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A. Data Definition TablesA.1 INTRODUCTIONThe HL7 specifications were prepared using a data dictionary database. Certain outputs from that database are included in the chapters that define the abstract messages. These outputs list the data fields and field notes associated with a segment. Other Data Dictionary outputs are included here to comprise appendix A. These include: a list of the message types that comprise the HL7 protocol a list of the segment IDs and segment names a list of each data element organized alphabetically by name a list of the IDs and names of all tables of coded values a cross reference of table IDs vs. data element names a list of the contents of each table a list of all data element names.

A.2

MESSAGE TYPESMessage ACK ADR ADT BAR CRM CSU DFT DOC DSR EDR EQQ ERP MDM MFD Description General acknowledgment message ADT response ADT message Add/change billing account Clinical study registration message Unsolicited study data message Detail financial transactions Document response Display response Enhanced display response Embedded query language query Event replay response Medical document management Master files delayed application acknowledgment Chapter 2 3 3 6 7 7 6 9 2 2 2 2 9 8Page A-1 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesMessage MFK MFN MFQ MFR OMD OMN OMS ORD ORF ORM ORN ORR ORS ORU OSQ OSR PEX PGL PIN PPG PPP PPR PPT PPV PRR PTR QCK QRY R0R RAR RAS RCI RCL RDE RDO RDR RDSPage A-2 05/1999

Description Master files application acknowledgment Master files notification Master files query Master files response Dietary order Nonstock requisition order message Stock requisition order message Dietary order - General order acknowledgment message Query for results of observation Pharmacy/treatment order message

Chapter 8 8 8 8 4 4 4 4 7 4

Nonstock requisition - General order acknowledgment message 4 General order response message response to any ORM Stock requisition - General order acknowledgment message Unsolicited transmission of an observation message Query response for order status Query response for order status Product experience message Patient goal message Patient insurance information Patient pathway message (goal-oriented) Patient pathway message (problem-oriented) Patient problem message Patient pathway goal-oriented response Patient goal response Patient problem response Patient pathway problem-oriented response Deferred query Query, original mode Pharmacy/treatment order response Pharmacy/treatment administration information Pharmacy/treatment administration message Return clinical information Return clinical list Pharmacy/treatment encoded order message Pharmacy/treatment order message Pharmacy/treatment dispense information Pharmacy/treatment dispense message 4 4 7 4 4 7 12 11 12 12 12 12 12 12 12 2 3 4 4 4 11 11 4 4 4 4

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesMessage REF RER RGR RGV RPA RPI RPL RPR RQA RQC RQI RQP RQQ RRA RRD RRE RRG RRI RRO SIU SPQ SQM SQR SRM SRR SUR TBR UDM VQQ VXQ VXR VXU VXX Description Patient referral Pharmacy/treatment encoded order information Pharmacy/treatment dose information Pharmacy/treatment give message Return patient authorization Return patient information Return patient display list Return patient list Request patient authorization Request clinical information Request patient information Request patient demographics Event replay query Chapter 11 4 4 4 11 11 11 11 11 11 11 11 2

Pharmacy/treatment administration acknowledgement message 4 Pharmacy/treatment dispense acknowledgment message Pharmacy/treatment encoded order acknowledgment message Pharmacy/treatment give acknowledgment message Return referral information ORR message for pharmacy/treatment Schedule information unsolicited Stored procedure request Schedule query message Schedule query response Schedule request message Scheduled request response Summary product experience report Tabular data response Unsolicited display update message Virtual table query Query for vaccination record Vaccination record response Unsolicited vaccination record update Response for vaccination query with multiple PID matches 4 4 4 11 4 10 2 10 10 10 10 7 2 2 2 4 4 4 4

A.3

SEGMENTSSegment ACC Description Accident segment Chapter 6Page A-3 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesSegment ADD AIG AIL AIP AIS AL1 APR ARQ AUT BHS BLG BTS CDM CM0 CM1 CM2 CSP CSR CSS CTD CTI DB1 DG1 DRG DSC DSP EQL ERQ ERR EVN FAC FHS FT1 FTS GOL GT1 IN1Page A-4 05/1999

Description Addendum segment Appointment information - general resource segment Appointment information - location resource segment Appointment information - personnel resource segment Appointment information - service segment Patient allergy information segment Appointment preferences segment Appointment request segment Authorization information segment Batch header segment Billing segment Batch trailer segment Charge description master segment Clinical study master segment Clinical study phase master segment Clinical study schedule master segment Clinical study phase segment Clinical study registration segment Clinical study data schedule segment Contact data segment Clinical trial identification segment Disability segment Diagnosis segment Diagnosis related group segment Continuation pointer segment Display data segment Embedded query language segment Event replay query segment Error segment Event type segment Facility segment File header segment Financial transaction segment File trailer segment Goal detail segment Guarantor segment Insurance segment

Chapter 2 10 10 10 10 3 10 10 11 2 4 2 8 8 8 8 7 7 7 11 7 3 6 6 2 2 2 2 2 3 7 2 6 2 12 6 6Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesSegment IN2 IN3 LCC LCH LDP LOC LRL MFA MFE MFI MRG MSA MSH NCK NK1 NPU NSC NST NTE OBR OBX ODS ODT OM1 OM2 OM3 OM4 OM5 OM6 ORC PCR PD1 PDC PEO PES PID Description Insurance additional information segment Insurance additional information, certification segment Location charge code segment Location characteristic segment Location department segment Location identification segment Location relationship segment Master file acknowledgment segment Master file entry segment Master file identification segment Merge patient information segment Message acknowledgment segment Message header segment System clock segment Next of kin / associated parties segment Bed status update segment Status change segment Statistics segment Notes and comments segment Observation request segment Observation/result segment Dietary orders, supplements, and preferences segment Diet tray instructions segment General segment - fields that apply to most observations Numeric observation segment Categorical test/observation segment Observations that require specimens segment Observation batteries (sets) segment Observations that are calculated from other observations segment Common order segment Possible causal relationship segment Patient additional demographic segment Product detail country segment Product experience observation segment Product experience sender segment Patient identification segment Chapter 6 6 8 8 8 8 8 8 8 8 3 2 2 C 3 3 C C 2 4,7 7,9 4 4 8 8 8 8 8 8 4 7 3 7 7 7 3Page A-5 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesSegment PR1 PRA PRB PRC PRD PSH PTH PV1 PV2 QAK QRD QRF RDF RDT RF1 RGS ROL RQ1 RQD RXA RXC RXD RXE RXG RXO RXR SCH SPR STF TXA UB1 UB2 URD URS VAR VTQ Description Procedures segment Practitioner detail segment Problem detail segment Pricing segment Provider data segment Product summary header segment Pathway segment Patient visit segment Patient visit - additional information segment Query acknowledgment segment Original-style query definition segment Original style query filter segment Table row definition segment Table row data segment Referral information segment Resource group segment Role segment Requisition detail-1 segment Requisition detail segment Pharmacy/treatment administration segment Pharmacy/treatment component order segment Pharmacy/treatment dispense segment Pharmacy/treatment encoded order segment Pharmacy/treatment give segment Pharmacy/treatment order segment Pharmacy/treatment route segment Schedule activity information segment Stored procedure request definition segment Staff identification segment Transcription document header segment UB82 data segment UB92 data segment Results/update definition segment Unsolicited selection segment Variance segment Virtual table query request segment Chapter 6 8 12 8 11 7 12 3 3 2 2 2,4 2 2 11 10 12 4 4 4 4 4 4 4 4 4 10 2 8 9 6 6 2 2 12 2

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Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition Tables

A.4

HL7 AND USER-DEFINED TABLES - ALPHABETIC SORTType Table Name HL7 HL7 User User User HL7 HL7 HL7 HL7 HL7 HL7 HL7 HL7 User User User User User HL7 User HL7 HL7 User User User User User User User User User User User User User 0078 0155 0050 0129 0117 0008 0323 0251 0183 0190 0164 0165 0163 0007 0023 0339 0128 0127 0161 0279 0356 0211 0009 0193 0146 0019 0317 0345 0276 0277 0363 0135 0347 0021 0304 Abnormal flags Accept/application acknowledgment conditions Accident code Accommodation code Account status Acknowledgment code Action code Action taken in response to the event Active/inactive Address type Administration device Administration method Administrative site Admission type Admit source Advanced beneficiary notice code Allergy severity Allergy type Allow substitution Allow substitution codes Alternate character set handling scheme Alternate character sets Ambulatory status Amount class Amount type Anesthesia code Annotations Appeal reason Appointment reason codes Appointment type codes Assigning authority Assignment of benefits Auto accident state Bad debt agency code Bed 6 6 6 2Page A-7 05/1999

Chapter 7 2 6 3 3 2 4 7 8 2 4 4 4,7 3 3 4 3 3 4 10 2 2 3 6 6 6 7 6 10 10

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name User User User User HL7 User User HL7 User HL7 User HL7 User User User User HL7 User User User User User User User User User User HL7 User HL7 HL7 User HL7 HL7 User HL7Page A-8 05/1999

Chapter 3 8 6 2 7

0116 0293 0022 0307 0252 0288 0346 0337 0269 0122 0032 0061 0171 0297 0364 0042 0322 0043 0177 0059 0222 0131 0044 0173 0289 0045 0309 0298 0046 0353 0158 0149 0267 0107 0360 0102

Bed status Billing category Billing status Building Causality observations Census tract Certification agency Certification status Charge on indicator Charge type Charge/price indicator Check digit scheme Citizenship CN ID source Comment type Company plan code Completion status Condition code Confidentiality code Consent code Contact reason Contact role Contract code Coordination of benefits County code Courtesy code Coverage type CP range type Credit rating CWE statuses Date/time selection qualifier Day type Days of the week Deferred response type Degree Delayed acknowledgment type

