID (2) (0092)
14 00063 Admit Source ID (3) (0023)
15 00064 Ambulatory Status ID (2) (0009)
16 00193 VIP Indicators ID (2) (0099)
17 00189 Admitting Doctor CN (60) (0010)
18 00191 Patient Type ID (2) (0018)
19 00194 Visit Number NM (4)
20 00195 Financial Class ID (11) (0064)
21 00199 Charge Price Indicator ID (2) (0032)
22 00386 Courtesy Code ID (2) (0045)
PV1 - Patient Visit (Cont.)
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
23 00200 Credit Rating ID (2) (0046)
24 00201 Contract Code ID (2) (0044)
25 00202 Contract Effective Date DT (8)
26 00203 Contract Amount NM (12)
27 00204 Contract Period NM (3)
28 00387 Interest Code ID (2) (0073)
29 00205 Transfer to Bad Debt Code ID (1) (0110)
30 00388 Transfer to Bad Debt Date DT (8)
31 00206 Bad Debt Agency Code ST (10) (0021)
32 00389 Bad Debt Transfer Amount NM (12)
33 00390 Bad Debt Recovery Amount NM (12)
34 00207 Delete Account Indicator ID (1) (0111)
35 00208 Delete Account Date DT (8)
36 00613 Discharge Disposition ID (2) (0112)
37 00614 Discharged to Location ID (2) (0113)
38 00615 Diet Type ID (2) (0114)
39 00616 Servicing Facility ID (2) (0115)
40 00617 Bed Status ID (1) (0116)
41 00703 Account Status ID (2) (0117)
42 00704 Pending Location ID (12) (0079)
43 00705 Prior Temporary Location ID (12) (0079)
44 00775 Admit Date/Time TS (19)
PV1 - Patient Visit (Cont.)
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
45 00776 Discharge Date/Time TS (19)
46 00777 Current Patient Balance NM (12)
47 00778 Total Charges NM (12)
48 00779 Total Adjustments NM (12)
49 00780 Total Payments NM (12)
QRD - Query Definition
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00156 Query Date/Time R TS (19)
2 00158 Query Format Code R ID (1) (0106)
3 00159 Query Priority R ID (1) (0091)
4 00160 Query ID R ST (10)
5 00161 Deferred Response Type ID (1) (0107)
6 00162 Def. Resp. Date/Time TS (19)
7 00164 Quantity Limited Request R CQ (5) (0126)
8 00168 Who Subject Filter R ST (20)
9 00169 What Subject Filter R ID (3) (0048)
10 00170 What Dept. Data Code R ST (20)
11 00171 What data Cd. Value Qua. ST (20)
12 00701 Query Results Level ID (1) (0108)
QRF - Query Filter
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00173 Where Subject Filter R ST (20)
2 00174 When Data Start Date/Time TS (19)
3 00176 When Data End Date/Time TS (19)
4 00178 What User Qualifier ST (20)
5 00179 Other Qry Subject Filter ST (20)
RX1 - Pharmacy Order
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00770 Unused
2 00771 Unused
3 00129 Route ST (8)
4 00130 Site Administered ST (20)
5 00131 IV Solution Rate CQ 10
6 00133 Drug Strength CQ (14)
7 00137 Final Concentration NM (10)
8 00138 Final Volume in Ml. NM (10)
9 00135 Drug Dose CM (10)
10 00139 Drug Role ID (1)
11 00469 Prescription Sequence Num NM (3)
12 00470 Quantity Dispensed CQ (4)
13 00772 Unused
14 00473 Drug ID CE (5)
15 00474 Component Drug IDs ID (5)
16 00479 Prescription Type ID (2)
17 00480 Substitution Status ID (1)
18 00588 Rx Order Status ID (2)
19 00481 Number of Refills NM (3)
20 00773 Unused
21 00482 Refills Remaining NM (3)
22 00619 DEA Class ID (5)
RX1 - Pharmacy Order (Cont.)
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
23 00620 Ordering Md's DEA Number NM (10)
24 00774 Unused
25 00483 Last Refill Date/Time TS (19)
26 00596 RX Number ST (20)
27 00621 PRN Status ID (5)
28 00484 Pharmacy Instructions TX (80)
29 00489 Patient Instruction TX (80)
30 00618 Instructions (SIG) TX (500)
UB1 - UB82 Data
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00459 Set ID - UB82 SI (4)
2 00279 Blood Deductible ST (1)
3 00396 Blood Furn.-Pints of (40) ST (2)
4 00397 Blook Replaced-Pints (41) ST (2)
5 00398 Blood Not Rplcd-Pints(42) ST (2)
6 00399 Co-Insurance Days (25) ST (2)
7 00400 Condition Code ID (2)
8 00405 Covered Days (23) ST (3)
9 00406 Non-Covered Days (24) ST (3)
10 00407 Value Amount & Code CM (12)
11 00424 Number of Grace Days (90) ST (2)
12 00425 Spec. Prog. Indicator(44) ID (2)
13 00426 PSRO/UR Approvl Ind. (87) ID (1)
14 00427 PSRO/UR Aprvd Stay-Fm(88) DT (8)
15 00428 PSRO/UR Aprvd Stay-To(89) DT (8)
16 00429 Occurrence (28-32) ID (20)
17 00435 Occurrence Span (33) ID (2)
18 00446 Occur Span Start Date(33) DT (8)
19 00447 Occur Span End Date (33) DT (8)
20 00448 UB-82 Locator 2 ST (30)
21 00449 UB-82 Locator 9 ST (7)
22 00450 UB-82 Locator 27 ST (8)
UB1 - UB82 Data (Cont.)
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
23 00451 UB-82 Locator 45 ST (17)
URD - Results/Update Definitions
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00600 R/U Date/Time SI (19)
2 00601 Report Priority CK (1) (0109)
3 00602 R/U Who Subject Defnition R CK (20)
4 00603 R/U What Subject Defntion ST (3) (0048)
5 00605 R/U What Department Code PN (20)
6 00607 R/U Display/Print Locs ST (20)
7 00702 R/U Results Level DT (1) (0108)
URS - Unsolicited Selection
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 00608 R/U Where Subject Def. R ST (20)
2 00609 R/U When Start Dte/Tme TS (19)
3 00610 R/U When End Dte/Tme TS (19)
4 00611 R/U What User Qualifier ST (20)
5 00612 R/U Oth Results Def. ST (20)
Z - Z segment (hospital specific)
Sender Receiver
Seq# Item# Name R/O DT Len (Max) Reps Variable Variable Notes
1 data element name ( )