|
|
| (2 intermediate revisions by one user not shown) |
| Line 1: |
Line 1: |
| | | | |
| − | {| border="1" cellpadding="4" cellspacing="0"
| |
| − | |-
| |
| − | !Sequence
| |
| − | !Length
| |
| − | !Data Type
| |
| − | !Req/Optional
| |
| − | !RP/#
| |
| − | !Element Name
| |
| − | |-
| |
| − | |1
| |
| − | |4
| |
| − | |SI
| |
| − | |O
| |
| − | |
| |
| − | |Set ID – Patient ID
| |
| − | |-
| |
| − | |2
| |
| − | |20
| |
| − | |CX
| |
| − | |O
| |
| − | |
| |
| − | |Patient ID (External ID)
| |
| − | |-
| |
| − | |3
| |
| − | |20
| |
| − | |CX
| |
| − | |R
| |
| − | |Y
| |
| − | |Patient ID (Internal ID)
| |
| − | |-
| |
| − | |4
| |
| − | |20
| |
| − | |CX
| |
| − | |O
| |
| − | |Y
| |
| − | |Alternate Patient ID – PID
| |
| − | |-
| |
| − | |5
| |
| − | |48
| |
| − | |XPN
| |
| − | |R
| |
| − | |Y
| |
| − | |Patient Name
| |
| − | |-
| |
| − | |6
| |
| − | |48
| |
| − | |XPN
| |
| − | |O
| |
| − | |
| |
| − | |Mother’s Maiden Name
| |
| − | |-
| |
| − | |7
| |
| − | |26
| |
| − | |TS
| |
| − | |O
| |
| − | |
| |
| − | |Date/Time of Birth
| |
| − | |-
| |
| − | |8
| |
| − | |1
| |
| − | |IS
| |
| − | |O
| |
| − | |
| |
| − | |Sex
| |
| − | |-
| |
| − | |9
| |
| − | |48
| |
| − | |XPN
| |
| − | |O
| |
| − | |Y
| |
| − | |Patient Alias
| |
| − | |-
| |
| − | |10
| |
| − | |1
| |
| − | |IS
| |
| − | |O
| |
| − | |
| |
| − | |Race
| |
| − | |-
| |
| − | |11
| |
| − | |106
| |
| − | |XAD
| |
| − | |O
| |
| − | |Y
| |
| − | |Patient Address
| |
| − | |-
| |
| − | |12
| |
| − | |4
| |
| − | |IS
| |
| − | |B
| |
| − | |
| |
| − | |Country Code
| |
| − | |-
| |
| − | |13
| |
| − | |40
| |
| − | |XTN
| |
| − | |O
| |
| − | |Y
| |
| − | |Phone Number – Home
| |
| − | |-
| |
| − | |14
| |
| − | |40
| |
| − | |XTN
| |
| − | |O
| |
| − | |Y
| |
| − | |Phone Number – Business
| |
| − | |-
| |
| − | |15
| |
| − | |60
| |
| − | |CE
| |
| − | |O
| |
| − | |
| |
| − | |Primary Language
| |
| − | |-
| |
| − | |16
| |
| − | |1
| |
| − | |IS
| |
| − | |O
| |
| − | |
| |
| − | |Marital Status
| |
| − | |-
| |
| − | |17
| |
| − | |3
| |
| − | |IS
| |
| − | |O
| |
| − | |
| |
| − | |Religion
| |
| − | |-
| |
| − | |18
| |
| − | |20
| |
| − | |CX
| |
| − | |O
| |
| − | |
| |
| − | |Patient Account Number
| |
| − | |-
| |
| − | |19
| |
| − | |16
| |
| − | |ST
| |
| − | |O
| |
| − | |
| |
| − | |SSN Number – Patient
| |
| − | |-
| |
| − | |20
| |
| − | |25
| |
| − | |DLN
| |
| − | |O
| |
| − | |
| |
| − | |Driver’s License Number – Patient
| |
| − | |-
| |
| − | |21
| |
| − | |20
| |
| − | |CX
| |
| − | |O
| |
| − | |Y
| |
| − | |Mother’s Identifier
| |
| − | |-
| |
| − | |22
| |
| − | |3
| |
| − | |IS
| |
| − | |O
| |
| − | |
| |
| − | |Ethnic Group
| |
| − | |-
| |
| − | |23
| |
| − | |60
| |
| − | |ST
| |
| − | |O
| |
| − | |
| |
| − | |Birth Place
| |
| − | |-
| |
| − | |24
| |
| − | |2
| |
| − | |ID
| |
| − | |O
| |
| − | |
| |
| − | |Multiple Birth Indicator
| |
| − | |-
| |
| − | |25
| |
| − | |2
| |
| − | |NM
| |
| − | |O
| |
| − | |
| |
| − | |Birth Order
| |
| − | |-
| |
| − | |26
| |
| − | |4
| |
| − | |IS
| |
| − | |O
| |
| − | |Y
| |
| − | |Citizenship
| |
| − | |-
| |
| − | |27
| |
| − | |60
| |
| − | |CE
| |
| − | |O
| |
| − | |
| |
| − | |Veterans Military Status
| |
| − | |-
| |
| − | |28
| |
| − | |80
| |
| − | |CE
| |
| − | |O
| |
| − | |
| |
| − | |Nationality
| |
| − | |-
| |
| − | |29
| |
| − | |26
| |
| − | |TS
| |
| − | |O
| |
| − | |
| |
| − | |Patient Death Date and Time
| |
| − | |-
| |
| − | |30
| |
| − | |1
| |
| − | |ID
| |
| − | |O
| |
| − | |
| |
| − | |Patient Death Indicator
| |
| − | |}
| |
