ADT

Sequence	Length	Data Type	Req/Optional/Not Used	Element Name
1	4	SI	O	Set ID – Patient ID
2	20	CX	O	Patient ID (External ID)
3	20	CX	R	Patient ID (Internal ID)
4	20	CX	NU	Alternate Patient ID – PID
5	48	XPN	R	Patient Name
6	48	XPN	NU	Mother’s Maiden Name
7	26	TS	R (Date Only)	Date/Time of Birth
8	1	IS	R	Sex
9	48	XPN	NU	Patient Alias
10	1	IS	NU	Race
11	106	XAD	O	Patient Address
12	4	IS	B	Country Code
13	40	XTN	O	Phone Number – Home
14	40	XTN	O	Phone Number – Business
15	60	CE	O	Primary Language
16	1	IS	O	Marital Status
17	3	IS	NU	Religion
18	20	CX	O (Chart #)	Patient Account Number
19	16	ST	NU	SSN Number – Patient
20	25	DLN	NU	Driver’s License Number – Patient
21	20	CX	NU	Mother’s Identifier
22	3	IS	NU	Ethnic Group
23	60	ST	NU	Birth Place
24	2	ID	NU	Multiple Birth Indicator
25	2	NM	NU	Birth Order
26	4	IS	NU	Citizenship
27	60	CE	NU	Veterans Military Status
28	80	CE	NU	Nationality
29	26	TS	NU	Patient Death Date and Time
30	1	ID	NU	Patient Death Indicator