6 8 8 4 3 2 3,6 2 2 6 4 6 8 6 3,6 3,11 3 6 2 3 6 2 3 2 2 6 2,8 2 2 2Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name User User User User User HL7 User User HL7 HL7 User User HL7 HL7 User User User User HL7 HL7 HL7 HL7 HL7 User User User User User User User User HL7 HL7 User HL7 HL7 0111 0184 0049 0319 0342 0170 0228 0051 0053 0359 0052 0055 0074 0159 0114 0334 0112 0113 0321 0273 0271 0272 0275 0270 0056 0229 0255 0144 0328 0139 0066 0299 0225 0189 0240 0239 Delete account code Department Department code Department cost center Dependent of military recipient Derived specimen Diagnosis classification Diagnosis code Diagnosis coding method Diagnosis priority Diagnosis type Diagnostic related group Diagnostic service section ID Diet code specification type Diet type Disabled person Discharge disposition Discharged to location Dispense method Document availability status Document completion status Document confidentiality status Document storage status Document type DRG grouper review code DRG payor Duration categories Eligibility source Employee classification Employer information data Employment status Encoding Escort required Ethnic group Event consequence Event expected Chapter 3 8 6 4 6 8 6 6 6 6 6 6 4,7 4 3 3 3 3 4 9 9 9 9 9 6 6 8 6 3 6 6 2 4,7 6 7 7Page A-9 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name HL7 User HL7 HL7 HL7 HL7 User HL7 User User User User User User User User User HL7 HL7 User User User User User User User HL7 User User User User User User User User UserPage A-10 05/1999

Chapter 7 3 7 7 2,12 7 6 8 10 3 2 7 6 6 3 3 2 7 7 6 11 6 3 4 3 3 8 8 6 6 3 8 8 8 8 2Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

0237 0062 0236 0238 0003 0331 0024 0178 0278 0064 0308 0249 0341 0068 0295 0069 0203 0243 0253 0232 0285 0072 0073 0320 0327 0311 0254 0263 0220 0223 0315 0324 0264 0261 0325 0306

Event qualification Event reason Event reported to Event seriousness Event type Facility type Fee schedule File level event code Filler status codes Financial class Floor Generic product Guarantor credit rating code Guarantor type Handicap Hospital service Identifier type Identity may be divulged Indirect exposure mechanism Insurance company contact reason Insurance company ID codes Insurance p[lan ID Interest rate code Item natural account code Job code/class Job status Kind of quantity Level of care Living arrangement Living dependency Living will Location characteristic ID Location department Location equipment Location relationship ID Location status

Appendix A: Data Definition TablesType Table Name User User HL7 User HL7 HL7 HL7 HL7 HL7 User User User User User HL7 User HL7 HL7 User User HL7 HL7 User User HL7 User User HL7 User User User HL7 HL7 User User User 0137 0118 0227 0002 0330 0175 0357 0354 0076 0181 0343 0141 0140 0142 0290 0259 0200 4000 0300 0212 0080 0257 0174 0333 0332 0233 0143 0085 0350 0351 0188 0119 0038 0316 0204 0083 Mail claim party Major diagnostic category Manufacturers of vaccines (code=MVX) Marital status Marketing basis Master file identifier code Message error condition codes Message structure Message type MFN record-level error return Military handicapped program Military rank/grade Military service Military status MIME base64 encoding characters Modality Name type Name/address representation Namespace ID Nationality Nature of abnormal testing Nature of challenge Nature of test/observation Network change type Network source type Non-concur code/description Non-covered insurance code Observation result status codes interpretation Occurrence code Occurrence span Operator ID Order control codes and their meaning Order status Organ donor Organizational name type Outlier type Chapter 6 6 4 3 7 8 2 2 2 8 6 6 6 6 2 8 2 2 2 3,6 7 8 8 C C 6 6 7 6 6 3 4 4 3 2 6Page A-11 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name User User User User HL7 User User User User User User User User User User User User User User User User User HL7 HL7 HL7 User HL7 HL7 User HL7 User User User User User HL7Page A-12 05/1999

Chapter 8 6 3 8 7 3 3,6 6 6 6 2 2 6 2 6 6 6 8 8 8 3 6 8 2 8 3 7 8 8 12 6 6 6 6 6 2Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

0268 0218 0004 0260 0241 0216 0018 0344 0148 0084 0305 0010 0086 0302 0312 0313 0147 0186 0358 0338 0087 0150 0185 0205 0355 0296 0242 0027 0262 0287 0088 0340 0089 0230 0133 0103

Override Patient charge adjustment code Patient class Patient location type Patient outcome Patient status code Patient type Patients relationship to insured Penalty type Performed by code Person location type Physician ID Plan type Point of care Policy scope Policy source Policy type Practitioner category Practitioner group Practitioner ID number type Preadmit test indicator Pre-certification patient type Preferred method of contact Price type Primary key value type Primary language Primary observers qualification Priority Privacy level Problem/goal action code Procedure code Procedure code modifier Procedure coding method Procedure functional type Procedure practitioner identifier code type Processing ID

Appendix A: Data Definition TablesType Table Name HL7 HL7 User User HL7 HL7 User User User User HL7 HL7 HL7 HL7 HL7 HL7 User User HL7 User User User User User User User HL7 HL7 HL7 User HL7 User User User HL7 HL7 0207 0168 0246 0245 0248 0187 0286 0349 0215 0213 0126 0329 0091 0208 0108 0106 0005 0092 0180 0219 0284 0282 0280 0336 0283 0281 0250 0210 0209 0063 0258 0093 0006 0335 0109 0235 Processing mode Processing priority Product available for inspection Product problem Product source Provider billing Provider role PSRO/UR approval indicator Publicity code Purge status Quantity limited request Quantity method Query priority Query response status Query results level Query/response format code Race Re-admission indicator Record-level event code Recurring Service Code Referral category Referral disposition Referral priority Referral reason Referral status Referral type Relatedness assessment Relational conjunction Relational operator Relationship Relationship modifier Release information Religion Repeat pattern Report priority Report source Chapter 2 8 7 7 7 8 11 6 3,6 3 2 7 2 2 2 2 3,6 3 8 3 11 11 11 11 11 11 7 2 2 3,6 8 6 3,6 2 2 7Page A-13 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name HL7 HL7 HL7 HL7 HL7 User User HL7 HL7 User User HL7 User User User User User HL7 User User User HL7 HL7 User HL7 User HL7 HL7 HL7 HL7 HL7 User User User User HL7Page A-14 05/1999

Chapter 7 8 4 8 4,7 2 6 4 4 6 6 2 2 2 3 3 7 2 3 6 8 4,7 4,7 8 7 6 4 2 2 2 8 2,10 6,8 6 3 4,7Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

0234 0169 0121 0179 0123 0303 0145 0162 0166 0152 0151 0206 0361 0362 0115 0001 0244 0105 0214 0348 0265 0065 0070 0182 0247 0231 0167 0291 0202 0201 0256 0294 0132 0017 0110 0224

Report timing Reporting priority Response flag Response level Result status Room Room type Route of administration RX component type Second opinion documentation received Second opinion status Segment action code Sending/receiving application Sending/receiving facility Servicing facility Sex Single use device Source of comment Special program codes Special program indicator Specialty type Specimen action code Specimen source codes Staff type Status of evaluation Student status Substitution status Subtype of referenced data Telecommunication equipment type Telecommunication use code Time delay post challenge Time selection criteria parameter class codes Transaction code Transaction type Transfer to bad debt code Transport arranged

Appendix A: Data Definition TablesType Table Name HL7 HL7 User HL7 HL7 HL7 User HL7 HL7 User User User User User HL7 HL7 HL7 HL7 HL7 0124 0160 0098 0191 0301 0292 0153 0125 0104 0172 0099 0326 0217 0130 0048 0100 0156 0157 0136 Transportation mode Tray type Type of agreement Type of referenced data Universal ID type Vaccines administered (code = CVX) (parenteral, unless oral is noted) Value code Value type Version ID Veterans military status VIP indicator Visit indicator Visit priority code Visit user code What subject filter When to charge Which date/time qualifier Which date/time status qualifier Yes/no indicator Chapter 4,7 4 6 2,9 2 4 6 7 2 3 3 3 3 3 2 4 2 2 2,4

A.5User

HL7 AND USER-DEFINED TABLES - NUMERIC SORTValue Description 0001 0001 0001 0001 0001 Sex F M O U Marital Status A D M S W Event Type A01 ADT/ACK - Admit/visit notification Separated Divorced Married Single Widowed Female Male Other Unknown

Type Table Name

User

0002 0002 0002 0002 0002 0002

HL7

0003 0003

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Page A-15 05/1999

Appendix A: Data Definition TablesType Table Name 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 Value A02 A03 A04 A05 A06 A07 A08 A09 A10 A11 A12 A13 A14 A15 A16 A17 A18 A19 A20 A21 A22 A23 A24 A25 A26 A27 A28 A29 A30 A31 A32 A33 A34 A35 A36 Description ADT/ACK - Transfer a patient ADT/ACK - Discharge/end visit ADT/ACK - Register a patient ADT/ACK - Pre-admit a patient ADT/ACK - Change an outpatient to an inpatient ADT/ACK - Change an inpatient to an outpatient ADT/ACK - Update patient information ADT/ACK - Patient departing - tracking ADT/ACK - Patient arriving - tracking ADT/ACK - Cancel admit/visit notification ADT/ACK - Cancel transfer ADT/ACK - Cancel discharge/end visit ADT/ACK - Pending admit ADT/ACK - Pending transfer ADT/ACK - Pending discharge ADT/ACK - Swap patients ADT/ACK - Merge patient information QRY/ADR - Patient query ADT/ACK - Bed status update ADT/ACK - Patient goes on a leave of absence ADT/ACK - Patient returns from a leave of absence ADT/ACK - Delete a patient record ADT/ACK - Link patient information ADT/ACK - Cancel pending discharge ADT/ACK - Cancel pending transfer ADT/ACK - Cancel pending admit ADT/ACK - Add person information ADT/ACK - Delete person information ADT/ACK - Merge person information ADT/ACK - Update person information ADT/ACK - Cancel patient arriving - tracking ADT/ACK - Cancel patient departing - tracking ADT/ACK - Merge patient information - patient ID only ADT/ACK - Merge patient information - account number only ADT/ACK - Merge patient information - patient ID and account numberHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Page A-16 05/1999

