IIS: HL7 Local Business Rule Template
HL7 2.5.1, release 1.4 - VXU_V04 template [XLSX, 1051 KB]
Note: This spreadsheet is designed to track local IIS business rules applied during an HL7 2.5.1 VXU transmission. The related "VXU_V04 Detail" tab has mapped out the entire VXU profile provided in the CDC Implementation Guide. It is not anticipated that your IIS will support all of these segments and fields. Many of the fields have been listed as "Optional" or "Not supported" but have been included for completeness. Components and sub-components have also been included for further detail.
The purpose of this spreadsheet is to quickly and accurately identify where your IIS further constrains the CDC IG and what the local business rules are on a given field. This spreadsheet is likely better viewed electronically rather than as printed media based on its size and the use of Excel filters.
| Order id | Segment | Seq | Name | Type | DT | Len | CDC usage | Local usage | Local usage constraint | CDC card | Local card | Local card constraint | Tbl | Fixed value | Expected value | Predicate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1001 | MSH | 1 | Field Separator | F | ST | 1 | R | R | No | [1 .. 1] | [1 .. 1] | No | True | | | ||
| 1002 | MSH | 2 | Encoding Characters | F | ST | 4 | R | R | No | [1 .. 1] | [1 .. 1] | No | True | ^~\& | ||
| 1003 | MSH | 3 | Sending Application | F | HD | 227 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0361 | |||
| 1004 | MSH | 3.1 | Namespace ID | C | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 1005 | MSH | 3.2 | Universal ID | C | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 1006 | MSH | 3.3 | Universal ID Type | C | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 1007 | MSH | 4 | Sending Facility | F | HD | 227 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0362 | |||
| 1008 | MSH | 4.1 | Namespace ID | C | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 1009 | MSH | 4.2 | Universal ID | C | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 1010 | MSH | 4.3 | Universal ID Type | C | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 1011 | MSH | 5 | Receiving Application | F | HD | 227 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0361 | |||
| 1012 | MSH | 5.1 | Namespace ID | C | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 1013 | MSH | 5.2 | Universal ID | C | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 1014 | MSH | 5.3 | Universal ID Type | C | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 1015 | MSH | 6 | Receiving Facility | F | HD | 227 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0362 | |||
| 1016 | MSH | 6.1 | Namespace ID | C | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 1017 | MSH | 6.2 | Universal ID | C | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 1018 | MSH | 6.3 | Universal ID Type | C | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 1019 | MSH | 7 | Date/Time Of Message | F | TS | 26 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 1020 | MSH | 7.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 1021 | MSH | 7.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 1022 | MSH | 8 | Security | F | ST | 40 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1023 | MSH | 9 | Message Type | F | MSG | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 1024 | MSH | 9.1 | Message Code | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0076 | True | VXU | |
| 1025 | MSH | 9.2 | Trigger Event | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0003 | True | V04 | |
| 1026 | MSH | 9.3 | Message Structure | C | ID | 7 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0354 | True | VXU_V04 | |
| 1027 | MSH | 10 | Message Control ID | F | ST | 20 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 1028 | MSH | 11 | Processing ID | F | PT | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 1029 | MSH | 11.1 | Processing ID | C | ID | 1 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0103 | P | ||
| 1030 | MSH | 11.2 | Processing Mode | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0207 | |||
| 1031 | MSH | 12 | Version ID | F | VID | 973 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 1032 | MSH | 12.1 | Version ID | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0104 | 2.5.1 | ||
| 1033 | MSH | 12.2 | Internationalization Code | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0399 | |||
| 1034 | MSH | 12.2.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1035 | MSH | 12.2.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1036 | MSH | 12.2.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 1037 | MSH | 12.2.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1038 | MSH | 12.2.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1039 | MSH | 12.2.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 1040 | MSH | 12.3 | International Version ID | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1041 | MSH | 12.3.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1042 | MSH | 12.3.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1043 | MSH | 12.3.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 1044 | MSH | 12.3.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1045 | MSH | 12.3.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1046 | MSH | 12.3.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 1047 | MSH | 13 | Sequence Number | F | NM | 15 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1048 | MSH | 14 | Continuation Pointer | F | ST | 180 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1049 | MSH | 15 | Accept Acknowledgment Type | F | ID | 2 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0155 | NE | ||
| 1050 | MSH | 16 | Application Acknowledgment Type | F | ID | 2 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0155 | AL | ||
| 1051 | MSH | 17 | Country Code | F | ID | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0399 | |||
| 1052 | MSH | 18 | Character Set | F | ID | 16 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0211 | |||
| 1053 | MSH | 19 | Principal Language Of Message | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1054 | MSH | 19.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1055 | MSH | 19.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1056 | MSH | 19.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 1057 | MSH | 19.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1058 | MSH | 19.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1059 | MSH | 19.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 1060 | MSH | 20 | Alternate Character Set Handling Scheme | F | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0356 | |||
| 1061 | MSH | 21 | Message Profile Identifier | F | EI | 427 | C(R/X) | C(R/X) | No | [0 .. *] | [0 .. *] | No | If MSH-9.1 is valued "QBP" or "RSP" | |||
| 1062 | MSH | 21.1 | Entity Identifier | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 1063 | MSH | 21.2 | Namespace ID | C | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | If EI.3 (Universal ID) is not valued | ||
| 1064 | MSH | 21.3 | Universal ID | C | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If EI.2 (Namespace ID) is not valued | |||
| 1065 | MSH | 21.4 | Universal ID Type | C | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If EI.3 (Universal ID) is valued | ||
| 2001 | SFT | 1 | Software Vendor Organization | F | XON | 567 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 2002 | SFT | 1.1 | Organization Name | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 2003 | SFT | 1.2 | Organization Name Type Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0204 | |||
| 2004 | SFT | 1.3 | ID Number | C | NM | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 2005 | SFT | 1.4 | Check Digit | C | NM | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 2006 | SFT | 1.5 | Check Digit Scheme | C | ID | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0061 | |||
| 2007 | SFT | 1.6 | Assigning Authority | C | HD | 227 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | If XON.10 (Organization Identifier) is valued | ||
| 2008 | SFT | 1.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 2009 | SFT | 1.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 2010 | SFT | 1.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 2011 | SFT | 1.7 | Identifier Type Code | C | ID | 5 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0203 | If XON.10 (Organization Identifier) is valued | ||
| 2012 | SFT | 1.8 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 2013 | SFT | 1.8.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 2014 | SFT | 1.8.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 2015 | SFT | 1.8.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 2016 | SFT | 1.9 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 2017 | SFT | 1.10 | Organization Identifier | C | ST | 20 | C(R/RE) | C(R/RE) | No | [0 .. 1] | [0 .. 1] | No | If XON.1 (Organization Name) is not valued | |||
| 2018 | SFT | 2 | Software Certified Version or Release Number | F | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 2019 | SFT | 3 | Software Product Name | F | ST | 20 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 2020 | SFT | 4 | Software Binary ID | F | ST | 20 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 2021 | SFT | 5 | Software Product Information | F | TX | 1024 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 2022 | SFT | 6 | Software Install Date | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 2023 | SFT | 6.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 2024 | SFT | 6.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3001 | PID | 1 | Set ID - PID | F | SI | 4 | R | R | No | [1 .. 1] | [1 .. 1] | No | True | 1 | ||
| 3002 | PID | 2 | Patient ID | F | CX | 1913 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3003 | PID | 3 | Patient Identifier List | F | CX | 1913 | R | R | No | [1 .. *] | [1 .. *] | No | ||||
| 3004 | PID | 3.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3005 | PID | 3.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3006 | PID | 3.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 3007 | PID | 3.4 | Assigning Authority | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | |||
| 3008 | PID | 3.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 3009 | PID | 3.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 3010 | PID | 3.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 3011 | PID | 3.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | |||
| 3012 | PID | 3.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3013 | PID | 3.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 3014 | PID | 3.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 3015 | PID | 3.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 3016 | PID | 3.7 | Effective Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3017 | PID | 3.8 | Expiration Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3018 | PID | 3.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3019 | PID | 3.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3020 | PID | 3.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3021 | PID | 3.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 3022 | PID | 3.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3023 | PID | 3.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 3024 | PID | 3.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 3025 | PID | 3.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3026 | PID | 3.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3027 | PID | 3.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3028 | PID | 3.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3029 | PID | 3.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3030 | PID | 3.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3031 | PID | 3.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 3032 | PID | 3.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3033 | PID | 3.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 3034 | PID | 3.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 3035 | PID | 3.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3036 | PID | 3.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3037 | PID | 3.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3038 | PID | 4 | Alternate Patient ID - PID | F | CX | 1913 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3039 | PID | 5 | Patient Name | F | XPN | 1044 | R | R | No | [1 .. *] | [1 .. *] | No | ||||
| 3040 | PID | 5.1 | Family Name | C | FN | 194 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3041 | PID | 5.1.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3042 | PID | 5.1.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3043 | PID | 5.1.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3044 | PID | 5.1.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3045 | PID | 5.1.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3046 | PID | 5.2 | Given Name | C | ST | 30 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3047 | PID | 5.3 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3048 | PID | 5.4 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3049 | PID | 5.5 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3050 | PID | 5.6 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | |||
| 3051 | PID | 5.7 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | |||
| 3052 | PID | 5.8 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 3053 | PID | 5.9 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | |||
| 3054 | PID | 5.9.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3055 | PID | 5.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3056 | PID | 5.9.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3057 | PID | 5.9.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3058 | PID | 5.9.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3059 | PID | 5.9.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3060 | PID | 5.10 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3061 | PID | 5.11 | Name Assembly Order | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0444 | |||
| 3062 | PID | 5.12 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3063 | PID | 5.12.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3064 | PID | 5.12.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3065 | PID | 5.13 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3066 | PID | 5.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3067 | PID | 5.13.3 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3068 | PID | 5.14 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3069 | PID | 6 | Mother's Maiden Name | F | XPN | 1044 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3070 | PID | 6.1 | Family Name | C | FN | 194 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3071 | PID | 6.1.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3072 | PID | 6.1.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3073 | PID | 6.1.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3074 | PID | 6.1.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3075 | PID | 6.1.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3076 | PID | 6.2 | Given Name | C | ST | 30 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3077 | PID | 6.3 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3078 | PID | 6.4 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3079 | PID | 6.5 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3080 | PID | 6.6 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | |||
| 3081 | PID | 6.7 | Name Type Code | C | ID | 1 | RE | RE | No | [1 .. 1] | [1 .. 1] | No | 0200 | |||
| 3082 | PID | 6.8 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 3083 | PID | 6.9 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | |||
| 3084 | PID | 6.9.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3085 | PID | 6.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3086 | PID | 6.9.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3087 | PID | 6.9.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3088 | PID | 6.9.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3089 | PID | 6.9.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3090 | PID | 6.10 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3091 | PID | 6.11 | Name Assembly Order | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0444 | |||
| 3092 | PID | 6.12 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3093 | PID | 6.12.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3094 | PID | 6.12.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3095 | PID | 6.13 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3096 | PID | 6.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3097 | PID | 6.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3098 | PID | 6.14 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3099 | PID | 7 | Date/Time of Birth | F | TS | 26 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3100 | PID | 7.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3101 | PID | 7.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3102 | PID | 8 | Administrative Sex | F | IS | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0001 | |||
| 3103 | PID | 9 | Patient Alias | F | XPN | 1044 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3104 | PID | 10 | Race | F | CE | 483 | RE | RE | No | [0 .. *] | [0 .. *] | No | 0005 | |||
| 3105 | PID | 10.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3106 | PID | 10.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3107 | PID | 10.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3108 | PID | 10.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3109 | PID | 10.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3110 | PID | 10.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3111 | PID | 11 | Patient Address | F | XAD | 578 | RE | RE | No | [0 .. *] | [0 .. *] | No | ||||
| 3112 | PID | 11.1 | Street Address | C | SAD | 184 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3113 | PID | 11.1.1 | Street or Mailing Address | S | ST | 120 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3114 | PID | 11.1.2 | Street Name | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3115 | PID | 11.1.3 | Dwelling Number | S | ST | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3116 | PID | 11.2 | Other Designation | C | ST | 120 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3117 | PID | 11.3 | City | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3118 | PID | 11.4 | State or Province | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3119 | PID | 11.5 | Zip or Postal Code | C | ST | 12 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3120 | PID | 11.6 | Country | C | ID | 3 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0399 | |||
