HL7 v2 2.1

Segments and their fields in version 2.1. Open a segment to see its fields, the code tables they use and where each field lands in FHIR.

Version2.1 2.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

Filter segments

FHIR targets come from the HL7 Version 2 to FHIR guide, which is written against the latest HL7 v2 releases. A field that does not exist in this version has no row.

ACCAccident3 fields

Field	Name	Type	Use	Repeats	Table	Length
`ACC-1`	Accident Date/Time	TS	Optional	Once		19
`ACC-2`	Accident Code	ID	Optional	Once	0050	2
`ACC-3`	Accident Location	ST	Optional	Once		25

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

ADDAddendum1 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`ADD-1`	Addendum Continuation Pointer	ST	Optional	Once		60

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

BHSBatch Header12 fields

Field	Name	Type	Use	Repeats	Length
`BHS-1`	Batch Field Separator	ST	Required	Once	1
`BHS-2`	Batch Encoding Characters	ST	Required	Once	3
`BHS-3`	Batch Sending Application	ST	Optional	Once	15
`BHS-4`	Batch Sending Facility	ST	Optional	Once	20
`BHS-5`	Batch Receiving Application	ST	Optional	Once	15
`BHS-6`	Batch Receiving Facility	ST	Optional	Once	20
`BHS-7`	Batch Creation Date/Time	TS	Optional	Once	19
`BHS-8`	Batch Security	ST	Optional	Once	40
`BHS-9`	Batch Name/Id/Type	ST	Optional	Once	20
`BHS-10`	Batch Comment	ST	Optional	Once	80
`BHS-11`	Batch Control Id	ST	Optional	Once	20
`BHS-12`	Reference Batch Control Id	ST	Optional	Once	20

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

BLGBilling3 fields

Field	Name	Type	Use	Repeats	Table	Length
`BLG-1`	When To Charge	CM	Optional	Once	0100	15
`BLG-2`	Charge Type	ID	Optional	Once	0122	50
`BLG-3`	Account Id	CM	Optional	Once		100

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

BTSBatch Trailer3 fields

Field	Name	Type	Use	Repeats	Length
`BTS-1`	Batch Message Count	ST	Optional	Once	10
`BTS-2`	Batch Comment	ST	Optional	Once	80
`BTS-3`	Batch Totals	CM	Optional	Once	100

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

DG1DiagnosisCondition, Encounter, EpisodeOfCare14 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`DG1-1`	Set Id - Diagnosis	SI	Required	Once		4
`DG1-2`	Diagnosis Coding Method	ID	Required	Once	0053	2
`DG1-3`	Diagnosis Code	ID	Optional	Once	0051	8	Condition.code Encounter.diagnosis.condition+1 more
`DG1-4`	Diagnosis Description	ST	Optional	Once		40	Condition.code.text Encounter.diagnosis.condition+1 more
`DG1-5`	Diagnosis Date/Time	TS	Optional	Once		19	Condition.onsetDateTime Encounter.diagnosis.condition+1 more
`DG1-6`	Diagnosis/Drg Type	ID	Required	Once	0052	2	Encounter.diagnosis.use EpisodeOfCare.diagnosis.role
`DG1-7`	Major Diagnostic Category	ST	Optional	Once	0118	4
`DG1-8`	Diagnostic Related Group	ID	Optional	Once	0055	4
`DG1-9`	Drg Approval Indicator	ID	Optional	Once		2
`DG1-10`	Drg Grouper Review Code	ID	Optional	Once	0056	2
`DG1-11`	Outlier Type	ID	Optional	Once	0083	2
`DG1-12`	Outlier Days	NM	Optional	Once		3
`DG1-13`	Outlier Cost	NM	Optional	Once		12
`DG1-14`	Grouper Version And Type	ST	Optional	Once		4

FHIR map of segment DG1Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

DSCContinuation Pointer1 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`DSC-1`	Continuation Pointer	ST	Optional	Once		60

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

DSPDisplay Data5 fields

Field	Name	Type	Use	Repeats	Length
`DSP-1`	Set Id - Display Data	SI	Optional	Once	4
`DSP-2`	Display Level	SI	Optional	Once	4
`DSP-3`	Data Line	TX	Required	Once	300
`DSP-4`	Logical Break Point	ST	Optional	Once	2
`DSP-5`	Result Id	TX	Optional	Once	20