Appendix A: Data Definition TablesType Table Name 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 Value A37 A38 A39 A40 A41 A42 A43 A44 A45 A46 A47 A48 A49 A50 A51 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 CNQ I01 I02 I03 I04 I05 Description ADT/ACK - Unlink patient information ADT/ACK - Cancel pre-admit ADT/ACK - Merge person patient ID ADT/ACK - Merge patient patient identifier list ADT/ACK - Merge account - patient account number ADT/ACK - Merge visit - visit number ADT/ACK - Move patient information patient identifier list ADT/ACK - Move account information - patient account number ADT/ACK - Move visit information - visit number ADT/ACK - Change patient ID ADT/ACK - Change patient identifier list ADT/ACK - Change alternate patient ID ADT/ACK - Change patient account number ADT/ACK - Change visit number ADT/ACK - Change alternate visit ID CRM - Register a patient on a clinical trial CRM - Cancel a patient registration on clinical trial (for clerical mistakes only) CRM - Correct/update registration information CRM - Patient has gone off a clinical trial CRM - Patient enters phase of clinical trial CRM - Cancel patient entering a phase (clerical mistake) CRM - Correct/update phase information CRM - Patient has gone off phase of clinical trial CSU - Automated time intervals for reporting, like monthly CSU - Patient completes the clinical trial CSU - Patient completes a phase of the clinical trial CSU - Update/correction of patient order/result information QRY/EQQ/SPQ/VQQ/RQQ - Cancel query RQI/RPI - Request for insurance information RQI/RPL - Request/receipt of patient selection display list RQI/RPR - Request/receipt of patient selection list RQD/RPI - Request for patient demographic data RQC/RCI - Request for patient clinical informationPage A-17 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 Value I06 I07 I08 I09 I10 I11 I12 I13 I14 I15 M01 M02 M03 varies M04 M05 M06 M07 M08 M09 M10 M11 O01 O02 P01 P02 P03 P04 P05 P06 P07 Description RQC/RCL - Request/receipt of clinical data listing PIN/ACK - Unsolicited insurance information RQA/RPA - Request for treatment authorization information RQA/RPA - Request for modification to an authorization RQA/RPA - Request for resubmission of an authorization RQA/RPA - Request for cancellation of an authorization REF/RRI - Patient referral REF/RRI - Modify patient referral REF/RRI - Cancel patient referral REF/RRI - Request patient referral status MFN/MFK - Master file not otherwise specified (for backward compatibility only) MFN/MFK - Master file staff practitioner MFN/MFK - Master file - test/observation (for backward compatibility only) MFQ/MFR - Master files query (use event same as asking for e.g., M05 - location) MFN/MFK - Master files charge description MFN/MFK - Patient location master file MFN/MFK - Clinical study with phases and schedules master file MFN/MFK - Clinical study without phases but with schedules master file MFN/MFK - Test/observation (numeric) master file MFN/MFK - Test/observation (categorical) master file MFN/MFK - Test /observation batteries master file MFN/MFK - Test/calculated observations master file ORM - Order message (also RDE, RDS, RGV, RAS) ORR - Order response (also RRE, RRD, RRG, RRA) BAR/ACK - Add patient accounts BAR/ACK - Purge patient accounts DFT/ACK - Post detail financial transaction QRY/DSP Generate bill and A/R statements BAR/ACK Update account BAR/ACK - End account PEX - Unsolicited initial individual product experience report

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Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 Value P08 P09 PC1 PC2 PC3 PC4 PC5 PC6 PC7 PC8 PC9 PCA PCB PCC PCD PCE PCF PCG PCH PCJ PCK PCL Q01 Q02 Q03 Q04 Q05 Q06 Q07 Q08 Q09 R01 R02 R03 Description PEX - Unsolicited update individual product experience report SUR - Summary product experience report PPR - PC/ Problem Add PPR - PC/ Problem Update PPR - PC/ Problem Delete QRY - PC/ Problem Query PRR - PC/ Problem Response PGL - PC/ Goal Add PGL - PC/ Goal Update PGL - PC/ Goal Delete QRY - PC/ Goal Query PPV - PC/ Goal Response PPP - PC/ Pathway (Problem-Oriented) Add PPP - PC/ Pathway (Problem-Oriented) Update PPP - PC/ Pathway (Problem-Oriented) Delete QRY - PC/ Pathway (Problem-Oriented) Query PTR - PC/ Pathway (Problem-Oriented) Query Response PPG - PC/ Pathway (Goal-Oriented) Add PPG - PC/ Pathway (Goal-Oriented) Update PPG - PC/ Pathway (Goal-Oriented) Delete QRY - PC/ Pathway (Goal-Oriented) Query PPT - PC/ Pathway (Goal-Oriented) Query Response QRY/DSR - Query sent for immediate response QRY/QCK - Query sent for deferred response DSR/ACK - Deferred response to a query EQQ Embedded query language query UDM/ACK - Unsolicited display update message OSQ/OSR - Query for order status VQQ Virtual table query SPQ Stored procedure request RQQ event replay query ORU/ACK - Unsolicited transmission of an observation message QRY - Query for results of observation QRY/DSR Display-oriented results, query/unsol. update (for backward compatibility only)

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Page A-19 05/1999

Appendix A: Data Definition TablesType Table Name 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 Value R04 R05 R06 R07 R08 R09 RAR RDR RER RGR R0R S01 S02 S03 S04 S05 S06 S07 S08 S09 S10 S11 S12 S13 S14 S15 S16 S17 S18 S19 Description ORF - Response to query; transmission of requested observation QRY/DSR - query for display results UDM - unsolicited update/display results EDR enhanced display response TBR tabular data response ERP event replay response RAR - Pharmacy administration information query response RDR - Pharmacy dispense information query response RER - Pharmacy encoded order information query response RGR - Pharmacy dose information query response R0R - Pharmacy prescription order query response SRM/SRR - Request new appointment booking SRM/SRR - Request appointment rescheduling SRM/SRR - Request appointment modification SRM/SRR - Request appointment cancellation SRM/SRR - Request appointment discontinuation SRM/SRR - Request appointment deletion SRM/SRR - Request addition of service/resource on appointment SRM/SRR - Request modification of service/resource on appointment SRM/SRR - Request cancellation of service/resource on appointment SRM/SRR - Request discontinuation of service/resource on appointment SRM/SRR - Request deletion of service/resource on appointment SIU/ACK - Notification of new appointment booking SIU/ACK - Notification of appointment rescheduling SIU/ACK - Notification of appointment modification SIU/ACK - Notification of appointment cancellation SIU/ACK - Notification of appointment discontinuation SIU/ACK - Notification of appointment deletion SIU/ACK - Notification of addition of service/resource on appointment SIU/ACK - Notification of modification of service/resource on appointmentHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Page A-20 05/1999

Appendix A: Data Definition TablesType Table Name 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 0003 User 0004 0004 0004 0004 0004 Patient Class E I O P Emergency Inpatient Outpatient PreadmitPage A-21 05/1999

Value S20 S21 S22 S23 S24 S25 S26 T01 T02 T03 T04 T05 T06 T07 T08 T09 T10 T11 T12 V01 V02 V03 V04 W01 W02

Description SIU/ACK - Notification of cancellation of service/resource on appointment SIU/ACK - Notification of discontinuation of service/resource on appointment SIU/ACK - Notification of deletion of service/resource on appointment SIU/ACK - Notification of blocked schedule time slot(s) SIU/ACK - Notification of opened (unblocked) schedule time slot(s) SQM/SQR - Schedule query message and response SIU/ACK Notification that patient did not show up for schedule appointment MDM/ACK - Original document notification MDM/ACK - Original document notification and content MDM/ACK - Document status change notification MDM/ACK - Document status change notification and content MDM/ACK - Document addendum notification MDM/ACK - Document addendum notification and content MDM/ACK - Document edit notification MDM/ACK - Document edit notification and content MDM/ACK - Document replacement notification MDM/ACK - Document replacement notification and content MDM/ACK - Document cancel notification QRY/DOC - Document query VXQ - Query for vaccination record VXX - Response to vaccination query returning multiple PID matches VXR - Vaccination record response VXU - Unsolicited vaccination record update ORU - Waveform result, unsolicited transmission of requested information QRF - Waveform result, response to query

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0004 0004 User User User 0005 0006 0007 0007 0007 0007 0007 HL7 0008 0008 0008 0008 0008 0008 0008 User 0009 0009 0009 0009 0009 0009 0009 0009 0009 0009 0009 0009 0009 0009 0009 0009 0009 User 0010 Physician IDHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Value R B