| 3121 | PID | 11.7 | Address Type | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0190 | |||
| 3122 | PID | 11.8 | Other Geographic Designation | C | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3123 | PID | 11.9 | County/Parish Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0289 | |||
| 3124 | PID | 11.10 | Census Tract | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0288 | |||
| 3125 | PID | 11.11 | Address Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 3126 | PID | 11.12 | Address Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3127 | PID | 11.13 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3128 | PID | 11.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3129 | PID | 11.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3130 | PID | 11.14 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3131 | PID | 11.14.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3132 | PID | 11.14.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3133 | PID | 12 | County Code | F | IS | 4 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0289 | |||
| 3134 | PID | 13 | Phone Number - Home | F | XTN | 651 | RE | RE | No | [0 .. *] | [0 .. *] | No | ||||
| 3135 | PID | 13.1 | Telephone Number | C | ST | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3136 | PID | 13.2 | Telecommunication Use Code | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0201 | |||
| 3137 | PID | 13.3 | Telecommunication Equipment Type | C | ID | 8 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0202 | |||
| 3138 | PID | 13.4 | Email Address | C | ST | 199 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is valued "NET" | |||
| 3139 | PID | 13.5 | Country Code | C | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3140 | PID | 13.6 | Area/City Code | C | NM | 5 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 3141 | PID | 13.7 | Local Number | C | NM | 9 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 3142 | PID | 13.8 | Extension | C | NM | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3143 | PID | 13.9 | Any Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3144 | PID | 13.10 | Extension Prefix | C | ST | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3145 | PID | 13.11 | Speed Dial Code | C | ST | 6 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3146 | PID | 13.12 | Unformatted Telephone number | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3147 | PID | 14 | Phone Number - Business | F | XTN | 651 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 3148 | PID | 14.1 | Telephone Number | C | ST | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3149 | PID | 14.2 | Telecommunication Use Code | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0201 | |||
| 3150 | PID | 14.3 | Telecommunication Equipment Type | C | ID | 8 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0202 | |||
| 3151 | PID | 14.4 | Email Address | C | ST | 199 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is valued "NET" | |||
| 3152 | PID | 14.5 | Country Code | C | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3153 | PID | 14.6 | Area/City Code | C | NM | 5 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 3154 | PID | 14.7 | Local Number | C | NM | 9 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 3155 | PID | 14.8 | Extension | C | NM | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3156 | PID | 14.9 | Any Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3157 | PID | 14.10 | Extension Prefix | C | ST | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3158 | PID | 14.11 | Speed Dial Code | C | ST | 6 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3159 | PID | 14.12 | Unformatted Telephone number | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3160 | PID | 15 | Primary Language | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0296 | |||
| 3161 | PID | 15.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3162 | PID | 15.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3163 | PID | 15.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3164 | PID | 15.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3165 | PID | 15.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3166 | PID | 15.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3167 | PID | 16 | Marital Status | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0002 | |||
| 3168 | PID | 16.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3169 | PID | 16.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3170 | PID | 16.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3171 | PID | 16.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3172 | PID | 16.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3173 | PID | 16.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3174 | PID | 17 | Religion | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0006 | |||
| 3175 | PID | 17.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3176 | PID | 17.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3177 | PID | 17.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3178 | PID | 17.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3179 | PID | 17.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3180 | PID | 17.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3181 | PID | 18 | Patient Account Number | F | CX | 1913 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3182 | PID | 18.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3183 | PID | 18.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3184 | PID | 18.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 3185 | PID | 18.4 | Assigning Authority | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | |||
| 3186 | PID | 18.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 3187 | PID | 18.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 3188 | PID | 18.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 3189 | PID | 18.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | |||
| 3190 | PID | 18.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3191 | PID | 18.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 3192 | PID | 18.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 3193 | PID | 18.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 3194 | PID | 18.7 | Effective Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3195 | PID | 18.8 | Expiration Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3196 | PID | 18.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3197 | PID | 18.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3198 | PID | 18.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3199 | PID | 18.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 3200 | PID | 18.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3201 | PID | 18.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 3202 | PID | 18.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 3203 | PID | 18.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3204 | PID | 18.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3205 | PID | 18.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3206 | PID | 18.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3207 | PID | 18.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3208 | PID | 18.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3209 | PID | 18.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 3210 | PID | 18.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3211 | PID | 18.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 3212 | PID | 18.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 3213 | PID | 18.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3214 | PID | 18.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3215 | PID | 18.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3216 | PID | 19 | SSN Number - Patient | F | ST | 16 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3217 | PID | 20 | Driver's License Number - Patient | F | DLN | 66 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3218 | PID | 21 | Mother's Identifier | F | CX | 1913 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 3219 | PID | 21.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3220 | PID | 21.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3221 | PID | 21.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 3222 | PID | 21.4 | Assigning Authority | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | |||
| 3223 | PID | 21.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 3224 | PID | 21.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 3225 | PID | 21.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 3226 | PID | 21.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | |||
| 3227 | PID | 21.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3228 | PID | 21.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 3229 | PID | 21.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 3230 | PID | 21.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 3231 | PID | 21.7 | Effective Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3232 | PID | 21.8 | Expiration Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3233 | PID | 21.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3234 | PID | 21.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3235 | PID | 21.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3236 | PID | 21.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 3237 | PID | 21.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3238 | PID | 21.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 3239 | PID | 21.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 3240 | PID | 21.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3241 | PID | 21.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3242 | PID | 21.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3243 | PID | 21.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3244 | PID | 21.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3245 | PID | 21.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3246 | PID | 21.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 3247 | PID | 21.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3248 | PID | 21.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 3249 | PID | 21.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 3250 | PID | 21.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3251 | PID | 21.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3252 | PID | 21.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3253 | PID | 22 | Ethnic Group | F | CE | 483 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0189 | |||
| 3254 | PID | 22.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3255 | PID | 22.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3256 | PID | 22.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3257 | PID | 22.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3258 | PID | 22.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3259 | PID | 22.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3260 | PID | 23 | Birth Place | F | ST | 60 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3261 | PID | 24 | Multiple Birth Indicator | F | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 3262 | PID | 25 | Birth Order | F | NM | 2 | C(RE/O) | C(RE/O) | No | [0 .. 1] | [0 .. 1] | No | If PID.24 (Multiple Birth Indicator) is valued "Y" | |||
| 3263 | PID | 26 | Citizenship | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0171 | |||
| 3264 | PID | 26.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3265 | PID | 26.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3266 | PID | 26.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3267 | PID | 26.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3268 | PID | 26.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3269 | PID | 26.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3270 | PID | 27 | Veterans Military Status | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0172 | |||
| 3271 | PID | 27.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3272 | PID | 27.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3273 | PID | 27.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3274 | PID | 27.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3275 | PID | 27.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3276 | PID | 27.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3277 | PID | 28 | Nationality | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0212 | |||
| 3278 | PID | 29 | Patient Death Date and Time | F | TS | 26 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If PID.30 (Patient Death Indicator) is valued "Y" | |||
| 3279 | PID | 29.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3280 | PID | 29.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3281 | PID | 30 | Patient Death Indicator | F | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 3282 | PID | 31 | Identity Unknown Indicator | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 3283 | PID | 32 | Identity Reliability Code | F | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0445 | |||
| 3284 | PID | 33 | Last Update Date/Time | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3285 | PID | 33.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 3286 | PID | 33.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 3287 | PID | 34 | Last Update Facility | F | HD | 241 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3288 | PID | 34.1 | Namespace ID | C | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 3289 | PID | 34.2 | Universal ID | C | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 3290 | PID | 34.3 | Universal ID Type | C | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 3291 | PID | 35 | Species Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0446 | |||
| 3292 | PID | 36 | Breed Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0447 | |||
| 3293 | PID | 37 | Strain | F | ST | 80 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3294 | PID | 38 | Production Class Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0429 | |||
| 3295 | PID | 38.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3296 | PID | 38.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3297 | PID | 38.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3298 | PID | 38.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3299 | PID | 38.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3300 | PID | 38.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 3301 | PID | 39 | Tribal Citizenship | F | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0171 | |||
| 3302 | PID | 39.1 | Identifier | C | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3303 | PID | 39.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3304 | PID | 39.3 | Name of Coding System | C | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 3305 | PID | 39.4 | Alternate Identifier | C | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3306 | PID | 39.5 | Alternate Text | C | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 3307 | PID | 39.6 | Name of Alternate Coding System | C | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 3308 | PID | 39.7 | Coding System Version ID | C | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3309 | PID | 39.8 | Alternate Coding System Version ID | C | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 3310 | PID | 39.9 | Original Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4001 | PD1 | 1 | Living Dependency | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0223 | NULL | ||
| 4002 | PD1 | 2 | Living Arrangement | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0220 | NULL | ||
| 4003 | PD1 | 3 | Patient Primary Facility | F | XON | 563 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4004 | PD1 | 3.1 | Organization Name | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4005 | PD1 | 3.2 | Organization Name Type Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0204 | |||
| 4006 | PD1 | 3.3 | ID Number | C | NM | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 4007 | PD1 | 3.4 | Check Digit | C | NM | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4008 | PD1 | 3.5 | Check Digit Scheme | C | ID | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0061 | |||
| 4009 | PD1 | 3.6 | Assigning Authority | C | HD | 227 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | If XON.10 (Organization Identifier) is valued | ||
| 4010 | PD1 | 3.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 4011 | PD1 | 3.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 4012 | PD1 | 3.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 4013 | PD1 | 3.7 | Identifier Type Code | C | ID | 5 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0203 | If XON.10 (Organization Identifier) is valued | ||
| 4014 | PD1 | 3.8 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4015 | PD1 | 3.8.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 4016 | PD1 | 3.8.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 4017 | PD1 | 3.8.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 4018 | PD1 | 3.9 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 4019 | PD1 | 3.10 | Organization Identifier | C | ST | 20 | C(R/RE) | C(R/RE) | No | [0 .. 1] | [0 .. 1] | No | If XON.1 (Organization Name) is not valued | |||
| 4020 | PD1 | 4 | Patient Primary Care Provider Name & ID No. | F | XCN | 2945 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4021 | PD1 | 5 | Student Indicator | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0231 | NULL | ||
| 4022 | PD1 | 6 | Handicap | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0295 | NULL | ||
| 4023 | PD1 | 7 | Living Will Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0315 | NULL | ||
| 4024 | PD1 | 8 | Organ Donor Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0316 | NULL | ||
| 4025 | PD1 | 9 | Separate Bill | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | NULL | ||
| 4026 | PD1 | 10 | Duplicate Patient | F | CX | 1913 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4027 | PD1 | 10.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 4028 | PD1 | 10.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4029 | PD1 | 10.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 4030 | PD1 | 10.4 | Assigning Authority | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | NULL | ||
| 4031 | PD1 | 10.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 4032 | PD1 | 10.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 4033 | PD1 | 10.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 4034 | PD1 | 10.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | NULL | ||