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

ERRError1 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`ERR-1`	Error Code And Location	ID	Required	Repeats	0060	80

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

EVNEvent TypeProvenance4 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`EVN-1`	Event Type Code	ID	Required	Once	0003	3
`EVN-2`	Date/Time Of Event	TS	Required	Once		19	Provenance.recorded
`EVN-3`	Date/Time Planned Event	TS	Optional	Once		19
`EVN-4`	Event Reason Code	ID	Optional	Once	0062	3	Provenance.reason Provenance.reason.extension

FHIR map of segment EVNDefined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

FHSFile Header12 fields

Field	Name	Type	Use	Repeats	Length
`FHS-1`	File Field Separator	ST	Required	Once	1
`FHS-2`	File Encoding Characters	ST	Required	Once	4
`FHS-3`	File Sending Application	ST	Optional	Once	15
`FHS-4`	File Sending Facility	ST	Optional	Once	20
`FHS-5`	File Receiving Application	ST	Optional	Once	15
`FHS-6`	File Receiving Facility	ST	Optional	Once	20
`FHS-7`	Date/Time Of File Creation	TS	Optional	Once	19
`FHS-8`	File Security	ST	Optional	Once	40
`FHS-9`	File Name/Id	ST	Optional	Once	20
`FHS-10`	File Header Comment	ST	Optional	Once	80
`FHS-11`	File Control Id	ST	Optional	Once	20
`FHS-12`	Reference File Control Id	ST	Optional	Once	20

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

FT1Financial Transaction22 fields

Field	Name	Type	Use	Repeats	Table	Length
`FT1-1`	Set Id - Financial Transaction	SI	Optional	Once		4
`FT1-2`	Transaction Id	ST	Optional	Once		12
`FT1-3`	Transaction Batch Id	ST	Optional	Once		5
`FT1-4`	Transaction Date	DT	Required	Once		8
`FT1-5`	Transaction Posting Date	DT	Optional	Once		8
`FT1-6`	Transaction Type	ID	Required	Once	0017	8
`FT1-7`	Transaction Code	ID	Required	Once	0096	20
`FT1-8`	Transaction Description	ST	Optional	Once		40
`FT1-9`	Transaction Description - Alt	ST	Optional	Once		40
`FT1-10`	Transaction Amount - Extended	NM	Optional	Once		12
`FT1-11`	Transaction Quantity	NM	Optional	Once		4
`FT1-12`	Transaction Amount - Unit	NM	Optional	Once		12
`FT1-13`	Department Code	ST	Optional	Once	0049	16
`FT1-14`	Insurance Plan Id	ID	Optional	Once	0072	8
`FT1-15`	Insurance Amount	NM	Optional	Once		12
`FT1-16`	Patient Location	ST	Optional	Once	0079	12
`FT1-17`	Fee Schedule	ID	Optional	Once	0024	1
`FT1-18`	Patient Type	ID	Optional	Once	0018	2
`FT1-19`	Diagnosis Code	ID	Optional	Once	0051	8
`FT1-20`	Performed By Code	CN	Optional	Once	0084	60
`FT1-21`	Ordered By Code	CN	Optional	Once		60
`FT1-22`	Unit Cost	NM	Optional	Once		12

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

FTSFile Trailer2 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`FTS-1`	File Batch Count	ST	Optional	Once		10
`FTS-2`	File Trailer Comment	ST	Optional	Once		80