Description Recurring patient Obstetrics

Race Religion Admission type A E L R Acknowledgment code AA AE AR CA CE CR Ambulatory status A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 B1 B2 B3 B4 B5 B6 No functional limitations Ambulates with assistive device Wheelchair/stretcher bound Comatose; non-responsive Disoriented Vision impaired Hearing impaired Speech impaired Non-English speaking Functional level unknown Oxygen therapy Special equipment (tubes, IVs, catheters) Amputee Mastectomy Paraplegic Pregnant Original mode: Application Accept - Enhanced mode: Application acknowledgment: Accept Original mode: Application Error - Enhanced mode: Application acknowledgment: Error Original mode: Application Reject - Enhanced mode: Application acknowledgment: Reject Enhanced mode: Accept acknowledgment: Commit Accept Enhanced mode: Accept acknowledgment: Commit Error Enhanced mode: Accept acknowledgment: Commit Reject Accident Emergency Labor and Delivery Routine

Page A-22 05/1999

Appendix A: Data Definition TablesType Table Name User 0017 0017 0017 0017 0017 User User User User User 0018 0019 0021 0022 0023 0023 0023 0023 0023 0023 0023 0023 0023 0023 User HL7 0024 0027 0027 0027 0027 0027 0027 User HL7 0032 0038 0038 0038 0038 0038 0038 0038 0038 0038 Charge/price indicator Order status A CA CM DC ER HD IP RP Some, but not all, results available Order was canceled Order is completed Order was discontinued Error, order not found Order is on hold In process, unspecified Order has been replacedPage A-23 05/1999

Value

Description

Transaction type CG CD PY AJ Patient type Anesthesia code Bad debt agency code Billing status Admit source 1 2 3 4 5 6 7 8 9 Fee Schedule Priority S A R P T Stat (do immediately) As soon as possible (a priority lower than stat) Routine Preoperative (to be done prior to surgery) Timing critical (do as near as possible to requested time) Physician referral Clinic referral HMO referral Transfer from a hospital Transfer from a skilled nursing facility Transfer from another health care facility Emergency room Court/law enforcement Information not available Charge Credit Payment Adjustment

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0038 User User 0042 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043Page A-24 05/1999

Value SC

Description In process, scheduled

Company plan code Condition code 01 02 03 04 05 06 07 08 09 10 11 12 ... 16 18 19 20 21 26 27 28 29 31 32 33 34 36 37 38 39 40 41 Military service related Condition is employment related Patient covered by insurance not reflected here HMO enrollee Lien has been filed ESRD patient in first 18 months of entitlement covered by employer group health insurance Treatment of non-terminal condition for hospice patient Beneficiary would not provide information concerning other insurance coverage Neither patient nor spouse is employed Patient and/or spouse is employed but no EGHP exists Disabled beneficiary but no LGHP Payer codes. Maiden name retained Child retains mothers name Beneficiary requested billing Billing for Denial Notice VA eligible patient chooses to receive services in a medicare certified facility Patient referred to a sole community hospital for a diagnostic laboratory test Patient and/or spouses EGHP is secondary to Medicare Disabled beneficiary and/or family members LGHP is secondary to Medicare Patient is student (full time-day) Patient is student (cooperative/work study program) Patient is student (full time-night) Patient is student (Part time) General care patient in a special unit Ward accommodation as patient request Semi-private room not available Private room medically necessary Same day transfer Partial hospitalizationHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 0043 Value 46 48 55 56 57 60 61 62 66 67 68 70 71 72 73 74 75 76 77 Description Non-availability statement on file Psychiatric residential treatment centers for children and adolescents SNF bed not available Medical appropriateness SNF readmission Day outlier Cost outlier Payer code Provider does not wish cost outlier payment Beneficiary elects not to use life time reserve (LTR) days Beneficiary elects to use life time reserve (LTR) days Self-administered EPO Full care in unit Self-care in unit Self-care training Home Home - 100% reimbursement Back-up in facility dialysis Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full New coverage not implemented by HMO Corf services provided off-site Pregnant

0043 0043 0043 User User User HL7 0044 0045 0046 0048 0048 0048 0048 0048 0048 0048 0048 Contract code Courtesy code Credit rating What subject filter

78 79 80

ADV ANU APN APP ARN APM APA

Advice/diagnosis Nursing unit lookup (returns patients in beds, excluding empty beds) Patient name lookup Physician lookup Nursing unit lookup (returns patients in beds, including empty beds) Medical record number query, returns visits for a medical record number Account number query, return matching visitPage A-25 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 0048 User User User User 0049 0050 0051 0052 0052 0052 0052 HL7 User 0053 0055 Diagnosis coding method Diagnostic related groupHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Value CAN DEM FIN GOL MRI MRO NCK NSC NST ORD OTH PRB PRO RES RAR RER RDR RGR ROR SAL SBK SBL SOP SSA SSR STA VXI

Description Cancel. Used to cancel a query Demographics Financial Goals Most recent inpatient Most recent outpatient Network clock Network status change Network statistic Order Other Problems Procedure Result Pharmacy administration information Pharmacy encoded order information Pharmacy dispense information Pharmacy give information Pharmacy prescription information All schedule related information, including open slots, booked slots, blocked slots Booked slots on the identified schedule Blocked slots on the identified schedule Open slots on the identified schedule Time slots available for a single appointment Time slots available for a recurring appointment Status Vaccine Information

Department codes Accident code Diagnosis code Diagnosis type A W F Admitting Working Final

Page A-26 05/1999

Appendix A: Data Definition TablesType Table Name User User HL7 0056 0059 0061 0061 0061 0061 0061 User 0062 0062 0062 0062 User User HL7 0063 0064 0065 0065 0065 0065 0065 0065 0065 0065 User User User HL7 0066 0068 0069 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 Employment status Guarantor type Hospital service Specimen source codes ABS AMN ASP BPH BIFL BLDA BBL BLDC BPU BLDV BON Abscess Amniotic fluid Aspirate Basophils Bile fluid Blood arterial Blood bag Blood capillary Blood product unit Blood venous BonePage A-27 05/1999

Value

Description

DRG grouper review code Consent code Check digit scheme M10 M11 ISO NPI Event reason 01 02 03 Relationship Financial class Specimen action code A G L O P R S Add ordered tests to the existing specimen Generated order; reflex order Lab to obtain specimen from patient Specimen obtained by service other than Lab Pending specimen; Order sent prior to delivery Revised order Schedule the tests specified below Patient request Physician order Census management Mod 10 algorithm Mod 11 algorithm ISO 7064: 1983 Check digit algorithm in the US National Provider Identifier

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 Value BRTH BRO BRN CALC CDM CNL CTP CSF CVM CVX COL CBLD CNJT CUR CYST DIAF DOSE DRN DUFL EAR EARW ELT ENDC ENDM EOS RBC EYE EXHLD FIB FLT FIST FLU GAS GAST GEN Description Breath (use EXHLD) Bronchial Burn Calculus (=Stone) Cardiac muscle Cannula Catheter tip Cerebral spinal fluid Cervical mucus Cervix Colostrum Cord blood Conjunctiva Curettage Cyst Dialysis fluid Dose med or substance Drain Duodenal fluid Ear Ear wax (cerumen) Electrode Endocardium Endometrium Eosinophils Erythrocytes Eye Exhaled gas (=breath) Fibroblasts Filter Fistula Body fluid, unsp Gas Gastric fluid/contents Genital

Page A-28 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 Value GENC GENL GENV HAR IHG IT ISLT LAM WBC LN LNA LNV LIQ LYM MAC MAR MEC MBLD MLK MILK NAIL NOS ORH PAFL PAT PRT PLC PLAS PLB PLR PMN PPP PRP PUS RT Description Genital cervix Genital lochia Genital vaginal Hair Inhaled Gas Intubation tube Isolate Lamella Leukocytes Line Line arterial Line venous Liquid NOS Lymphocytes Macrophages Marrow Meconium Menstrual blood Milk Breast milk Nail Nose (nasal passage) Other Pancreatic fluid Patient Peritoneal fluid /ascites Placenta Plasma Plasma bag Pleural fluid (thoracentesis fld) Polymorphonuclear neutrophils Platelet poor plasma Platelet rich plasma Pus Route of medicine

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Page A-29 05/1999

Appendix A: Data Definition TablesType Table Name 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 0070 Value SAL SEM SER SKN SKM SPRM SPT SPTC SPTT STON STL SWT SNV TEAR THRT THRB TISS TISG TLGI TLNG TISPL TSMI TISU TUB ULC UMB UMED URTH UR URC URT URNS USUB VOM BLD Description Saliva Seminal fluid Serum Skin Skeletal muscle Spermatozoa Sputum Sputum - coughed Sputum - tracheal aspirate Stone (use CALC) Stool = Fecal Sweat Synovial fluid (Joint fluid) Tears Throat Thrombocyte (platelet) Tissue Tissue gall bladder Tissue large intestine Tissue lung Tissue placenta Tissue small intestine Tissue ulcer Tube NOS Ulcer Umbilical blood Unknown medicine Urethra Urine Urine clean catch Urine catheter Urine sediment Unknown substance Vomitus Whole blood

Page A-30 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0070 0070 0070 0070 0070 0070 0070 0070 User User HL7 0072 0073 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 Insurance plan ID Interest rate code Diagnostic service section ID AU BG BLB CUS CTH CT CH CP EC EN HM ICU IMM LAB MB MCB MYC NMS NMR NRS OUS OT OTH OSL PHR Audiology Blood Gases Blood Bank Cardiac Ultrasound Cardiac Catheterization CAT Scan Chemistry Cytopathology Electrocardiac (e.g., EKG, EEC, Holter) Electroneuro (EEG, EMG,EP,PSG) Hematology Bedside ICU Monitoring Immunology Laboratory Microbiology Mycobacteriology Mycology Nuclear medicine scan Nuclear magnetic resonance Nursing service measures OB Ultrasound Occupational Therapy Other Outside Lab PharmacyPage A-31 05/1999