| 4035 | PD1 | 10.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4036 | PD1 | 10.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 4037 | PD1 | 10.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 4038 | PD1 | 10.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 4039 | PD1 | 10.7 | Effective Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4040 | PD1 | 10.8 | Expiration Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4041 | PD1 | 10.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4042 | PD1 | 10.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4043 | PD1 | 10.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4044 | PD1 | 10.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 4045 | PD1 | 10.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4046 | PD1 | 10.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 4047 | PD1 | 10.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 4048 | PD1 | 10.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4049 | PD1 | 10.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4050 | PD1 | 10.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4051 | PD1 | 10.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4052 | PD1 | 10.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4053 | PD1 | 10.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4054 | PD1 | 10.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 4055 | PD1 | 10.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4056 | PD1 | 10.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 4057 | PD1 | 10.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 4058 | PD1 | 10.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4059 | PD1 | 10.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4060 | PD1 | 10.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4061 | PD1 | 11 | Publicity Code | F | CE | 483 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0215 | NULL | ||
| 4062 | PD1 | 11.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4063 | PD1 | 11.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4064 | PD1 | 11.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 4065 | PD1 | 11.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4066 | PD1 | 11.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4067 | PD1 | 11.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 4068 | PD1 | 12 | Protection Indicator | F | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0136 | NULL | ||
| 4069 | PD1 | 13 | Protection Indicator Effective Date | F | DT | 8 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | NULL | If PD1.12 (Protection Indicator) is valued | ||
| 4070 | PD1 | 14 | Place of Worship | F | XON | 563 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4071 | PD1 | 14.1 | Organization Name | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4072 | PD1 | 14.2 | Organization Name Type Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0204 | |||
| 4073 | PD1 | 14.3 | ID Number | C | NM | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 4074 | PD1 | 14.4 | Check Digit | C | NM | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4075 | PD1 | 14.5 | Check Digit Scheme | C | ID | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0061 | |||
| 4076 | PD1 | 15.6 | Assigning Authority | C | HD | 227 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | If XON.10 (Organization Identifier) is valued | ||
| 4077 | PD1 | 14.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 4078 | PD1 | 14.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 4079 | PD1 | 14.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 4080 | PD1 | 14.7 | Identifier Type Code | C | ID | 5 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0203 | If XON.10 (Organization Identifier) is valued | ||
| 4081 | PD1 | 14.8 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 4082 | PD1 | 14.8.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 4083 | PD1 | 14.8.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 4084 | PD1 | 14.8.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 4085 | PD1 | 14.9 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 4086 | PD1 | 14.10 | Organization Identifier | C | ST | 20 | C(R/RE) | C(R/RE) | No | [0 .. 1] | [0 .. 1] | No | If XON.1 (Organization Name) is not valued | |||
| 4087 | PD1 | 15 | Advance Directive Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0435 | NULL | ||
| 4088 | PD1 | 15.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4089 | PD1 | 15.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4090 | PD1 | 15.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 4091 | PD1 | 15.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4092 | PD1 | 15.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 4093 | PD1 | 15.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 4094 | PD1 | 16 | Immunization Registry Status | F | IS | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0441 | NULL | ||
| 4095 | PD1 | 17 | Immunization Registry Status Effective Date | F | DT | 8 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | NULL | If PD1.16 (Immunization Registry Status) is valued | ||
| 4096 | PD1 | 18 | Publicity Code Effective Date | F | DT | 8 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | NULL | If PD1.11 (Publicity Code) is valued | ||
| 4097 | PD1 | 19 | Military Branch | F | IS | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0140 | NULL | ||
| 4098 | PD1 | 20 | Military Rank/Grade | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0141 | NULL | ||
| 4099 | PD1 | 21 | Military Status | F | IS | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0142 | NULL | ||
| 5001 | NK1 | 1 | Set ID - NK1 | F | SI | 4 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5002 | NK1 | 2 | Name | F | XPN | 1044 | R | R | No | [1 .. *] | [1 .. *] | No | NULL | |||
| 5003 | NK1 | 2.1 | Family Name | C | FN | 194 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5004 | NK1 | 2.1.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5005 | NK1 | 2.1.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5006 | NK1 | 2.1.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5007 | NK1 | 2.1.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5008 | NK1 | 2.1.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5009 | NK1 | 2.2 | Given Name | C | ST | 30 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5010 | NK1 | 2.3 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5011 | NK1 | 2.4 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5012 | NK1 | 2.5 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5013 | NK1 | 2.6 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | NULL | ||
| 5014 | NK1 | 2.7 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | NULL | ||
| 5015 | NK1 | 2.8 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 5016 | NK1 | 2.9 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | NULL | ||
| 5017 | NK1 | 2.9.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5018 | NK1 | 2.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5019 | NK1 | 2.9.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5020 | NK1 | 2.9.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5021 | NK1 | 2.9.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5022 | NK1 | 2.9.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5023 | NK1 | 2.10 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | NULL | |||
| 5024 | NK1 | 2.11 | Name Assembly Order | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0444 | NULL | ||
| 5025 | NK1 | 2.12 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5026 | NK1 | 2.12.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5027 | NK1 | 2.12.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5028 | NK1 | 2.13 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5029 | NK1 | 2.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5030 | NK1 | 2.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5031 | NK1 | 2.14 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5032 | NK1 | 3 | Relationship | F | CE | 483 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0063 | NULL | ||
| 5033 | NK1 | 3.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5034 | NK1 | 3.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5035 | NK1 | 3.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5036 | NK1 | 3.4 | Alternate Identifier | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5037 | NK1 | 3.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5038 | NK1 | 3.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5039 | NK1 | 4 | Address | F | XAD | 578 | RE | RE | No | [0 .. *] | [0 .. *] | No | NULL | |||
| 5040 | NK1 | 4.1 | Street Address | C | SAD | 184 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5041 | NK1 | 4.1.1 | Street or Mailing Address | S | ST | 120 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5042 | NK1 | 4.1.2 | Street Name | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5043 | NK1 | 4.1.3 | Dwelling Number | S | ST | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5044 | NK1 | 4.2 | Other Designation | C | ST | 120 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5045 | NK1 | 4.3 | City | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5046 | NK1 | 4.4 | State or Province | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5047 | NK1 | 4.5 | Zip or Postal Code | C | ST | 12 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5048 | NK1 | 4.6 | Country | C | ID | 3 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0399 | NULL | ||
| 5049 | NK1 | 4.7 | Address Type | C | ID | 1 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0190 | NULL | ||
| 5050 | NK1 | 4.8 | Other Geographic Designation | C | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5051 | NK1 | 4.9 | County/Parish Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0289 | NULL | ||
| 5052 | NK1 | 4.10 | Census Tract | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0288 | NULL | ||
| 5053 | NK1 | 4.11 | Address Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 5054 | NK1 | 4.12 | Address Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | NULL | |||
| 5055 | NK1 | 4.13 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5056 | NK1 | 4.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5057 | NK1 | 4.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5058 | NK1 | 4.14 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5059 | NK1 | 4.14.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5060 | NK1 | 4.14.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5061 | NK1 | 5 | Phone Number | F | XTN | 651 | RE | RE | No | [0 .. *] | [0 .. *] | No | NULL | |||
| 5062 | NK1 | 5.1 | Telephone Number | C | ST | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 5063 | NK1 | 5.2 | Telecommunication Use Code | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0201 | |||
| 5064 | NK1 | 5.3 | Telecommunication Equipment Type | C | ID | 8 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0202 | |||
| 5065 | NK1 | 5.4 | Email Address | C | ST | 199 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is valued "NET" | |||
| 5066 | NK1 | 5.5 | Country Code | C | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5067 | NK1 | 5.6 | Area/City Code | C | NM | 5 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 5068 | NK1 | 5.7 | Local Number | C | NM | 9 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 5069 | NK1 | 5.8 | Extension | C | NM | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5070 | NK1 | 5.9 | Any Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5071 | NK1 | 5.10 | Extension Prefix | C | ST | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5072 | NK1 | 5.11 | Speed Dial Code | C | ST | 6 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5073 | NK1 | 5.12 | Unformatted Telephone number | C | ST | 0 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5074 | NK1 | 6 | Business Phone Number | F | XTN | 651 | O | O | No | [0 .. *] | [0 .. *] | No | NULL | |||
| 5075 | NK1 | 6.1 | Telephone Number | C | ST | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 5076 | NK1 | 6.2 | Telecommunication Use Code | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0201 | |||
| 5077 | NK1 | 6.3 | Telecommunication Equipment Type | C | ID | 8 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0202 | |||
| 5078 | NK1 | 6.4 | Email Address | C | ST | 199 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is valued "NET" | |||
| 5079 | NK1 | 6.5 | Country Code | C | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5080 | NK1 | 6.6 | Area/City Code | C | NM | 5 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 5081 | NK1 | 6.7 | Local Number | C | NM | 9 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 5082 | NK1 | 6.8 | Extension | C | NM | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5083 | NK1 | 6.9 | Any Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5084 | NK1 | 6.10 | Extension Prefix | C | ST | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5085 | NK1 | 6.11 | Speed Dial Code | C | ST | 6 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5086 | NK1 | 6.12 | Unformatted Telephone number | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5087 | NK1 | 7 | Contact Role | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0131 | NULL | ||
| 5088 | NK1 | 7.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5089 | NK1 | 7.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5090 | NK1 | 7.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5091 | NK1 | 7.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5092 | NK1 | 7.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5093 | NK1 | 7.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5094 | NK1 | 8 | Start Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5095 | NK1 | 9 | End Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5096 | NK1 | 10 | Next of Kin / Associated Parties Job Title | F | ST | 60 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5097 | NK1 | 11 | Next of Kin / Associated Parties Job Code/Class | F | JCC | 292 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0327 / 032 | NULL | ||
| 5098 | NK1 | 11.1 | Job Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0327 | NULL | ||
| 5099 | NK1 | 11.2 | Job Class | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0328 | NULL | ||
| 5100 | NK1 | 11.3 | Job Description Text | C | TX | 250 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5101 | NK1 | 12 | Next of Kin / Associated Parties Employee Number | F | CX | 1913 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5102 | NK1 | 12.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5103 | NK1 | 12.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5104 | NK1 | 12.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 5105 | NK1 | 12.4 | Assigning Authority | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | NULL | ||
| 5106 | NK1 | 12.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 5107 | NK1 | 12.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 5108 | NK1 | 12.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 5109 | NK1 | 12.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | NULL | ||
| 5110 | NK1 | 12.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5111 | NK1 | 12.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 5112 | NK1 | 12.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 5113 | NK1 | 12.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 5114 | NK1 | 12.7 | Effective Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5115 | NK1 | 12.8 | Expiration Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5116 | NK1 | 12.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5117 | NK1 | 12.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5118 | NK1 | 12.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5119 | NK1 | 12.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 5120 | NK1 | 12.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5121 | NK1 | 12.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 5122 | NK1 | 12.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 5123 | NK1 | 12.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5124 | NK1 | 12.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5125 | NK1 | 12.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5126 | NK1 | 12.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5127 | NK1 | 12.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5128 | NK1 | 12.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5129 | NK1 | 12.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 5130 | NK1 | 12.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5131 | NK1 | 12.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 5132 | NK1 | 12.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 5133 | NK1 | 12.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5134 | NK1 | 12.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5135 | NK1 | 12.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5136 | NK1 | 13 | Organization Name - NK1 | F | XON | 563 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5137 | NK1 | 13.1 | Organization Name | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5138 | NK1 | 13.2 | Organization Name Type Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0204 | |||
| 5139 | NK1 | 13.3 | ID Number | C | NM | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 5140 | NK1 | 13.4 | Check Digit | C | NM | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5141 | NK1 | 13.5 | Check Digit Scheme | C | ID | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0061 | |||
| 5142 | NK1 | 13.6 | Assigning Authority | C | HD | 227 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | If XON.10 (Organization Identifier) is valued | ||
| 5143 | NK1 | 13.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 5144 | NK1 | 13.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 5145 | NK1 | 13.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 5146 | NK1 | 13.7 | Identifier Type Code | C | ID | 5 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0203 | If XON.10 (Organization Identifier) is valued | ||
| 5147 | NK1 | 13.8 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5148 | NK1 | 13.8.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 5149 | NK1 | 13.8.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 5150 | NK1 | 13.8.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 5151 | NK1 | 13.9 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 5152 | NK1 | 13.10 | Organization Identifier | C | ST | 20 | C(R/RE) | C(R/RE) | No | [0 .. 1] | [0 .. 1] | No | If XON.1 (Organization Name) is not valued | |||
