PID

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PID

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