Value BDY WAT WICK WND WNDA WNDE WNDD XXX

Description Whole body Water Wick Wound Wound abscess Wound exudate Wound drainage To be specified in another part of the 422.3.10070message

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 0074 HL7 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076Page A-32 05/1999

Value PT PHY PF RAD RX RUS RC RT SR SP TX VUS VR XRC

Description Physical Therapy Physician (Hx. Dx, admission note, etc.l) Pulmonary function Radiology Radiograph Radiology ultrasound Respiratory Care (therapy) Radiation therapy Serology Surgical Pathology Toxicology Vascular Ultrasound Virology Cineradiograph

Message type ACK ADR ARD ADT BAR CRM CSU DFT DOC DSR EDR EQQ ERP MCF MDM MFN MFK MFD MFQ MFR NMD General acknowledgment message ADT response Ancillary RPT (display) (for backward compatibility only) ADT message Add/change billing account Clinical study registration Unsolicited clinical study data Detail financial transaction Document query Display response Enhanced display response Embedded query language query Event replay response Delayed acknowledgment Documentation message Master files notification Master files application acknowledgment Master files delayed application acknowledgment Master files query Master files query response Network management dataHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 Value NMQ NMR ORF ORM ORR ORU OSQ OSR PEX PGL PIN PPG PPP PPR PPT PPV PRR PTR QCK QRY RAR RAS RCI RCL RDE RDR RDS REF RER RGV RGR ROR RPA RPI RPL Description Network management query Network management response Observ. result/record response Order message Order acknowledgment message Observ result/unsolicited Order status query Order status response Product experience Patient goal Patient insurance information Patient pathway (goal-oriented) message Patient pathway (problem-oriented) message Patient problem Patient pathway (goal oriented) response Patient goal response Patient problem response Patient pathway (problem-oriented) response Query general acknowledgment Query, original mode Pharmacy administration information Pharmacy administration message Return clinical information Return clinical list Pharmacy encoded order message Pharmacy dispense information Pharmacy dispense message Patient referral Pharmacy encoded order information Pharmacy give message Pharmacy dose information Pharmacy prescription order response Return patient authorization Return patient information Return patient display list

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Page A-33 05/1999

Appendix A: Data Definition TablesType Table Name 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 0076 HL7 0078 0078 0078 0078 0078 0078 0078 0078 0078 0078 0078Page A-34 05/1999

Value RPR RQA RQC RQI RQP RQQ RRA RRD RRE RRG RRI SIU SPQ SQM SQR SRM SRR SUR TBR UDM VQQ VXQ VXX VXR VXU

Description Return patient list Request patient authorization Request clinical information Request patient information Request patient demographics Event replay query Pharmacy administration acknowledgment Pharmacy dispense acknowledgment Pharmacy encoded order acknowledgment Pharmacy give acknowledgment Return patient referral Schedule information unsolicited Stored procedure request Schedule query Schedule query response Schedule request Scheduled request response Summary product experience report Tabular data response Unsolicited display message Virtual table query Query for vaccination record Vaccination query response with multiple PID matches Vaccination query record response Unsolicited vaccination record update

Abnormal flags L H LL HH < > N A AA null Below low normal Above high normal Below lower panic limits Above upper panic limits Below absolute low-off instrument scale Above absolute high-off instrument scale Normal (applies to non-numeric results) Abnormal (applies to non-numeric results) Very abnormal (applies to non-numeric units, analogous to panic limits for numeric units) No range defined, or normal ranges don't applyHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0078 0078 0078 0078 0078 0078 0078 0078 0078 0078 HL7 0080 0080 0080 0080 0080 User 0083 0083 0083 User HL7 0084 0085 0085 0085 0085 0085 0085 Performed by code Observation result status codes interpretation C D F I N Record coming over is a correction and thus replaces a final result Deletes the OBX record Final results; Can only be changed with a corrected result. Specimen in lab; results pending Not asked; used to affirmatively document that the observation identified in the OBX was not sought when the universal service ID in OBR-4 implies that it would be sought. Order detail description only (no result) Preliminary results Results entered -- not verified Partial results Results cannot be obtained for this observation Results status change to final without retransmitting results already sent as preliminary. E.g., radiology changes status from preliminary to final Post original as wrong, e.g., transmitted for wrong patient Outlier type D C Outlier days Outlier cost Nature of abnormal testing A N R S An age-based population None - generic normal range A race-based population A sex-based population Value U D B W Description Significant change up Significant change down Better--use when direction not relevant Worse--use when direction not relevant

For microbiology susceptibilities only: S R I MS VS Susceptible* Resistant* Intermediate* Moderately susceptible* Very susceptible*

0085 0085 0085 0085 0085 0085

O P R S X U

0085 User 0086 Plan type

W

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Page A-35 05/1999

Appendix A: Data Definition TablesType Table Name User User User HL7 0087 0088 0089 0091 0091 0091 User User 0092 0093 0093 0093 User 0098 0098 0098 0098 User HL7 0099 0100 0100 0100 0100 0100 0100 HL7 0102 0102 0102 HL7 0103 0103 0103 0103 HL7 0104 0104 0104 0104 0104 0104 0104 0104Page A-36 05/1999

Value

Description

Preadmit test indicator

Procedure coding method Query priority D I Re-admission indicator Release information Y N Type of agreement S U M VIP indicator When to charge D O R S T Delayed acknowledgment type D F Processing ID D P T Version ID 2.0 2.0D 2.1 2.2 2.3 2.3.1 2.3.2 Release 2.0 Demo 2.0 Release 2. 1 Release 2.2 Release 2.3 Release 2.3.1 Release 2.3.2Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Deferred Immediate

Yes No

Standard Unified Maternity

On discharge On receipt of order At time service is completed At time service is started At a designated date/time

Message received, stored for later processing Acknowledgment after processing

Debugging Production Training

Appendix A: Data Definition TablesType Table Name HL7 0105 0105 0105 0105 HL7 0106 0106 0106 0106 0106 0106 0106 HL7 0107 0107 0107 HL7 0108 0108 0108 0108 0108 HL7 0109 0109 0109 User User User 0110 0111 0112 0112 0112 0112 0112 0112 Transfer to bad debt code Delete account code Discharge disposition 01 02 03 04 05 Discharged to home or self care (routine discharge) Discharged/transferred to another short term general hospital for inpatient care Discharged/transferred to skilled nursing facility (SNF) Discharged/transferred to an intermediate care facility (ICF) Discharged/transferred to another type of institution for inpatient care or referred for outpatient services to another institution Discharged/transferred to home under care of organized home health service organization Left against medical advice or discontinued care Discharged/transferred to home under care of Home IV providerPage A-37 05/1999

Value

Description

Source of comment L P O Query/response format code D D R R T T Deferred response type B L Query results level O R S T Report priority R S Routine Stat Order plus order status Results without bulk text Status only Full results Before the Date/Time specified Later than the Date/Time specified Response is in display format Response is in display format Response is in record-oriented format Response is in record-oriented format Response is in tabular format Response is in tabular format Ancillary (filler) department is source of comment Orderer (placer) is source of comment Other system is source of comment

0112 0112 0112

06 07 08

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 0112 User User 0113 0114 Discharged to location Diet typeHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Value 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42

Description Admitted as an inpatient to this hospital Discharge to be defined at state level, if necessary Discharge to be defined at state level, if necessary Discharge to be defined at state level, if necessary Discharge to be defined at state level, if necessary Discharge to be defined at state level, if necessary Discharge to be defined at state level, if necessary Discharge to be defined at state level, if necessary Discharge to be defined at state level, if necessary Discharge to be defined at state level, if necessary Discharge to be defined at state level, if necessary Expired Expired to be defined at state level, if necessary Expired to be defined at state level, if necessary Expired to be defined at state level, if necessary Expired to be defined at state level, if necessary Expired to be defined at state level, if necessary Expired to be defined at state level, if necessary Expired to be defined at state level, if necessary Expired to be defined at state level, if necessary Expired to be defined at state level, if necessary Still patient or expected to return for outpatient services Still patient to be defined at state level, if necessary Still patient to be defined at state level, if necessary Still patient to be defined at state level, if necessary Still patient to be defined at state level, if necessary Still patient to be defined at state level, if necessary Still patient to be defined at state level, if necessary Still patient to be defined at state level, if necessary Still patient to be defined at state level, if necessary Still patient to be defined at state level, if necessary Expired at home Expired in a medical facility; e.g., hospital, SNF, ICF, or free standing hospice Expired - place unknown

Page A-38 05/1999

Appendix A: Data Definition TablesType Table Name User User 0115 0116 0116 0116 0116 0116 0116 0116 User User HL7 0117 0118 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 Account status Major diagnostic category Order control codes and their meaning NW OK UA CA OC CR UC DC OD DR UD HD OH UH HR RL OE OR UR RP RU RO RQ UM PA New order (O01) Order accepted & OK (O02) Unable to accept order (O02/ORR) Cancel order request (O01) Order canceled (O01) Canceled as requested (O02) Unable to cancel (O02) Discontinue order request (O01) Order discontinued (O01) Discontinued as requested (O02) Unable to discontinue (O02) Hold order request (O01) Order held (O01) Unable to put on hold (O02) On hold as requested (O02) Release previous hold (O01) Order released (O01) Released as requested Unable to release (O02) Order replace request (O01) Replaced unsolicited (O01) Replacement order (O01) Replaced as requested (O02) Unable to replace (O02) Parent order (O01/ORU)Page A-39 05/1999

Value

Description

Serving facility Bed status C H O U K I Closed Housekeeping Occupied Unoccupied Contaminated Isolated