| 5153 | NK1 | 14 | Marital Status | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0002 | NULL | ||
| 5154 | NK1 | 14.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5155 | NK1 | 14.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5156 | NK1 | 14.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5157 | NK1 | 14.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5158 | NK1 | 14.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5159 | NK1 | 14.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5160 | NK1 | 15 | Administrative Sex | F | IS | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0001 | NULL | ||
| 5161 | NK1 | 16 | Date/Time of Birth | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5162 | NK1 | 16.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5163 | NK1 | 16.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5164 | NK1 | 17 | Living Dependency | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0223 | NULL | ||
| 5165 | NK1 | 18 | Ambulatory Status | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0009 | NULL | ||
| 5166 | NK1 | 19 | Citizenship | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0171 | NULL | ||
| 5167 | NK1 | 19.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5168 | NK1 | 19.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5169 | NK1 | 19.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5170 | NK1 | 19.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5171 | NK1 | 19.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5172 | NK1 | 19.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5173 | NK1 | 20 | Primary Language | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0296 | NULL | ||
| 5174 | NK1 | 20.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5175 | NK1 | 20.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5176 | NK1 | 20.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5177 | NK1 | 20.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5178 | NK1 | 20.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5179 | NK1 | 20.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5180 | NK1 | 21 | Living Arrangement | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0220 | NULL | ||
| 5181 | NK1 | 22 | Publicity Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0215 | NULL | ||
| 5182 | NK1 | 22.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5183 | NK1 | 22.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5184 | NK1 | 22.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5185 | NK1 | 22.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5186 | NK1 | 22.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5187 | NK1 | 22.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5188 | NK1 | 23 | Protection Indicator | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | NULL | ||
| 5189 | NK1 | 24 | Student Indicator | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0231 | NULL | ||
| 5190 | NK1 | 25 | Religion | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0006 | NULL | ||
| 5191 | NK1 | 25.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5192 | NK1 | 25.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5193 | NK1 | 25.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5194 | NK1 | 25.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5195 | NK1 | 25.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5196 | NK1 | 25.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5197 | NK1 | 26 | Mother's Maiden Name | F | XPN | 1044 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5198 | NK1 | 26.1 | Family Name | C | FN | 194 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5199 | NK1 | 26.1.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5200 | NK1 | 26.1.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5201 | NK1 | 26.1.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5202 | NK1 | 26.1.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5203 | NK1 | 26.1.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5204 | NK1 | 26.2 | Given Name | C | ST | 30 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5205 | NK1 | 26.3 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5206 | NK1 | 26.4 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5207 | NK1 | 26.5 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5208 | NK1 | 26.6 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | NULL | ||
| 5209 | NK1 | 26.7 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | NULL | ||
| 5210 | NK1 | 26.8 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 5211 | NK1 | 26.9 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | NULL | ||
| 5212 | NK1 | 26.9.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5213 | NK1 | 26.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5214 | NK1 | 26.9.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5215 | NK1 | 26.9.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5216 | NK1 | 26.9.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5217 | NK1 | 26.9.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5218 | NK1 | 26.10 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | NULL | |||
| 5219 | NK1 | 26.11 | Name Assembly Order | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0444 | NULL | ||
| 5220 | NK1 | 26.12 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5221 | NK1 | 26.12.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5222 | NK1 | 26.12.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5223 | NK1 | 26.13 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5224 | NK1 | 26.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5225 | NK1 | 26.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5226 | NK1 | 26.14 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5227 | NK1 | 27 | Nationality | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0212 | NULL | ||
| 5228 | NK1 | 27.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5229 | NK1 | 27.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5230 | NK1 | 27.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5231 | NK1 | 27.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5232 | NK1 | 27.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5233 | NK1 | 27.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5234 | NK1 | 28 | Ethnic Group | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0189 | NULL | ||
| 5235 | NK1 | 28.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5236 | NK1 | 28.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5237 | NK1 | 28.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5238 | NK1 | 28.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5239 | NK1 | 28.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5240 | NK1 | 28.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5241 | NK1 | 29 | Contact Reason | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0222 | NULL | ||
| 5242 | NK1 | 29.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5243 | NK1 | 29.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5244 | NK1 | 29.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5245 | NK1 | 29.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5246 | NK1 | 29.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5247 | NK1 | 29.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5248 | NK1 | 30 | Contact Person's Name | F | XPN | 1044 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5249 | NK1 | 30.1 | Family Name | C | FN | 194 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5250 | NK1 | 30.1.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5251 | NK1 | 30.1.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5252 | NK1 | 30.1.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5253 | NK1 | 30.1.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5254 | NK1 | 30.1.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5255 | NK1 | 30.2 | Given Name | C | ST | 30 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5256 | NK1 | 30.3 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5257 | NK1 | 30.4 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5258 | NK1 | 30.5 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5259 | NK1 | 30.6 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | NULL | ||
| 5260 | NK1 | 30.7 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | NULL | ||
| 5261 | NK1 | 30.8 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 5262 | NK1 | 30.9 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | NULL | ||
| 5263 | NK1 | 30.9.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5264 | NK1 | 30.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5265 | NK1 | 30.9.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5266 | NK1 | 30.9.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5267 | NK1 | 30.9.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5268 | NK1 | 30.9.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5269 | NK1 | 30.10 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | NULL | |||
| 5270 | NK1 | 30.11 | Name Assembly Order | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0444 | NULL | ||
| 5271 | NK1 | 30.12 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5272 | NK1 | 30.12.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5273 | NK1 | 30.12.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5274 | NK1 | 30.13 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5275 | NK1 | 30.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5276 | NK1 | 30.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5277 | NK1 | 30.14 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5278 | NK1 | 31 | Contact Person's Telephone Number | F | XTN | 651 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5279 | NK1 | 31.1 | Telephone Number | C | ST | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 5280 | NK1 | 31.2 | Telecommunication Use Code | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0201 | |||
| 5281 | NK1 | 31.3 | Telecommunication Equipment Type | C | ID | 8 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0202 | |||
| 5282 | NK1 | 31.4 | Email Address | C | ST | 199 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is valued "NET" | |||
| 5283 | NK1 | 31.5 | Country Code | C | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5284 | NK1 | 31.6 | Area/City Code | C | NM | 5 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 5285 | NK1 | 31.7 | Local Number | C | NM | 9 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 5286 | NK1 | 31.8 | Extension | C | NM | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5287 | NK1 | 31.9 | Any Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5288 | NK1 | 31.10 | Extension Prefix | C | ST | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5289 | NK1 | 31.11 | Speed Dial Code | C | ST | 6 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5290 | NK1 | 31.12 | Unformatted Telephone number | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5291 | NK1 | 32 | Contact Person's Address | F | XAD | 578 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5292 | NK1 | 32.1 | Street Address | C | SAD | 184 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5293 | NK1 | 32.1.1 | Street or Mailing Address | S | ST | 120 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5294 | NK1 | 32.1.2 | Street Name | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5295 | NK1 | 32.1.3 | Dwelling Number | S | ST | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5296 | NK1 | 32.2 | Other Designation | C | ST | 120 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5297 | NK1 | 32.3 | City | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5298 | NK1 | 32.4 | State or Province | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5299 | NK1 | 32.5 | Zip or Postal Code | C | ST | 12 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5300 | NK1 | 32.6 | Country | C | ID | 3 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0399 | NULL | ||
| 5301 | NK1 | 32.7 | Address Type | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0190 | NULL | ||
| 5302 | NK1 | 32.8 | Other Geographic Designation | C | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5303 | NK1 | 32.9 | County/Parish Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0289 | NULL | ||
| 5304 | NK1 | 32.10 | Census Tract | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0288 | NULL | ||
| 5305 | NK1 | 32.11 | Address Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 5306 | NK1 | 32.12 | Address Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | NULL | |||
| 5307 | NK1 | 32.13 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5308 | NK1 | 32.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5309 | NK1 | 32.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5310 | NK1 | 32.14 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5311 | NK1 | 32.14.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5312 | NK1 | 32.14.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 5313 | NK1 | 33 | Next of Kin/Associated Party's Identifiers | F | CX | 1913 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5314 | NK1 | 33.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 5315 | NK1 | 33.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5316 | NK1 | 33.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 5317 | NK1 | 33.4 | Assigning Authority | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | NULL | ||
| 5318 | NK1 | 33.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 3000 | NULL | If HD.2 (Universal ID) is not valued | |
| 5319 | NK1 | 33.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 5320 | NK1 | 33.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 5321 | NK1 | 33.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | NULL | ||
| 5322 | NK1 | 33.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5323 | NK1 | 33.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 5324 | NK1 | 33.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 5325 | NK1 | 33.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 5326 | NK1 | 33.7 | Effective Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5327 | NK1 | 33.8 | Expiration Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5328 | NK1 | 33.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5329 | NK1 | 33.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5330 | NK1 | 33.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5331 | NK1 | 33.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 5332 | NK1 | 33.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5333 | NK1 | 33.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 5334 | NK1 | 33.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 5335 | NK1 | 33.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5336 | NK1 | 33.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5337 | NK1 | 33.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5338 | NK1 | 33.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5339 | NK1 | 33.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5340 | NK1 | 33.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5341 | NK1 | 33.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 5342 | NK1 | 33.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5343 | NK1 | 33.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 5344 | NK1 | 33.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 5345 | NK1 | 33.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5346 | NK1 | 33.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5347 | NK1 | 33.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5348 | NK1 | 34 | Job Status | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0311 | NULL | ||
| 5349 | NK1 | 35 | Race | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0005 | NULL | ||
| 5350 | NK1 | 35.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5351 | NK1 | 35.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5352 | NK1 | 35.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5353 | NK1 | 35.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5354 | NK1 | 35.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 5355 | NK1 | 35.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 5356 | NK1 | 36 | Handicap | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0295 | NULL | ||
| 5357 | NK1 | 37 | Contact Person Social Security Number | F | ST | 16 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5358 | NK1 | 38 | Next of Kin Birth Place | F | ST | 250 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 5359 | NK1 | 39 | VIP Indicator | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0099 | NULL | ||
| 6001 | PV1 | 1 | Set ID - PV1 | F | SI | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6002 | PV1 | 2 | Patient Class | F | IS | 1 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0004 | R | ||
| 6003 | PV1 | 3 | Assigned Patient Location | F | PL | 1230 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6004 | PV1 | 3.1 | Point of Care | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0302 | NULL | ||
| 6005 | PV1 | 3.2 | Room | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0303 | NULL | ||
| 6006 | PV1 | 3.3 | Bed | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0304 | NULL | ||
| 6007 | PV1 | 3.4 | Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6008 | PV1 | 3.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6009 | PV1 | 3.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6010 | PV1 | 3.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6011 | PV1 | 3.5 | Location Status | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0306 | NULL | ||
| 6012 | PV1 | 3.6 | Person Location Type | C | IS | 20 | C | C | No | [0 .. 1] | [0 .. 1] | No | 0305 | NULL | ||
| 6013 | PV1 | 3.7 | Building | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0307 | NULL | ||
| 6014 | PV1 | 3.8 | Floor | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0308 | NULL | ||
| 6015 | PV1 | 3.9 | Location Description | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6016 | PV1 | 3.10 | Comprehensive Location Identifier | C | EI | 427 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6017 | PV1 | 3.10.1 | Entity Identifier | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6018 | PV1 | 3.10.2 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | NULL | If EI.3 (Universal ID) is not valued | |
| 6019 | PV1 | 3.10.3 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If EI.2 (Namespace ID) is not valued | ||
| 6020 | PV1 | 3.10.4 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If EI.3 (Universal ID) is valued | |
| 6021 | PV1 | 3.11 | Assigning Authority for Location | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6022 | PV1 | 3.11.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6023 | PV1 | 3.11.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6024 | PV1 | 3.11.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6025 | PV1 | 4 | Admission Type | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0007 | NULL | ||
| 6026 | PV1 | 5 | Preadmit Number | F | CX | 1913 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6027 | PV1 | 5.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6028 | PV1 | 5.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6029 | PV1 | 5.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 6030 | PV1 | 5.4 | Assigning Authority | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | NULL | ||
| 6031 | PV1 | 5.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6032 | PV1 | 5.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6033 | PV1 | 5.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6034 | PV1 | 5.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | NULL | ||
| 6035 | PV1 | 5.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6036 | PV1 | 5.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6037 | PV1 | 5.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6038 | PV1 | 5.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6039 | PV1 | 5.7 | Effective Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6040 | PV1 | 5.8 | Expiration Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6041 | PV1 | 5.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6042 | PV1 | 5.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6043 | PV1 | 5.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6044 | PV1 | 5.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6045 | PV1 | 5.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6046 | PV1 | 5.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6047 | PV1 | 5.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6048 | PV1 | 5.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6049 | PV1 | 5.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6050 | PV1 | 5.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6051 | PV1 | 5.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6052 | PV1 | 5.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6053 | PV1 | 5.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6054 | PV1 | 5.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6055 | PV1 | 5.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6056 | PV1 | 5.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6057 | PV1 | 5.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6058 | PV1 | 5.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6059 | PV1 | 5.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6060 | PV1 | 5.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6061 | PV1 | 6 | Prior Patient Location | F | PL | 1230 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6062 | PV1 | 6.1 | Point of Care | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0302 | NULL | ||
| 6063 | PV1 | 6.2 | Room | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0303 | NULL | ||
| 6064 | PV1 | 6.3 | Bed | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0304 | NULL | ||
| 6065 | PV1 | 6.4 | Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6066 | PV1 | 6.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6067 | PV1 | 6.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6068 | PV1 | 6.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6069 | PV1 | 6.5 | Location Status | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0306 | NULL | ||
| 6070 | PV1 | 6.6 | Person Location Type | C | IS | 20 | C | C | No | [0 .. 1] | [0 .. 1] | No | 0305 | NULL | ||
| 6071 | PV1 | 6.7 | Building | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0307 | NULL | ||
| 6072 | PV1 | 6.8 | Floor | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0308 | NULL | ||
| 6073 | PV1 | 6.9 | Location Description | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6074 | PV1 | 6.10 | Comprehensive Location Identifier | C | EI | 427 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6075 | PV1 | 6.10.1 | Entity Identifier | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6076 | PV1 | 6.10.2 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | NULL | If EI.3 (Universal ID) is not valued | |
| 6077 | PV1 | 6.10.3 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If EI.2 (Namespace ID) is not valued | ||
| 6078 | PV1 | 6.10.4 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If EI.3 (Universal ID) is valued | |
| 6079 | PV1 | 6.11 | Assigning Authority for Location | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6080 | PV1 | 6.11.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6081 | PV1 | 6.11.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6082 | PV1 | 6.11.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6083 | PV1 | 7 | Attending Doctor | F | XCN | 2945 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0010 | NULL | ||
| 6084 | PV1 | 7.1 | ID Number | C | ST | 15 | C(R/RE) | C(R/RE) | No | [0 .. 1] | [0 .. 1] | No | NULL | If XCN.2.1 (Surname) and XCN.3 (Given Name are not valued | ||
| 6085 | PV1 | 7.2 | Family Name | C | FN | 194 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6086 | PV1 | 7.2.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6087 | PV1 | 7.2.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6088 | PV1 | 7.2.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6089 | PV1 | 7.2.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6090 | PV1 | 7.2.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6091 | PV1 | 7.3 | Given Name | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6092 | PV1 | 7.4 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6093 | PV1 | 7.5 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6094 | PV1 | 7.6 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6095 | PV1 | 7.7 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | NULL | ||
| 6096 | PV1 | 7.8 | Source Table | C | IS | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0297 | NULL | ||
| 6097 | PV1 | 7.9 | Assigning Authority | C | HD | 227 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0363 | NULL | If XCN.1 (ID Number) is valued | |
| 6098 | PV1 | 7.9.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6099 | PV1 | 7.9.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6100 | PV1 | 7.9.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6101 | PV1 | 7.10 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | NULL | ||
| 6102 | PV1 | 7.11 | Identifier Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6103 | PV1 | 7.12 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | NULL | If XCN.11 (check digit identifier) is valued | |
| 6104 | PV1 | 7.13 | Identifier Type Code | C | ID | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0203 | NULL | ||
| 6105 | PV1 | 7.14 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6106 | PV1 | 7.14.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6107 | PV1 | 7.14.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6108 | PV1 | 7.14.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6109 | PV1 | 7.15 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 6110 | PV1 | 7.16 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | NULL | ||
| 6111 | PV1 | 7.16.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6112 | PV1 | 7.16.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6113 | PV1 | 7.16.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 6114 | PV1 | 7.16.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6115 | PV1 | 7.16.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6116 | PV1 | 7.16.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 6117 | PV1 | 7.17 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | NULL | |||
| 6118 | PV1 | 7.18 | Name Assembly Order | C | ID | 1 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0444 | NULL | ||
| 6119 | PV1 | 7.19 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6120 | PV1 | 7.19.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6121 | PV1 | 7.19.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6122 | PV1 | 7.20 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6123 | PV1 | 7.20.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6124 | PV1 | 7.20.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6125 | PV1 | 7.21 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6126 | PV1 | 7.22 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6127 | PV1 | 7.22.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6128 | PV1 | 7.22.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6129 | PV1 | 7.22.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6130 | PV1 | 7.22.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6131 | PV1 | 7.22.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6132 | PV1 | 7.22.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6133 | PV1 | 7.22.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6134 | PV1 | 7.22.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6135 | PV1 | 7.22.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6136 | PV1 | 7.23 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6137 | PV1 | 7.23.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6138 | PV1 | 7.23.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6139 | PV1 | 7.23.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6140 | PV1 | 7.23.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6141 | PV1 | 7.23.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6142 | PV1 | 7.23.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6143 | PV1 | 7.23.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6144 | PV1 | 7.23.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6145 | PV1 | 7.23.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6146 | PV1 | 8 | Referring Doctor | F | XCN | 2945 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0010 | NULL | ||
| 6147 | PV1 | 8.1 | ID Number | C | ST | 15 | C(R/RE) | C(R/RE) | No | [0 .. 1] | [0 .. 1] | No | NULL | If XCN.2.1 (Surname) and XCN.3 (Given Name are not valued | ||
| 6148 | PV1 | 8.2 | Family Name | C | FN | 194 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6149 | PV1 | 8.2.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6150 | PV1 | 8.2.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6151 | PV1 | 8.2.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6152 | PV1 | 8.2.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6153 | PV1 | 8.2.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6154 | PV1 | 8.3 | Given Name | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6155 | PV1 | 8.4 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6156 | PV1 | 8.5 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6157 | PV1 | 8.6 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6158 | PV1 | 8.7 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | NULL | ||
| 6159 | PV1 | 8.8 | Source Table | C | IS | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0297 | NULL | ||
| 6160 | PV1 | 8.9 | Assigning Authority | C | HD | 227 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0363 | NULL | If XCN.1 (ID Number) is valued | |
| 6161 | PV1 | 8.9.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6162 | PV1 | 8.9.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6163 | PV1 | 8.9.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6164 | PV1 | 8.10 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | NULL | ||
| 6165 | PV1 | 8.11 | Identifier Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6166 | PV1 | 8.12 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | NULL | If XCN.11 (check digit identifier) is valued | |
| 6167 | PV1 | 8.13 | Identifier Type Code | C | ID | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0203 | NULL | ||
| 6168 | PV1 | 8.14 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6169 | PV1 | 8.14.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6170 | PV1 | 8.14.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6171 | PV1 | 8.14.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6172 | PV1 | 8.15 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 6173 | PV1 | 8.16 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | NULL | ||
| 6174 | PV1 | 8.16.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6175 | PV1 | 8.16.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6176 | PV1 | 8.16.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 6177 | PV1 | 8.16.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6178 | PV1 | 8.16.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6179 | PV1 | 8.16.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 6180 | PV1 | 8.17 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | NULL | |||
| 6181 | PV1 | 8.18 | Name Assembly Order | C | ID | 1 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0444 | NULL | ||
| 6182 | PV1 | 8.19 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6183 | PV1 | 8.19.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6184 | PV1 | 8.19.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6185 | PV1 | 8.20 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6186 | PV1 | 8.20.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6187 | PV1 | 8.20.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6188 | PV1 | 8.21 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6189 | PV1 | 8.22 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6190 | PV1 | 8.22.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6191 | PV1 | 8.22.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6192 | PV1 | 8.22.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6193 | PV1 | 8.22.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6194 | PV1 | 8.22.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6195 | PV1 | 8.22.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6196 | PV1 | 8.22.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6197 | PV1 | 8.22.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6198 | PV1 | 8.22.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6199 | PV1 | 8.23 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6200 | PV1 | 8.23.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6201 | PV1 | 8.23.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6202 | PV1 | 8.23.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6203 | PV1 | 8.23.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6204 | PV1 | 8.23.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6205 | PV1 | 8.23.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6206 | PV1 | 8.23.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6207 | PV1 | 8.23.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6208 | PV1 | 8.23.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6209 | PV1 | 9 | Consulting Doctor | F | XCN | 2945 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0010 | NULL | ||
| 6210 | PV1 | 10 | Hospital Service | F | IS | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0069 | NULL | ||
| 6211 | PV1 | 11 | Temporary Location | F | PL | 1230 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6212 | PV1 | 11.1 | Point of Care | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0302 | NULL | ||
| 6213 | PV1 | 11.2 | Room | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0303 | NULL | ||
| 6214 | PV1 | 11.3 | Bed | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0304 | NULL | ||
| 6215 | PV1 | 11.4 | Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6216 | PV1 | 11.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6217 | PV1 | 11.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6218 | PV1 | 11.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6219 | PV1 | 11.5 | Location Status | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0306 | NULL | ||
| 6220 | PV1 | 11.6 | Person Location Type | C | IS | 20 | C | C | No | [0 .. 1] | [0 .. 1] | No | 0305 | NULL | ||
| 6221 | PV1 | 11.7 | Building | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0307 | NULL | ||
| 6222 | PV1 | 11.8 | Floor | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0308 | NULL | ||
| 6223 | PV1 | 11.9 | Location Description | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6224 | PV1 | 11.10 | Comprehensive Location Identifier | C | EI | 427 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6225 | PV1 | 11.10.1 | Entity Identifier | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6226 | PV1 | 11.10.2 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | NULL | If EI.3 (Universal ID) is not valued | |
| 6227 | PV1 | 11.10.3 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If EI.2 (Namespace ID) is not valued | ||
| 6228 | PV1 | 11.10.4 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If EI.3 (Universal ID) is valued | |
| 6229 | PV1 | 11.11 | Assigning Authority for Location | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6230 | PV1 | 11.11.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6231 | PV1 | 11.11.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6232 | PV1 | 11.11.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6233 | PV1 | 12 | Preadmit Test Indicator | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0087 | NULL | ||
| 6234 | PV1 | 13 | Re-admission Indicator | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0092 | NULL | ||
| 6235 | PV1 | 14 | Admit Source | F | IS | 6 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0023 | NULL | ||
| 6236 | PV1 | 15 | Ambulatory Status | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0009 | NULL | ||
| 6237 | PV1 | 16 | VIP Indicator | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0099 | NULL | ||
| 6238 | PV1 | 17 | Admitting Doctor | F | XCN | 2945 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0010 | NULL | ||
| 6239 | PV1 | 17.1 | ID Number | C | ST | 15 | C(R/RE) | C(R/RE) | No | [0 .. 1] | [0 .. 1] | No | NULL | If XCN.2.1 (Surname) and XCN.3 (Given Name are not valued | ||
| 6240 | PV1 | 17.2 | Family Name | C | FN | 194 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6241 | PV1 | 17.2.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6242 | PV1 | 17.2.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6243 | PV1 | 17.2.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6244 | PV1 | 17.2.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6245 | PV1 | 17.2.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6246 | PV1 | 17.3 | Given Name | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6247 | PV1 | 17.4 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6248 | PV1 | 17.5 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6249 | PV1 | 17.6 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6250 | PV1 | 17.7 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | NULL | ||