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 0119 HL7 0121 0121 0121 0121 0121 0121 HL7 0122 0122 0122 0122 0122 0122 0122 0122Page A-40 05/1999

Value CH XO XX UX XR DE RE RR SR SS SC SN NA CN RF AF DF FU OF UF LI UN

Description Child order (O01/ORU) Change order request (O01) Order changed, unsol. (O01) Unable to change (O02) Changed as requested (O02) Data errors (O01/O02) Observations to follow (O01/R01) Request received (O02) Response to send order status request (O02(Q06) Send order status request (O01) Status changed (O01) Send order number (O01) Number assigned (O02) Combined result (R01) Refill order request (O01) Order refill request approval (O02) Order refill request denied (O02) Order refilled, unsolicited (O01) Order refilled as requested (O02) Unable to refill (O02) Link order to patient care problem or goal Unlink order from patient care problem or goal

Response flag E R D F N Charge type CH CO CR DP GR NC PC Charge Contract Credit Department Grant No Charge ProfessionalHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Report exceptions only Same as E, also Replacement and Parent-Child Same as R, also other associated segments Same as D, plus confirmations explicitly Only the MSA segment is returned

Appendix A: Data Definition TablesType Table Name 0122 HL7 0123 0123 0123 0123 0123 0123 0123 0123 0123 0123 0123 0123 0123 0123 HL7 0124 0124 0124 0124 0124 HL7 0125 0125 0125 0125 0125 0125 0125 0125 0125 0125 0125 0125 0125 0125 Value type AD CE CF CK CN CP CX DT ED FT MO NM PN Address Coded Entry Coded Element With Formatted Values Composite ID With Check Digit Composite ID And Name Composite Price Extended Composite ID With Check Digit Date Encapsulated Data Formatted Text (Display) Money Numeric Person Name Transportation mode CART PORT WALK WHLC Cart - patient travels on cart or gurney The examining device goes to patients location Patient walks to diagnostic service Wheelchair Result status O I S A P C C R F X Y Y Z Order received; specimen not yet received No results available; specimen received, procedure incomplete No results available; procedure scheduled, but not done Some, but not all, results available Preliminary: A verified early result is available, final results not yet obtained Correction to results Correction to results Results stored; not yet verified Final results; results stored and verified. Can only be changed with a corrected result. No results available; Order canceled. No order on record for this test. (Used only on queries) No order on record for this test. (Used only on queries) No record of this patient. (Used only on queries) Value RS Description Research

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Page A-41 05/1999

Appendix A: Data Definition TablesType Table Name 0125 0125 0125 0125 0125 0125 0125 0125 0125 0125 0125 0125 HL7 0126 0126 0126 0126 0126 0126 User 0127 0127 0127 0127 0127 User 0128 0128 0128 0128 User User User User User 0129 0130 0131 0132 0133 0133 0133 0133 0133Page A-42 05/1999

Value RP SN ST TM TN TS TX XAD XCN XON XPN XTN

Description Reference Pointer Structured Numeric String Data. Time Telephone Number Time Stamp (Date & Time) Text Data (Display) Extended Address Extended Composite Name And Number For Persons Extended Composite Name And Number For Organizations Extended Person Name Extended Telecommunications Number

Quantity limited request CH LI PG RD ZO Allergy type DA FA MA MC Allergy severity SV MO MI Accommodation code Visit user code Contact role Transaction code Procedure practitioner identifier code type AN PR RD RS Anesthesiologist Procedure MD (surgeon) Radiologist ResidentHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Characters Lines Pages Records Locally defined

Drug allergy Food allergy Miscellaneous allergy Miscellaneous contraindication

Severe Moderate Mild

Appendix A: Data Definition TablesType Table Name 0133 0133 0133 0133 0133 User 0135 0135 0135 0135 HL7 0136 0136 0136 User 0137 0137 0137 0137 0137 0137 User User 0139 0140 0140 0140 0140 0140 0140 0140 0140 0140 User 0141 0141 0141 0141 User 0142 0142 0142 0142 Military status ACT RET DEC Active duty Retired DeceasedPage A-43 05/1999

Value NP CM SN PS AS

Description Nurse Practitioner Certified Nurse Midwife Scrub Nurse Primary Surgeon Assistant Surgeon

Assignment of benefits Y N M Yes/no indicator Y N Mail claim party E G I O P Employer information data Military service USA USN USAF USMC USCG USPHS NOAA NATO Military rank/guide E1 ... E9 O1 ... O10 W1 ... W4 Enlisted Officers Warrant Officers U.S. Army U.S. Navy U.S. Air Force U.S. Marines U.S. Coast Guard U.S. Public Health Service National Oceanic and Atmospheric Administration North Atlantic Treaty Organization Employer Guarantor Insurance company Other Patient Yes No Yes No Modified assignment

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name User User 0143 0144 0144 0144 0144 0144 0144 0144 0144 User 0145 0145 0145 0145 0145 0145 0145 User 0146 0146 0146 0146 0146 0146 User 0147 0147 0147 0147 0147 0147 User 0148 0148 0148 User 0149 0149 0149 0149 User 0150 Pre-certification patient typeHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Value

Description

Non-covered insurance code Eligibility source 1 2 3 4 5 6 7 Room type PRI 2PRI SPR 2SPR ICU 2ICU Amount type DF LM PC RT UL Policy type ANC 2ANC MMD 2MMD 3MMD Penalty type AT PC Day type AP DE PE Approved Denied Pending Currency amount Percentage Ancillary Second ancillary Major medical Second major medical Third major medical Differential Limit Percentage Rate Unlimited Private room Second private room Semi-private room Second semi-private room Intensive care unit Second intensive care unit Insurance company Employer Insured presented policy Insured presented card Signed statement on file Verbal information None

Page A-44 05/1999

Appendix A: Data Definition TablesType Table Name 0150 0150 0150 0150 User User User 0151 0152 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 Second opinion status Second opinion documentation received Value code 01 02 04 05 06 08 09 10 11 12 13 14 15 16 17 21 22 23 24 30 31 37 38 39 40 41 Most common semi-private rate Hospital has no semi-private rooms Inpatient professional component charges which are combined billed Professional component included in charges and also billed separate to carrier Medicare blood deductible Medicare life time reserve amount in the first calendar year Medicare co-insurance amount in the first calendar year Lifetime reserve amount in the second calendar year Co-insurance amount in the second calendar year Working aged beneficiary/spouse with employer group health plan ESRD beneficiary in a Medicare coordination period with an employer group health plan No Fault including auto/other Workers Compensation PHS, or other federal agency Payer code Catastrophic Surplus Recurring monthly incode Medicaid rate code Pre-admission testing Patient liability amount Pints of blood furnished Blood deductible pints Pints of blood replaced New coverage not implemented by HMO (for inpatient service only) Black lungPage A-45 05/1999

Value ER IPE OPE UR

Description Emergency Inpatient elective Outpatient elective Urgent

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0153 0153 0153 Value 42 43 44 Description VA Disabled beneficiary under age 64 with LGHP Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due Accident hour Number of grace days Any liability insurance Hemoglobin reading Hematocrit reading Physical therapy visits Occupational therapy visits Speech therapy visits Cardiac rehab visits Skilled nurse - home visit hours Home health aide - home visit hours Arterial blood gas Oxygen saturation HHA branch MSA Peritoneal dialysis EPO-drug Payer codes Payer codes Psychiatric visits Visits subject to co-payment Deductible payer A Coinsurance payer A Estimated responsibility payer A Service excluded on primary policy Supplemental coverage

0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 0153 HL7 0155 0155 0155 0155 0155 HL7 0156 White date/time qualifier

45 46 47 48 49 50 51 52 53 56 57 58 59 60 67 68 70 ... 72 75 ... 79 80 81 A1 A2 A3 X0 X4 Accept/application acknowledgment conditions AL NE ER SU

Always Never Error/reject conditions only Successful completion only

Page A-46 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0156 0156 0156 0156 0156 0156 HL7 0157 0157 0157 0157 0157 0157 0157 HL7 0158 0158 0158 0158 0158 Date/time selection qualifier 1ST ALL LST REV First value within range All values within the range Last value within the range All values within the range returned in reverse chronological order (This is the default if not otherwise specified.) Which date/time status qualifier ANY CFN COR FIN PRE REP Any status Current final value, whether final or corrected Corrected only (no final with corrections) Final only (no corrections) Preliminary Report completion date/time Value ANY COL ORD RCT REP SCHED Description Any date/time within a range Collection date/time, equivalent to film or sample collection date/time Order date/time Specimen receipt date/time, receipt of specimen in filling ancillary (Lab) Report date/time, report date/time at filing ancillary (i.e., Lab) Schedule date/time

HL7

0159 0159 0159 0159

Diet code specification type D S P Tray type EARLY LATE GUEST NO MSG Allow substitution N G T Route of administrationPage A-47 05/1999

Diet Supplement Preference

HL7

0160 0160 0160 0160 0160 0160

Early tray Late tray Guest tray No tray Tray message only

HL7

0161 0161 0161 0161

Substitutions are NOT authorized. (This is the default null.) Allow generic substitutions. Allow therapeutic substitutions