| 6251 | PV1 | 17.8 | Source Table | C | IS | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0297 | NULL | ||
| 6252 | PV1 | 17.9 | Assigning Authority | C | HD | 227 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0363 | NULL | If XCN.1 (ID Number) is valued | |
| 6253 | PV1 | 17.9.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6254 | PV1 | 17.9.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6255 | PV1 | 17.9.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6256 | PV1 | 17.10 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | NULL | ||
| 6257 | PV1 | 17.11 | Identifier Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6258 | PV1 | 17.12 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | NULL | If XCN.11 (check digit identifier) is valued | |
| 6259 | PV1 | 17.13 | Identifier Type Code | C | ID | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0203 | NULL | ||
| 6260 | PV1 | 17.14 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6261 | PV1 | 17.14.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6262 | PV1 | 17.14.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6263 | PV1 | 17.14.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6264 | PV1 | 17.15 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | NULL | ||
| 6265 | PV1 | 17.16 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | NULL | ||
| 6266 | PV1 | 17.16.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6267 | PV1 | 17.16.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6268 | PV1 | 17.16.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 6269 | PV1 | 17.16.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6270 | PV1 | 17.16.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6271 | PV1 | 17.16.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 6272 | PV1 | 17.17 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | NULL | |||
| 6273 | PV1 | 17.18 | Name Assembly Order | C | ID | 1 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0444 | NULL | ||
| 6274 | PV1 | 17.19 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6275 | PV1 | 17.19.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6276 | PV1 | 17.19.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6277 | PV1 | 17.20 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6278 | PV1 | 17.20.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6279 | PV1 | 17.20.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6280 | PV1 | 17.21 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6281 | PV1 | 17.22 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6282 | PV1 | 17.22.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6283 | PV1 | 17.22.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6284 | PV1 | 17.22.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6285 | PV1 | 17.22.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6286 | PV1 | 17.22.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6287 | PV1 | 17.22.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6288 | PV1 | 17.22.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6289 | PV1 | 17.22.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6290 | PV1 | 17.22.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6291 | PV1 | 17.23 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6292 | PV1 | 17.23.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6293 | PV1 | 17.23.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6294 | PV1 | 17.23.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6295 | PV1 | 17.23.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6296 | PV1 | 17.23.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6297 | PV1 | 17.23.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6298 | PV1 | 17.23.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6299 | PV1 | 17.23.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6300 | PV1 | 17.23.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6301 | PV1 | 18 | Patient Type | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0018 | NULL | ||
| 6302 | PV1 | 19 | Visit Number | F | CX | 1913 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6303 | PV1 | 19.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6304 | PV1 | 19.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6305 | PV1 | 19.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 6306 | PV1 | 19.4 | Assigning Authority | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | NULL | ||
| 6307 | PV1 | 19.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6308 | PV1 | 19.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6309 | PV1 | 19.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6310 | PV1 | 19.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | NULL | ||
| 6311 | PV1 | 19.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6312 | PV1 | 19.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6313 | PV1 | 19.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6314 | PV1 | 19.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6315 | PV1 | 19.7 | Effective Date | C | DT | 8 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6316 | PV1 | 19.8 | Expiration Date | C | DT | 8 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6317 | PV1 | 19.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6318 | PV1 | 19.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6319 | PV1 | 19.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6320 | PV1 | 19.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6321 | PV1 | 19.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6322 | PV1 | 19.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6323 | PV1 | 19.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6324 | PV1 | 19.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6325 | PV1 | 19.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6326 | PV1 | 19.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6327 | PV1 | 19.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6328 | PV1 | 19.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6329 | PV1 | 19.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6330 | PV1 | 19.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6331 | PV1 | 19.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6332 | PV1 | 19.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6333 | PV1 | 19.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6334 | PV1 | 19.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6335 | PV1 | 19.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6336 | PV1 | 19.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6337 | PV1 | 20 | Financial Class | F | FC | 50 | O | O | No | [1 .. *] | [1 .. *] | No | 0064 | NULL | ||
| 6338 | PV1 | 20.1 | Financial Class Code | C | IS | 20 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0064 | NULL | ||
| 6339 | PV1 | 20.2 | Effective Date | C | TS | 26 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6340 | PV1 | 20.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6341 | PV1 | 20.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6342 | PV1 | 21 | Charge Price Indicator | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0032 | NULL | ||
| 6343 | PV1 | 22 | Courtesy Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0045 | NULL | ||
| 6344 | PV1 | 23 | Credit Rating | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0046 | NULL | ||
| 6345 | PV1 | 24 | Contract Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0044 | NULL | ||
| 6346 | PV1 | 25 | Contract Effective Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6347 | PV1 | 26 | Contract Amount | F | NM | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6348 | PV1 | 27 | Contract Period | F | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6349 | PV1 | 28 | Interest Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0073 | NULL | ||
| 6350 | PV1 | 29 | Transfer to Bad Debt Code | F | IS | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0110 | NULL | ||
| 6351 | PV1 | 30 | Transfer to Bad Debt Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6352 | PV1 | 31 | Bad Debt Agency Code | F | IS | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0021 | NULL | ||
| 6353 | PV1 | 32 | Bad Debt Transfer Amount | F | NM | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6354 | PV1 | 33 | Bad Debt Recovery Amount | F | NM | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6355 | PV1 | 34 | Delete Account Indicator | F | IS | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0111 | NULL | ||
| 6356 | PV1 | 35 | Delete Account Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6357 | PV1 | 36 | Discharge Disposition | F | IS | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0112 | NULL | ||
| 6358 | PV1 | 37 | Discharged to Location | F | DLD | 47 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0113 | NULL | ||
| 6359 | PV1 | 37.1 | Discharge Location | C | IS | 20 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0113 | NULL | ||
| 6360 | PV1 | 37.2 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6361 | PV1 | 37.2.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6362 | PV1 | 37.2.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6363 | PV1 | 38 | Diet Type | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0114 | NULL | ||
| 6364 | PV1 | 38.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6365 | PV1 | 38.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6366 | PV1 | 38.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 6367 | PV1 | 38.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6368 | PV1 | 38.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6369 | PV1 | 38.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 6370 | PV1 | 39 | Servicing Facility | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0115 | NULL | ||
| 6371 | PV1 | 40 | Bed Status | F | IS | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0116 | NULL | ||
| 6372 | PV1 | 41 | Account Status | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0117 | NULL | ||
| 6373 | PV1 | 42 | Pending Location | F | PL | 1230 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6374 | PV1 | 42.1 | Point of Care | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0302 | NULL | ||
| 6375 | PV1 | 42.2 | Room | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0303 | NULL | ||
| 6376 | PV1 | 42.3 | Bed | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0304 | NULL | ||
| 6377 | PV1 | 42.4 | Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6378 | PV1 | 42.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6379 | PV1 | 42.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6380 | PV1 | 42.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6381 | PV1 | 42.5 | Location Status | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0306 | NULL | ||
| 6382 | PV1 | 42.6 | Person Location Type | C | IS | 20 | C | C | No | [0 .. 1] | [0 .. 1] | No | 0305 | NULL | ||
| 6383 | PV1 | 42.7 | Building | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0307 | NULL | ||
| 6384 | PV1 | 42.8 | Floor | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0308 | NULL | ||
| 6385 | PV1 | 42.9 | Location Description | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6386 | PV1 | 42.10 | Comprehensive Location Identifier | C | EI | 427 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6387 | PV1 | 42.10.1 | Entity Identifier | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6388 | PV1 | 42.10.2 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | NULL | If EI.3 (Universal ID) is not valued | |
| 6389 | PV1 | 42.10.3 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If EI.2 (Namespace ID) is not valued | ||
| 6390 | PV1 | 42.10.4 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If EI.3 (Universal ID) is valued | |
| 6391 | PV1 | 42.11 | Assigning Authority for Location | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6392 | PV1 | 42.11.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6393 | PV1 | 42.11.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6394 | PV1 | 42.11.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6395 | PV1 | 43 | Prior Temporary Location | F | PL | 1230 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6396 | PV1 | 43.1 | Point of Care | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0302 | NULL | ||
| 6397 | PV1 | 43.2 | Room | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0303 | NULL | ||
| 6398 | PV1 | 43.3 | Bed | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0304 | NULL | ||
| 6399 | PV1 | 43.4 | Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6400 | PV1 | 43.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6401 | PV1 | 43.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6402 | PV1 | 43.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6403 | PV1 | 43.5 | Location Status | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0306 | NULL | ||
| 6404 | PV1 | 43.6 | Person Location Type | C | IS | 20 | C | C | No | [0 .. 1] | [0 .. 1] | No | 0305 | NULL | ||
| 6405 | PV1 | 43.7 | Building | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0307 | NULL | ||
| 6406 | PV1 | 43.8 | Floor | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0308 | NULL | ||
| 6407 | PV1 | 43.9 | Location Description | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6408 | PV1 | 43.10 | Comprehensive Location Identifier | C | EI | 427 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6409 | PV1 | 43.10.1 | Entity Identifier | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6410 | PV1 | 43.10.2 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | NULL | If EI.3 (Universal ID) is not valued | |
| 6411 | PV1 | 43.10.3 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If EI.2 (Namespace ID) is not valued | ||
| 6412 | PV1 | 43.10.4 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If EI.3 (Universal ID) is valued | |
| 6413 | PV1 | 43.11 | Assigning Authority for Location | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6414 | PV1 | 43.11.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6415 | PV1 | 43.11.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6416 | PV1 | 43.11.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6417 | PV1 | 44 | Admit Date/Time | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6418 | PV1 | 44.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6419 | PV1 | 44.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6420 | PV1 | 45 | Discharge Date/Time | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6421 | PV1 | 45.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6422 | PV1 | 45.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | NULL | ||
| 6423 | PV1 | 46 | Current Patient Balance | F | NM | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6424 | PV1 | 47 | Total Charges | F | NM | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6425 | PV1 | 48 | Total Adjustments | F | NM | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6426 | PV1 | 49 | Total Payments | F | NM | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6427 | PV1 | 50 | Alternate Visit ID | F | CX | 1913 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0203 | NULL | ||
| 6428 | PV1 | 50.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | NULL | |||
| 6429 | PV1 | 50.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6430 | PV1 | 50.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 6431 | PV1 | 50.4 | Assigning Authority | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | NULL | ||
| 6432 | PV1 | 50.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6433 | PV1 | 50.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6434 | PV1 | 50.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6435 | PV1 | 50.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | NULL | ||
| 6436 | PV1 | 50.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6437 | PV1 | 50.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | NULL | If HD.2 (Universal ID) is not valued | |
| 6438 | PV1 | 50.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | NULL | If HD.1 (Namespace ID) is not valued | ||
| 6439 | PV1 | 50.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | NULL | If HD.2 (Universal ID) is valued | |
| 6440 | PV1 | 50.7 | Effective Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6441 | PV1 | 50.8 | Expiration Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6442 | PV1 | 50.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6443 | PV1 | 50.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6444 | PV1 | 50.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6445 | PV1 | 50.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6446 | PV1 | 50.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6447 | PV1 | 50.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6448 | PV1 | 50.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6449 | PV1 | 50.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6450 | PV1 | 50.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6451 | PV1 | 50.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6452 | PV1 | 50.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 6453 | PV1 | 50.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6454 | PV1 | 50.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6455 | PV1 | 50.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 6456 | PV1 | 50.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6457 | PV1 | 50.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 6458 | PV1 | 50.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 6459 | PV1 | 50.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6460 | PV1 | 50.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6461 | PV1 | 50.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 6462 | PV1 | 51 | Visit Indicator | F | IS | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0326 | NULL | ||
| 6463 | PV1 | 52 | Other Healthcare Provider | F | XCN | 2945 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0010 | NULL | ||
| 7001 | PV2 | 1 | Prior Pending Location | F | PL | 1230 | C | C | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7002 | PV2 | 1.1 | Point of Care | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0302 | |||
| 7003 | PV2 | 1.2 | Room | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0303 | |||
| 7004 | PV2 | 1.3 | Bed | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0304 | |||
| 7005 | PV2 | 1.4 | Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7006 | PV2 | 1.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 7007 | PV2 | 1.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 7008 | PV2 | 1.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 7009 | PV2 | 1.5 | Location Status | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0306 | |||
| 7010 | PV2 | 1.6 | Person Location Type | C | IS | 20 | C | C | No | [0 .. 1] | [0 .. 1] | No | 0305 | |||
| 7011 | PV2 | 1.7 | Building | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0307 | |||
| 7012 | PV2 | 1.8 | Floor | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0308 | |||
| 7013 | PV2 | 1.9 | Location Description | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7014 | PV2 | 1.10 | Comprehensive Location Identifier | C | EI | 427 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7015 | PV2 | 1.10.1 | Entity Identifier | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7016 | PV2 | 1.10.2 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | If EI.3 (Universal ID) is not valued | ||
| 7017 | PV2 | 1.10.3 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If EI.2 (Namespace ID) is not valued | |||
| 7018 | PV2 | 1.10.4 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If EI.3 (Universal ID) is valued | ||
| 7019 | PV2 | 1.11 | Assigning Authority for Location | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7020 | PV2 | 1.11.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 7021 | PV2 | 1.11.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 7022 | PV2 | 1.11.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 7023 | PV2 | 2 | Accommodation Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0129 | |||
| 7024 | PV2 | 2.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7025 | PV2 | 2.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7026 | PV2 | 2.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7027 | PV2 | 2.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7028 | PV2 | 2.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7029 | PV2 | 2.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7030 | PV2 | 3 | Admit Reason | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7031 | PV2 | 3.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7032 | PV2 | 3.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7033 | PV2 | 3.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7034 | PV2 | 3.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7035 | PV2 | 3.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7036 | PV2 | 3.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7037 | PV2 | 4 | Transfer Reason | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7038 | PV2 | 4.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7039 | PV2 | 4.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7040 | PV2 | 4.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7041 | PV2 | 4.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7042 | PV2 | 4.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7043 | PV2 | 4.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7044 | PV2 | 5 | Patient Valuables | F | ST | 25 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 7045 | PV2 | 6 | Patient Valuables Location | F | ST | 25 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7046 | PV2 | 7 | Visit User Code | F | IS | 2 | O | O | No | [0 .. *] | [0 .. *] | No | 0130 | |||
| 7047 | PV2 | 8 | Expected Admit Date/Time | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7048 | PV2 | 8.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 7049 | PV2 | 8.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 7050 | PV2 | 9 | Expected Discharge Date/Time | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7051 | PV2 | 9.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 7052 | PV2 | 9.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 7053 | PV2 | 10 | Estimated Length of Inpatient Stay | F | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7054 | PV2 | 11 | Actual Length of Inpatient Stay | F | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7055 | PV2 | 12 | Visit Description | F | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7056 | PV2 | 13 | Referral Source Code | F | XCN | 2945 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 7057 | PV2 | 13.1 | ID Number | C | ST | 15 | C(R/RE) | C(R/RE) | No | [0 .. 1] | [0 .. 1] | No | NULL | If XCN.2.1 (Surname) and XCN.3 (Given Name are not valued | ||
| 7058 | PV2 | 13.2 | Family Name | C | FN | 194 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7059 | PV2 | 13.2.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 7060 | PV2 | 13.2.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7061 | PV2 | 13.2.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7062 | PV2 | 13.2.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7063 | PV2 | 13.2.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7064 | PV2 | 13.3 | Given Name | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7065 | PV2 | 13.4 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7066 | PV2 | 13.5 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7067 | PV2 | 13.6 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7068 | PV2 | 13.7 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | |||
| 7069 | PV2 | 13.8 | Source Table | C | IS | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0297 | |||
| 7070 | PV2 | 13.9 | Assigning Authority | C | HD | 227 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0363 | NULL | If XCN.1 (ID Number) is valued | |
| 7071 | PV2 | 13.9.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 7072 | PV2 | 13.9.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 7073 | PV2 | 13.9.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 7074 | PV2 | 13.10 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | NULL | ||
| 7075 | PV2 | 13.11 | Identifier Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | NULL | |||
| 7076 | PV2 | 13.12 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | NULL | If XCN.11 (check digit identifier) is valued | |
| 7077 | PV2 | 13.13 | Identifier Type Code | C | ID | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0203 | |||
| 7078 | PV2 | 13.14 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7079 | PV2 | 13.14.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 7080 | PV2 | 13.14.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 7081 | PV2 | 13.14.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 7082 | PV2 | 13.15 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 7083 | PV2 | 13.16 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | |||
| 7084 | PV2 | 13.16.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7085 | PV2 | 13.16.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7086 | PV2 | 13.16.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7087 | PV2 | 13.16.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7088 | PV2 | 13.16.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7089 | PV2 | 13.16.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7090 | PV2 | 13.17 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 7091 | PV2 | 13.18 | Name Assembly Order | C | ID | 1 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0444 | |||
| 7092 | PV2 | 13.19 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7093 | PV2 | 13.19.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 7094 | PV2 | 13.19.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 7095 | PV2 | 13.20 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7096 | PV2 | 13.20.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 7097 | PV2 | 13.20.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 7098 | PV2 | 13.21 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7099 | PV2 | 13.22 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7100 | PV2 | 13.22.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7101 | PV2 | 13.22.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7102 | PV2 | 13.22.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 7103 | PV2 | 13.22.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7104 | PV2 | 13.22.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 7105 | PV2 | 13.22.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 7106 | PV2 | 13.22.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7107 | PV2 | 13.22.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7108 | PV2 | 13.22.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7109 | PV2 | 13.23 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7110 | PV2 | 13.23.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7111 | PV2 | 13.23.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7112 | PV2 | 13.23.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 7113 | PV2 | 13.23.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7114 | PV2 | 13.23.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 7115 | PV2 | 13.23.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 7116 | PV2 | 13.23.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7117 | PV2 | 13.23.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7118 | PV2 | 13.23.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7119 | PV2 | 14 | Previous Service Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7120 | PV2 | 15 | Employment Illness Related Indicator | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 7121 | PV2 | 16 | Purge Status Code | F | IS | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0213 | |||
| 7122 | PV2 | 17 | Purge Status Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7123 | PV2 | 18 | Special Program Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0214 | |||
| 7124 | PV2 | 19 | Retention Indicator | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 7125 | PV2 | 20 | Expected Number of Insurance Plans | F | NM | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7126 | PV2 | 21 | Visit Publicity Code | F | IS | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0215 | |||
| 7127 | PV2 | 22 | Visit Protection Indicator | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 7128 | PV2 | 23 | Clinic Organization Name | F | XON | 563 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 7129 | PV2 | 23.1 | Organization Name | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7130 | PV2 | 23.2 | Organization Name Type Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0204 | |||
| 7131 | PV2 | 23.3 | ID Number | C | NM | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 7132 | PV2 | 23.4 | Check Digit | C | NM | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7133 | PV2 | 23.5 | Check Digit Scheme | C | ID | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0061 | |||
| 7134 | PV2 | 23.6 | Assigning Authority | C | HD | 227 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0363 | If XON.10 (Organization Identifier) is valued | ||
| 7135 | PV2 | 23.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 7136 | PV2 | 23.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 7137 | PV2 | 23.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 7138 | PV2 | 23.7 | Identifier Type Code | C | ID | 5 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0203 | If XON.10 (Organization Identifier) is valued | ||
| 7139 | PV2 | 23.8 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7140 | PV2 | 23.8.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 7141 | PV2 | 23.8.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 7142 | PV2 | 23.8.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 7143 | PV2 | 23.9 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 7144 | PV2 | 23.10 | Organization Identifier | C | ST | 20 | C(R/RE) | C(R/RE) | No | [0 .. 1] | [0 .. 1] | No | If XON.1 (Organization Name) is not valued | |||
| 7145 | PV2 | 24 | Patient Status Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0216 | |||
| 7146 | PV2 | 25 | Visit Priority Code | F | IS | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0217 | |||
| 7147 | PV2 | 26 | Previous Treatment Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7148 | PV2 | 27 | Expected Discharge Disposition | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0112 | |||
| 7149 | PV2 | 28 | Signature on File Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7150 | PV2 | 29 | First Similar Illness Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7151 | PV2 | 30 | Patient Charge Adjustment Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0218 | |||
| 7152 | PV2 | 30.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7153 | PV2 | 30.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7154 | PV2 | 30.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7155 | PV2 | 30.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7156 | PV2 | 30.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7157 | PV2 | 30.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7158 | PV2 | 31 | Recurring Service Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0219 | |||
| 7159 | PV2 | 32 | Billing Media Code | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 7160 | PV2 | 33 | Expected Surgery Date and Time | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7161 | PV2 | 33.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 7162 | PV2 | 33.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 7163 | PV2 | 34 | Military Partnership Code | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 7164 | PV2 | 35 | Military Non-Availability Code | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 7165 | PV2 | 36 | Newborn Baby Indicator | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 7166 | PV2 | 37 | Baby Detained Indicator | F | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0136 | |||
| 7167 | PV2 | 38 | Mode of Arrival Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0430 | |||
| 7168 | PV2 | 38.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7169 | PV2 | 38.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7170 | PV2 | 38.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7171 | PV2 | 38.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7172 | PV2 | 38.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7173 | PV2 | 38.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7174 | PV2 | 39 | Recreational Drug Use Code | F | CE | 483 | O | O | No | [0 .. *] | [0 .. *] | No | 0431 | |||
| 7175 | PV2 | 39.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7176 | PV2 | 39.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7177 | PV2 | 39.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7178 | PV2 | 39.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7179 | PV2 | 39.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7180 | PV2 | 39.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7181 | PV2 | 40 | Admission Level of Care Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0432 | |||
| 7182 | PV2 | 40.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7183 | PV2 | 40.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7184 | PV2 | 40.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7185 | PV2 | 40.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7186 | PV2 | 40.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7187 | PV2 | 40.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7188 | PV2 | 41 | Precaution Code | F | CE | 483 | O | O | No | [0 .. *] | [0 .. *] | No | 0433 | |||
| 7189 | PV2 | 41.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7190 | PV2 | 41.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7191 | PV2 | 41.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7192 | PV2 | 41.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7193 | PV2 | 41.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7194 | PV2 | 41.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7195 | PV2 | 42 | Patient Condition Code | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0434 | |||
| 7196 | PV2 | 42.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7197 | PV2 | 42.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7198 | PV2 | 42.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7199 | PV2 | 42.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7200 | PV2 | 42.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7201 | PV2 | 42.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7202 | PV2 | 43 | Living Will Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0315 | |||
| 7203 | PV2 | 44 | Organ Donor Code | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0316 | |||
| 7204 | PV2 | 45 | Advance Directive Code | F | CE | 483 | O | O | No | [0 .. *] | [0 .. *] | No | 0435 | |||
| 7205 | PV2 | 45.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7206 | PV2 | 45.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7207 | PV2 | 45.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7208 | PV2 | 45.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7209 | PV2 | 45.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7210 | PV2 | 45.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 7211 | PV2 | 46 | Patient Status Effective Date | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7212 | PV2 | 47 | Expected LOA Return Date/Time | F | TS | 26 | C | C | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7213 | PV2 | 47.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 7214 | PV2 | 47.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 7215 | PV2 | 48 | Expected Pre-admission Testing Date/Time | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 7216 | PV2 | 48.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 7217 | PV2 | 48.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 7218 | PV2 | 49 | Notify Clergy Code | F | IS | 20 | O | O | No | [0 .. *] | [0 .. *] | No | 0534 | |||
| 8001 | GT1 | 1 | Set ID - GT1 | F | SI | 4 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8002 | GT1 | 2 | Guarantor Number | F | CX | 1913 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 8003 | GT1 | 1.1 | ID Number | C | ST | 15 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8004 | GT1 | 1.2 | Check Digit | C | ST | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8005 | GT1 | 1.3 | Check Digit Scheme | C | ID | 3 | C(O/X) | C(O/X) | No | [0 .. 1] | [0 .. 1] | No | 0061 | If CX.2 (check digit) is valued | ||
| 8006 | GT1 | 1.4 | Assigning Agency or Department | C | HD | 227 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0363 | |||
| 8007 | GT1 | 1.4.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 8008 | GT1 | 1.4.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 8009 | GT1 | 1.4.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 8010 | GT1 | 1.5 | Identifier Type Code | C | ID | 5 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0203 | |||
| 8011 | GT1 | 1.6 | Assigning Facility | C | HD | 227 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8012 | GT1 | 1.6.1 | Namespace ID | S | IS | 20 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | 0300 | If HD.2 (Universal ID) is not valued | ||
| 8013 | GT1 | 1.6.2 | Universal ID | S | ST | 199 | C(R/O) | C(R/O) | No | [0 .. 1] | [0 .. 1] | No | If HD.1 (Namespace ID) is not valued | |||