HL7

0162

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162Page A-48 05/1999

Value AP B DT EP ET GTT GU IMR IA IB IC ICV ID IH IHA IM IN IO IP IS IT IU IV MTH MM NS NG NP NT OP OT OTH PF PO PR RM

Description Apply Externally Buccal Dental Epidural Endotrachial Tube* Gastrostomy Tube GU Irrigant Immerse (Soak) Body Part Intra-arterial Intrabursal Intracardiac Intracervical (uterus) Intradermal Inhalation Intrahepatic Artery Intramuscular Intranasal Intraocular Intraperitoneal Intrasynovial Intrathecal Intrauterine Intravenous Mouth/Throat Mucous Membrane Nasal Nasogastric Nasal Prongs* Nasotrachial Tube Ophthalmic Otic Other/Miscellaneous Perfusion Oral Rectal Rebreather Mask*Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 0162 HL7 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 Administrative site BE OU BN BU CT LA LAC LACF LD LE LEJ OS LF LG LH LIJ LLAQ LLFA LMFA LN LPC LSC LT LUA Bilateral Ears Bilateral Eyes Bilateral Nares Buttock Chest Tube Left Arm Left Anterior Chest Left Antecubital Fossa Left Deltoid Left Ear Left External Jugular Left Eye Left Foot Left Gluteus Medius Left Hand Left Internal Jugular Left Lower Abd Quadrant Left Lower Forearm Left Mid Forearm Left Naris Left Posterior Chest Left Subclavian Left Thigh Left Upper ArmPage A-49 05/1999

Value SD SC SL TP TRA TD TL UR VG VM WND

Description Soaked Dressing Subcutaneous Sublingual Topical Tracheostomy* Transdermal Translingual Urethral Vaginal Ventimask Wound

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 0163 HL7 0164 0164 0164 0164 0164Page A-50 05/1999

Value LUAQ LUFA LVG LVL NB PA PERIN RA RAC RAC RACF RD RE REJ OD RF RG RH RIJ RLAQ RLFA RMFA RN RPC RSC RT RUA RUAQ RUFA RVL RVG

Description Left Upper Abd Quadrant Left Upper Forearm Left Ventragluteal Left Vastus Lateralis Nebulized Perianal Perineal Right Arm Right Anterior Chest Right Anterior Chest Right Antecubital Fossa Right Deltoid Right Ear Right External Jugular Right Eye Right Foot Right Gluteus Medius Right Hand Right Internal Jugular Rt Lower Abd Quadrant Right Lower Forearm Right Mid Forearm Right Naris Right Posterior Chest Right Subclavian Right Thigh Right Upper Arm Right Upper Abd Quadrant Right Upper Forearm Right Vastus Lateralis Right Ventragluteal

Administration device AP BT HL IPPB Applicator Buretrol Heparin Lock IPPBHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0164 0164 0164 0164 0164 HL7 0165 0165 0165 0165 0165 0165 0165 0165 0165 0165 0165 0165 0165 0165 0165 0165 HL7 0166 0166 0166 HL7 0167 0167 0167 0167 0167 0167 0167 0167 0167 0167 0167 Substitution status N G T 0 1 2 3 4 5 7 No substitute was dispensed. This is equivalent to the default (null) value. A generic substitution was dispensed. A therapeutic substitution was dispensed. No product selection indicated Substitution not allowed by prescriber Substitution allowed - patient requested product dispensed Substitution allowed - pharmacist selected product dispensed Substitution allowed - generic drug not in stock Substitution allowed - brand drug dispensed as a generic Substitution not allowed - brand drug mandated by lawPage A-51 05/1999

Value IVP IVS MI NEB PCA

Description IV Pump IV Soluset Metered Inhaler Nebulizer PCA Pump

Administration method CH DI DU IF IS IR IVPB IVP NB PT PF SH SO WA WI RX component type B A Base Additive Chew Dissolve Dust Infiltrate Insert Irrigate IV Piggyback IV Push Nebulized Pain Perfuse Shampoo Soak Wash Wipe

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0167 HL7 0168 0168 0168 0168 0168 0168 0168 0168 HL7 0169 0169 0169 HL7 0170 0170 0170 0170 User User User 0171 0172 0173 0173 0173 User 0174 0174 Nature of test/observation P Profile or battery consisting of many independent atomic observations (e.g., SMA12, electrolytes), usually done at one instrument on one specimen Functional procedure that may consist of one or more interrelated measures (e.g., glucose tolerance test, creatine clearance), usually done at different times and/or on different specimens Atomic test/observation (test code or treatment code) Superset--a set of batteries or procedures ordered under a single code unit but processed as separate batteries (e.g., routines = CBC, UA, electrolytes) Single observation calculated via a rule or formula from other independent observations (e.g., Alveolar--arterial ratio, cardiac output) Citizenship Veterans military status Coordination of benefits CO IN Coordination Independent Derived specimen P C N Parent Observation Child Observation Not Applicable Reporting priority C R Call back results Rush reporting Processing priority S A R P T C B Stat (do immediately) As soon as possible (a priority lower than stat) Routine Preoperative (to be done prior to surgery) Timing critical (do as near as possible to requested time) Measure continuously (e.g., arterial line blood pressure) Do at bedside or portable (may be used with other codes) Value 8 Description Substitution allowed - generic drug not available in marketplace

0174

F

0174 0174

A S

0174

C

HL7

0175 0175 0175

Master file identifier code CDM CMA Charge description master file Clinical study with phases and scheduled master fileHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Page A-52 05/1999

Appendix A: Data Definition TablesType Table Name 0175 0175 0175 0175 0175 0175 0175 0175 User 0177 0177 0177 0177 0177 0177 0177 0177 0177 0177 0177 HL7 0178 0178 0178 HL7 0179 0179 0179 Response level NE ER Never. No application-level response needed Error/Reject conditions only. Only MFA segments denoting errors must be returned via the application-level acknowledgment for this message Always. All MFA segments (whether denoting errors or not) must be returned via the application-level acknowledgment message Success. Only MFA segments denoting success must be returned via the application-level acknowledgment for this message File level event code REP UPD Replace current version of this master file with the version contained in this message Change file records as defined in the record-level event codes for each record that follows Confidentiality code V R U EMP UWM VIP PSY AID HIV ETH Very restricted Restricted Usual control Employee Unwed mother Very important person or celebrity Psychiatric patient AIDS patient HIV(+) patient Alcohol/drug treatment patient Value CMB LOC OMA OMB OMC OMD PRA STF Description Clinical study without phases but with scheduled master file Location master file Numerical observation master file Categorical observation master file Observation batteries master file Calculated observations master file Practitioner master file Staff master file

0179

AL

0179

SU

HL7

0180 0180 0180 0180

Record-level event code MAD MDL MUP Add record to master file Delete record from master file Update record for master filePage A-53 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0180 0180 User 0181 0181 0181 User HL7 0182 0183 0183 0183 User HL7 0184 0185 0185 0185 0185 0185 0185 0185 User HL7 0186 0187 0187 0187 User User HL7 0188 0189 0190 0190 0190 0190 0190 0190 0190 0190 0190 0190 0190 Operator ID Ethnic group Address type C P M B O H N BDL BR F Current Or Temporary Permanent Mailing Firm/Business Office Home Birth (nee) (birth address, not otherwise specified) Birth delivery location (address where birth occurred) Residence at birth (home address at time of birth) Country Of Origin Practitioiner category Provider billing P I Provider does own billing Institution bills for provider Department Preferred method of contact H O F C B E Home Phone Number Office Phone Number FAX Number Cellular Phone Number Beeper Number E-Mail Address (for backward compatibility) Staff type Active/inactive A I Active Staff Inactive Staff MFN record-level error return S U Successful posting of the record defined by the MFE segment Unsuccessful posting of the record defined by the MFE segment Value MDC MAC Description Deactivate: discontinue using record in master file, but do not delete from database Reactivate deactivated record

Page A-54 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0190 0190 Value L RH Description Legal Address Registry home. Refers to the information system, typically managed by a public health agency, that stores patient information such as immunization histories or cancer data, regardless of where the patient obtains services. Bad address

0190 HL7 0191 0191 0191 0191 0191 0191 0191 0191 0191 0191 0191 0191 0191 0191 0191 0191 0191 0191 User 0193 0193 0193 0193 0193 HL7 0200 0200 0200 0200 0200 0200 0200 Name type Amount class Type of referenced data

BA

SI SI NS NS SD SD TX TX FT FT TEXT IM AU AP Image Audio Application

Scanned image (HL7 V2.2 only) Scanned image Non-scanned image (HL7 V2.2 only) Non-scanned image Scanned document (HL7 V2.2 only) Scanned document Machine readable text document (HL7 V2.2 only) Machine readable text document Formatted text (HL7 V2.2 only) Formatted text Machine readable text document (HL7 V2.3.1 and later) Image data (new with HL7 v 2.3) Audio data (new with HL7 v 2.3) Other application data, typically uninterpreted binary data (new with HL7 v 2.3) Image data (HL7 V2.3 and later) Audio data (HL7 V2.3 and later) Other application data, typically uninterpreted binary data (HL7 V2.3 and later)

AT LM PC UL

Amount Limit Percentage Unlimited

A L D M C B

Alias Name Legal Name Display Name Maiden Name Adopted Name Name at BirthPage A-55 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0200 0200 0200 0200 HL7 0201 0201 0201 0201 0201 0201 0201 0201 0201 HL7 0202 0202 0202 0202 0202 0202 0202 0202 User 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203Page A-56 05/1999

Value P S T U

Description Name of Partner/Spouse Coded Pseudo-Name to ensure anonymity Tribal/Community Name Unspecified

Telecommunication use code PRN ORN WPN VHN ASN EMR NET BPN Telecommunication equipment type PH FX MD CP BP Internet X.400 Identifier type AM AN BR DI DL DN DS EI EN FI GI GN LN American Express Account number Birth registry number Diners Club card Drivers license number Doctor number Discover Card Employee number Employer number Facility ID Guarantor internal identifier Guarantor external identifier License numberHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Primary Residence Number Other Residence Number Work Number Vacation Home Number Answering Service Number Emergency Number Network (email) Address Beeper Number

Telephone Fax Modem Cellular Phone Beeper Internet Address: Use Only If Telecommunication Use Code Is NET X.400 email address: Use Only If Telecommunication Use Code Is NET

Appendix A: Data Definition TablesType Table Name 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 0203 User 0204 0204 0204 0204 0204 HL7 0205 0205 0205 0205 0205 Price type AP PF UP TF administrative price or handling fee professional fee for performing provider unit price, may be based on length of procedure or service technology fee for use of equipmentPage A-57 05/1999

Value LR MS MA MC MR NE NI NH NNxxx NPI PI PN PRN PT RRI RR SL SR SS U UPIN VS VN WC XX

Description Local Registry ID MasterCard Medicaid number Medicare number Medical record number National employer identifier National unique individual identifier National Health Plan Identifier National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code National provider identifier Patient internal identifier Person number Provider number Patient external identifier Regional registry ID Railroad Retirement number State license State registry ID Social Security number Unspecified Medicare/HCFAs Universal Physician Identification numbers VISA Visit number WIC identifier Organization identifier

Organizational name type A L D SL Alias name Legal name Display name Stock exchange listing name

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0205 0205 0205 HL7 0206 0206 0206 0206 HL7 0207 0207 0207 0207 0207 0207 HL7 0208 0208 0208 0208 0208 HL7 0209 0209 0209 0209 0209 0209 0209 0209 0209 0209 0209 0209 0209 0209 0209 0209 0209 HL7 0210 Relational conjunctionHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Value DC IC TP

Description direct unit cost indirect unit cost total price

Segment action code A D U Processing mode A R I T not present Query response status OK NF AE AR Relational operator EQ EQ NE NE LT LT GT GT LE LE GE GE CT CT GN GN Equal Equal Not Equal Not Equal Less than Less than Greater than Greater than Less than or equal Less than or equal Greater than or equal Greater than or equal Contains Contains Generic Generic Data found, no errors (this is the default) No data found, no errors Application error Application reject Archive Restore from archive Initial load Current processing, transmitted at intervals (scheduled or on demand) Not present (the default, meaning current processing) Add/Insert Delete Update

Page A-58 05/1999

Appendix A: Data Definition TablesType Table Name 0210 0210 0210 0210 HL7 0211 0211 0211 0211 0211 0211 0211 0211 0211 0211 0211 0211 Alternate character sets ASCII 8859/1 8859/2 8859/3 8859/4 8859/5 8859/6 8859/7 8859/8 8859/9 ISO IR14 The printable 7-bit ASCII character set. (This is the default if this field is omitted) The printable characters from the ISO 8859/1 Character set The printable characters from the ISO 8859/2 Character set The printable characters from the ISO 8859/3 Character set The printable characters from the ISO 8859/4 Character set The printable characters from the ISO 8859/5 Character set The printable characters from the ISO 8859/6 Character set The printable characters from the ISO 8859/7 Character set The printable characters from the ISO 8859/8 Character set The printable characters from the ISO 8859/9 Character set Code for Information Exchange (one byte)(JIS X 02011976). Note that the code contains a space, i.e. "ISO IR14". Code for the Japanese Graphic Character set for information interchange (JIS X 0208-1990), Note that the code contains a space, i.e. "ISO IR87". Code of the supplementary Japanese Graphic Character set for information interchange (JIS X 0212-1990), Note that the code contains a space, i.e. "ISO IR159". The world wide character standard from ISO/IEC 106461-1993 Value AND AND OR OR Description Default Default

0211

ISO IR87

0211

ISO IR159

0211 User User 0212 0213 0213 0213 0213 Nationality Purge status

UNICODE

P D I

Marked for purge. User is no longer able to update the visit. The visit is marked for deletion and the user cannot enter new data against it. The visit is marked inactive and the user cannot enter new data against it.Page A-59 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name User User User User User User 0215 0126 0217 0218 0219 0220 0220 0220 0220 0220 0220 0220 User User 0222 0223 0223 0223 0223 0223 0223 HL7 0224 0224 0224 0224 0224 0224 0224 HL7 0225 0225 0225 0225 HL7 0227 0227 0227 0227 0227 0227Page A-60 05/1999

Value

Description

Publicity code Patient status code Visit priority code Patient charge adjustment code Recurring service code Living arrangement A F I R U S Contact reason Living dependency D M S WU CB Transport arranged A A N N U U Escort required R N U Manufactures of vaccines (code=MVX) AB AD ALP AR AVI Abbott Laboratories Adams Laboratories Alpha Therapeutic Corporation Armour (Inactive use CEN) AvironHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Alone Family Institution Relative Unknown Spouse Only

Spouse dependent Medical Supervision Required Small children Walk up Common Bath

Arranged Arranged Not Arranged Not Arranged Unknown Unknown

Required Not Required Unknown

Appendix A: Data Definition TablesType Table Name 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 0227 Value BA BAY BP BPC CEN CHI CON EVN GRE IAG IM IUS JPN KGC LED MA MED MIL MIP MSD NAB NYB NAV NOV OTC ORT PD PMC PRX SCL SI SKB USA Description Baxter Healthcare Corporation Bayer Corporation (includes Miles, Inc. and Cutter Laboratories) Berna Products (Inactive use BPC) Berna Products Corporation (includes Swiss Serum and Vaccine Institute Berna) Centeon L.L.C. (includes Armour Pharmaceutical Company) Chiron Corporation Connaught (inactive use PMC) Evans Medical Limited Greer Laboratories, Inc. Immuno International AG Merieux (inactive Use PMC) Immuno-US, Inc. The Research Foundation for Microbial Diseases of Osaka University (BIKEN) Korea Green Cross Corporation Lederle (inactive use WAL) Massachusetts Public Health Biologic Laboratories) Medimmune, Inc. Miles (inactive use BAY) Michigan Biologic Products Institute Merck & Co., Inc. NABI (formerly North American Biologicals, Inc.) New York Blood Center North American Vaccine, Inc. Novartis Pharmaceutical Corporation Organon Teknika Corporation Ortho Diagnostic Systems, Inc. Parkdale Pharmaceuticals (formerly Parke-Davis) Pasteur Merieux Connaught (includes Connaught Laboratories and Pasteur Merieux) Praxis Biologics (inactive use WAL) Sclavo, Inc. Swiss Serum and Vaccine Inst. (inactive use BPC) SmithKline Beecham United States Army Medical Research and Materiel CommandPage A-61 05/1999

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0227 0227 Value WA WAL Description Wyeth-Ayerst (inactive use WAL) Wyeth-Ayerst (includes Wyeth-Lederle Vaccines and Pediatrics, Wyeth Laboratories, Lederle Laboratories, and Praxis Biologics) Other Unknown manufacturer

0227 0227 User 0228 0228 0228 0228 0228 0228 0228 0228 0228 User 0229 0229 0229 0229 User 0230 0230 0230 0230 0230 User 0231 0231 0231 0231 User 0232 0232 0232 0232 User HL7 0233 0234 0234Page A-62 05/1999

OTH UNK Diagnosis classification C D M O R S T I DRG payor M C G Procedure functional type A P I D Student status F P N Insurance company contact reason 01 02 03 Non-concur code/description Report timing CO

Consultation Diagnosis Medication (antibiotic) Other Radiological scheduling (not using ICDA codes) Sign and symptom Tissue diagnosis Invasive procedure not classified elsewhere (I.V., catheter, etc.)

Medicare Champus Managed Care Organization

Anesthesia Procedure for treatment (therapeutic, including operations) Invasive procedure not classified elsewhere (e.g., IV, catheter, etc.) Diagnostic procedure

Full-time student Part-time student Not a student

Medicare claim status Medicaid claim status Name/address change

CorrectionHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0234 0234 0234 0234 0234 0234 0234 0234 0234 HL7 0235 0235 0235 0235 0235 0235 0235 0235 0235 0235 0235 HL7 0236 0236 0236 0236 0236 HL7 0237 0237 0237 0237 0237 0237 0237 0237 0237 HL7 0238 0238 Event seriousness Y YesPage A-63 05/1999

Value AD RQ DE PD 3D 7D 10D 15D 30D

Description Additional information Requested information Device evaluation Periodic 3 day report 7 day report 10 day report 15 day report 30 day report

Report source C L H R D N P M E O Event reported to M L R D Event qualification I O A M D L W B Interaction Overdose Abuse Misuse Dependency Lack of expect therapeutic effect Drug withdrawal Unexpected beneficial effect Manufacturer Local facility/user facility Regulatory agency Distributor Clinical trial Literature Health professional Regulatory agency Database/registry/poison control center Non-healthcare professional Patient Manufacturer/marketing authority holder Distributor Other

Health Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Appendix A: Data Definition TablesType Table Name 0238 0238 HL7 0239 0239 0239 0239 HL7 0240 0240 0240 0240 0240 0240 0240 0240 0240 0240 HL7 0241 0241 0241 0241 0241 0241 0241 0241 HL7 0242 0242 0242 0242 0242 0242 0242 0242 HL7 0243 0243 0243Page A-64 05/1999

Value S N

Description Significant No

Event expected Y N U Event consequence D L H P C I J R O Patient outcome D R N W S F U Primary observers qualification P R M H C L O Identity may be divulged Y N Yes NoHealth Level Seven, Version 2.3.1 1999. All rights reserved. Final Standard.

Yes No Unknown

Death Life threatening Caused hospitalized Prolonged hospitalization Congenital anomaly/birth defect Incapacity which is significant, persistent or permanent Disability which is significant, persistent or permanent Required intervention to prevent permanent impairment/damage Other

Died Recovering Not recovering/unchanged Worsening Sequelae Fully recovered Unknown

Physician (osteopath, homeopath) Pharmacist Mid-level professional