| 8014 | GT1 | 1.6.3 | Universal ID Type | S | ID | 6 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0301 | If HD.2 (Universal ID) is valued | ||
| 8015 | GT1 | 1.7 | Effective Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8016 | GT1 | 1.8 | Expiration Date | C | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8017 | GT1 | 1.9 | Assigning Jurisdiction | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8018 | GT1 | 1.9.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8019 | GT1 | 1.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8020 | GT1 | 1.9.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 8021 | GT1 | 1.9.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8022 | GT1 | 1.9.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 8023 | GT1 | 1.9.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 8024 | GT1 | 1.9.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8025 | GT1 | 1.9.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8026 | GT1 | 1.9.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8027 | GT1 | 1.10 | Assigning Agency or Department | C | CWE | 705 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8028 | GT1 | 1.10.1 | Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8029 | GT1 | 1.10.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8030 | GT1 | 1.10.3 | Name of Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.1 (Identifier) is valued | ||
| 8031 | GT1 | 1.10.4 | Alternate Identifier | S | ST | 20 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8032 | GT1 | 1.10.5 | Alternate Text | S | ST | 199 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If CWE.4 (Alternate Identifier) is valued | |||
| 8033 | GT1 | 1.10.6 | Name of Alternate Coding System | S | ID | 20 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | 0396 | If CWE.4 (Alternate Identifier) is valued | ||
| 8034 | GT1 | 1.10.7 | Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8035 | GT1 | 1.10.8 | Alternate Coding System Version ID | S | ST | 10 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8036 | GT1 | 1.10.9 | Original Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8037 | GT1 | 3 | Guarantor Name | F | XPN | 1044 | R | R | No | [1 .. *] | [1 .. *] | No | ||||
| 8038 | GT1 | 3.1 | Family Name | C | FN | 194 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8039 | GT1 | 3.1.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8040 | GT1 | 3.1.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8041 | GT1 | 3.1.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8042 | GT1 | 3.1.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8043 | GT1 | 3.1.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8044 | GT1 | 3.2 | Given Name | C | ST | 30 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8045 | GT1 | 3.3 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8046 | GT1 | 3.4 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8047 | GT1 | 3.5 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8048 | GT1 | 3.6 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | |||
| 8049 | GT1 | 3.7 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | |||
| 8050 | GT1 | 3.8 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 8051 | GT1 | 3.9 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | |||
| 8052 | GT1 | 3.9.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8053 | GT1 | 3.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8054 | GT1 | 3.9.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 8055 | GT1 | 3.9.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8056 | GT1 | 3.9.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8057 | GT1 | 3.9.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 8058 | GT1 | 3.10 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 8059 | GT1 | 3.11 | Name Assembly Order | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0444 | |||
| 8060 | GT1 | 3.12 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8061 | GT1 | 3.12.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8062 | GT1 | 3.12.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8063 | GT1 | 3.13 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8064 | GT1 | 3.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8065 | GT1 | 3.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8066 | GT1 | 3.14 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8067 | GT1 | 4 | Guarantor Spouse Name | F | XPN | 1044 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 8068 | GT1 | 4.1 | Family Name | C | FN | 194 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8069 | GT1 | 4.1.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8070 | GT1 | 4.1.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8071 | GT1 | 4.1.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8072 | GT1 | 4.1.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8073 | GT1 | 4.1.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8074 | GT1 | 4.2 | Given Name | C | ST | 30 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8075 | GT1 | 4.3 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8076 | GT1 | 4.4 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8077 | GT1 | 4.5 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8078 | GT1 | 4.6 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | |||
| 8079 | GT1 | 4.7 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | |||
| 8080 | GT1 | 4.8 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 8081 | GT1 | 4.9 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | |||
| 8082 | GT1 | 4.9.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8083 | GT1 | 4.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8084 | GT1 | 4.9.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 8085 | GT1 | 4.9.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8086 | GT1 | 4.9.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8087 | GT1 | 4.9.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 8088 | GT1 | 4.10 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 8089 | GT1 | 4.11 | Name Assembly Order | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0444 | |||
| 8090 | GT1 | 4.12 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8091 | GT1 | 4.12.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8092 | GT1 | 4.12.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8093 | GT1 | 4.13 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8094 | GT1 | 4.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8095 | GT1 | 4.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8096 | GT1 | 4.14 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8097 | GT1 | 5 | Guarantor Address | F | XAD | 578 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 8098 | GT1 | 5.1 | Street Address | C | SAD | 184 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8099 | GT1 | 5.1.1 | Street or Mailing Address | S | ST | 120 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8100 | GT1 | 5.1.2 | Street Name | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8101 | GT1 | 5.1.3 | Dwelling Number | S | ST | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8102 | GT1 | 5.2 | Other Designation | C | ST | 120 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8103 | GT1 | 5.3 | City | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8104 | GT1 | 5.4 | State or Province | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8105 | GT1 | 5.5 | Zip or Postal Code | C | ST | 12 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8106 | GT1 | 5.6 | Country | C | ID | 3 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0399 | |||
| 8107 | GT1 | 5.7 | Address Type | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0190 | |||
| 8108 | GT1 | 5.8 | Other Geographic Designation | C | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8109 | GT1 | 5.9 | County/Parish Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0289 | |||
| 8110 | GT1 | 5.10 | Census Tract | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0288 | |||
| 8111 | GT1 | 5.11 | Address Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 8112 | GT1 | 5.12 | Address Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 8113 | GT1 | 5.13 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8114 | GT1 | 5.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8115 | GT1 | 5.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8116 | GT1 | 5.14 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8117 | GT1 | 5.14.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8118 | GT1 | 5.14.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8119 | GT1 | 6 | Guarantor Ph Num - Home | F | XTN | 651 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 8120 | GT1 | 6.1 | Telephone Number | C | ST | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 8121 | GT1 | 6.2 | Telecommunication Use Code | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0201 | |||
| 8122 | GT1 | 6.3 | Telecommunication Equipment Type | C | ID | 8 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0202 | |||
| 8123 | GT1 | 6.4 | Email Address | C | ST | 199 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is valued "NET" | |||
| 8124 | GT1 | 6.5 | Country Code | C | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8125 | GT1 | 6.6 | Area/City Code | C | NM | 5 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 8126 | GT1 | 6.7 | Local Number | C | NM | 9 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 8127 | GT1 | 6.8 | Extension | C | NM | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8128 | GT1 | 6.9 | Any Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8129 | GT1 | 6.10 | Extension Prefix | C | ST | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8130 | GT1 | 6.11 | Speed Dial Code | C | ST | 6 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8131 | GT1 | 6.12 | Unformatted Telephone number | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8132 | GT1 | 7 | Guarantor Ph Num - Business | F | XTN | 651 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 8133 | GT1 | 7.1 | Telephone Number | C | ST | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 8134 | GT1 | 7.2 | Telecommunication Use Code | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0201 | |||
| 8135 | GT1 | 7.3 | Telecommunication Equipment Type | C | ID | 8 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0202 | |||
| 8136 | GT1 | 7.4 | Email Address | C | ST | 199 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is valued "NET" | |||
| 8137 | GT1 | 7.5 | Country Code | C | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8138 | GT1 | 7.6 | Area/City Code | C | NM | 5 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 8139 | GT1 | 7.7 | Local Number | C | NM | 9 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 8140 | GT1 | 7.8 | Extension | C | NM | 5 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8141 | GT1 | 7.9 | Any Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8142 | GT1 | 7.10 | Extension Prefix | C | ST | 4 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8143 | GT1 | 7.11 | Speed Dial Code | C | ST | 6 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8144 | GT1 | 7.12 | Unformatted Telephone number | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8145 | GT1 | 8 | Guarantor Date/Time Of Birth | F | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8146 | GT1 | 8.1 | Time | C | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8147 | GT1 | 8.2 | Degree of Precision | C | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8148 | GT1 | 9 | Guarantor Administrative Sex | F | IS | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0001 | |||
| 8149 | GT1 | 10 | Guarantor Type | F | IS | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0068 | |||
| 8150 | GT1 | 11 | Guarantor Relationship | F | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0063 | |||
| 8151 | GT1 | 11.1 | Identifier | C | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8152 | GT1 | 11.2 | Text | C | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8153 | GT1 | 11.3 | Name of Coding System | C | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 8154 | GT1 | 11.4 | Alternate Identifier | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8155 | GT1 | 11.5 | Alternate Text | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8156 | GT1 | 11.6 | Name of Alternate Coding System | C | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 8157 | GT1 | 12 | Guarantor SSN | F | ST | 11 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8158 | GT1 | 13 | Guarantor Date - Begin | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8159 | GT1 | 14 | Guarantor Date - End | F | DT | 8 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8160 | GT1 | 15 | Guarantor Priority | F | NM | 2 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8161 | GT1 | 16 | Guarantor Employer Name | F | XPN | 1044 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 8162 | GT1 | 16.1 | Family Name | C | FN | 194 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8163 | GT1 | 16.1.1 | Surname | S | ST | 50 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8164 | GT1 | 16.1.2 | Own Surname Prefix | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8165 | GT1 | 16.1.3 | Own Surname | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8166 | GT1 | 16.1.4 | Surname Prefix From Partner/Spouse | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8167 | GT1 | 16.1.5 | Surname From Partner/Spouse | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8168 | GT1 | 16.2 | Given Name | C | ST | 30 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8169 | GT1 | 16.3 | Second and Further Given Names or Initials Thereof | C | ST | 30 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8170 | GT1 | 16.4 | Suffix (e.g., JR or III) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8171 | GT1 | 16.5 | Prefix (e.g., DR) | C | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8172 | GT1 | 16.6 | Degree (e.g., MD) | C | IS | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0360 | |||
| 8173 | GT1 | 16.7 | Name Type Code | C | ID | 1 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0200 | |||
| 8174 | GT1 | 16.8 | Name Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 8175 | GT1 | 16.9 | Name Context | C | CE | 483 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0448 | |||
| 8176 | GT1 | 16.9.1 | Identifier | S | ST | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8177 | GT1 | 16.9.2 | Text | S | ST | 199 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8178 | GT1 | 16.9.3 | Name of Coding System | S | ID | 20 | R | R | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 8179 | GT1 | 16.9.4 | Alternate Identifier | S | ST | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8180 | GT1 | 16.9.5 | Alternate Text | S | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8181 | GT1 | 16.9.6 | Name of Alternate Coding System | S | ID | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0396 | |||
| 8182 | GT1 | 16.10 | Name Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 8183 | GT1 | 16.11 | Name Assembly Order | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0444 | |||
| 8184 | GT1 | 16.12 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8185 | GT1 | 16.12.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8186 | GT1 | 16.12.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8187 | GT1 | 16.13 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8188 | GT1 | 16.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8189 | GT1 | 16.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8190 | GT1 | 16.14 | Professional Suffix | C | ST | 199 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8191 | GT1 | 17 | Guarantor Employer Address | F | XAD | 578 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 8192 | GT1 | 17.1 | Street Address | C | SAD | 184 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8193 | GT1 | 17.1.1 | Street or Mailing Address | S | ST | 120 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8194 | GT1 | 17.1.2 | Street Name | S | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8195 | GT1 | 17.1.3 | Dwelling Number | S | ST | 12 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8196 | GT1 | 17.2 | Other Designation | C | ST | 120 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8197 | GT1 | 17.3 | City | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8198 | GT1 | 17.4 | State or Province | C | ST | 50 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8199 | GT1 | 17.5 | Zip or Postal Code | C | ST | 12 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8200 | GT1 | 17.6 | Country | C | ID | 3 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0399 | |||
| 8201 | GT1 | 17.7 | Address Type | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0190 | |||
| 8202 | GT1 | 17.8 | Other Geographic Designation | C | ST | 50 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8203 | GT1 | 17.9 | County/Parish Code | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0289 | |||
| 8204 | GT1 | 17.10 | Census Tract | C | IS | 20 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0288 | |||
| 8205 | GT1 | 17.11 | Address Representation Code | C | ID | 1 | O | O | No | [0 .. 1] | [0 .. 1] | No | 0465 | |||
| 8206 | GT1 | 17.12 | Address Validity Range | C | DR | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 8207 | GT1 | 17.13 | Effective Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8208 | GT1 | 17.13.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8209 | GT1 | 17.13.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8210 | GT1 | 17.14 | Expiration Date | C | TS | 26 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8211 | GT1 | 17.14.1 | Time | S | DTM | 24 | R | R | No | [1 .. 1] | [1 .. 1] | No | ||||
| 8212 | GT1 | 17.14.2 | Degree of Precision | S | ID | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | 0529 | |||
| 8213 | GT1 | 18 | Guarantor Employer Phone Number | F | XTN | 651 | O | O | No | [0 .. *] | [0 .. *] | No | ||||
| 8214 | GT1 | 18.1 | Telephone Number | C | ST | 0 | X | X | No | [0 .. 0] | [0 .. 0] | No | ||||
| 8215 | GT1 | 18.2 | Telecommunication Use Code | C | ID | 3 | R | R | No | [1 .. 1] | [1 .. 1] | No | 0201 | |||
| 8216 | GT1 | 18.3 | Telecommunication Equipment Type | C | ID | 8 | RE | RE | No | [0 .. 1] | [0 .. 1] | No | 0202 | |||
| 8217 | GT1 | 18.4 | Email Address | C | ST | 199 | C(R/X) | C(R/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is valued "NET" | |||
| 8218 | GT1 | 18.5 | Country Code | C | NM | 3 | O | O | No | [0 .. 1] | [0 .. 1] | No | ||||
| 8219 | GT1 | 18.6 | Area/City Code | C | NM | 5 | C(RE/X) | C(RE/X) | No | [0 .. 1] | [0 .. 1] | No | If XTN.2 (telecommunication use code) is not valued "NET" | |||
| 8220 | GT1 | <