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

GT1Guarantor20 fields

Field	Name	Type	Use	Repeats	Table	Length
`GT1-1`	Set Id - Guarantor	SI	Required	Once		4
`GT1-2`	Guarantor Number	ID	Optional	Once		20
`GT1-3`	Guarantor Name	PN	Required	Once		48
`GT1-4`	Guarantor Spouse Name	PN	Optional	Once		48
`GT1-5`	Guarantor Address	AD	Optional	Once		106
`GT1-6`	Guarantor Ph. Num.- Home	TN	Optional	Once		40
`GT1-7`	Guarantor Ph. Num-business	TN	Optional	Once		40
`GT1-8`	Guarantor Date Of Birth	DT	Optional	Once		8
`GT1-9`	Guarantor Sex	ID	Optional	Once	0001	1
`GT1-10`	Guarantor Type	ID	Optional	Once	0068	2
`GT1-11`	Guarantor Relationship	ID	Optional	Once	0063	2
`GT1-12`	Guarantor Ssn	ST	Optional	Once		11
`GT1-13`	Guarantor Date - Begin	DT	Optional	Once		8
`GT1-14`	Guarantor Date - End	DT	Optional	Once		8
`GT1-15`	Guarantor Priority	NM	Optional	Once		2
`GT1-16`	Guarantor Employer Name	ST	Optional	Once		45
`GT1-17`	Guarantor Employer Address	AD	Optional	Once		106
`GT1-18`	Guarantor Employ Phone #	TN	Optional	Once		40
`GT1-19`	Guarantor Employee Id Num	ST	Optional	Once		20
`GT1-20`	Guarantor Employment Status	ID	Optional	Once	0066	2

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

IN1InsuranceCoverage44 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`IN1-1`	Set Id - Insurance	SI	Required	Once		4
`IN1-2`	Insurance Plan Id	ID	Required	Once	0072	8	Coverage.identifier
`IN1-3`	Insurance Company Id	ST	Required	Once		6
`IN1-4`	Insurance Company Name	ST	Optional	Once		45	Coverage.payor
`IN1-5`	Insurance Company Address	AD	Optional	Once		106	Coverage.payer
`IN1-6`	Insurance Co. Contact Pers	PN	Optional	Once		48
`IN1-7`	Insurance Co Phone Number	TN	Optional	Once		40
`IN1-8`	Group Number	ST	Optional	Once		12
`IN1-9`	Group Name	ST	Optional	Once		35
`IN1-10`	Insured's Group Emp. Id	ST	Optional	Once		12	Coverage.policyHolder Coverage.extension
`IN1-11`	Insured's Group Emp. Name	ST	Optional	Once		45	Coverage.policyHolder
`IN1-12`	Plan Effective Date	DT	Optional	Once		8	Coverage.period.start
`IN1-13`	Plan Expiration Date	DT	Optional	Once		8	Coverage.period.end
`IN1-14`	Authorization Information	ST	Optional	Once		55
`IN1-15`	Plan Type	ID	Optional	Once	0086	2	Coverage.type
`IN1-16`	Name Of Insured	PN	Optional	Once		48	Coverage.subscriber
`IN1-17`	Insured's Relationship To Patient	ID	Optional	Once	0063	2	Coverage.relationship
`IN1-18`	Insured's Date Of Birth	DT	Optional	Once		8
`IN1-19`	Insured's Address	AD	Optional	Once		106
`IN1-20`	Assignment Of Benefits	ID	Optional	Once		2
`IN1-21`	Coordination Of Benefits	ID	Optional	Once		2
`IN1-22`	Coord Of Ben. Priority	ST	Optional	Once		2
`IN1-23`	Notice Of Admission Code	ID	Optional	Once	0081	2
`IN1-24`	Notice Of Admission Date	DT	Optional	Once		8
`IN1-25`	Rpt Of Eligibility Code	ID	Optional	Once	0094	2
`IN1-26`	Rpt Of Eligibility Date	DT	Optional	Once		8
`IN1-27`	Release Information Code	ID	Optional	Once	0093	2
`IN1-28`	Pre-admit Cert. (pac)	ST	Optional	Once		15
`IN1-29`	Verification Date	DT	Optional	Once		8
`IN1-30`	Verification By	CM	Optional	Once		60
`IN1-31`	Type Of Agreement Code	ID	Optional	Once	0098	2
`IN1-32`	Billing Status	ID	Optional	Once	0022	2
`IN1-33`	Lifetime Reserve Days	NM	Optional	Once		4
`IN1-34`	Delay Before L. R. Day	NM	Optional	Once		4
`IN1-35`	Company Plan Code	ST	Optional	Once	0042	8
`IN1-36`	Policy Number	ST	Optional	Once		15
`IN1-37`	Policy Deductible	NM	Optional	Once		12
`IN1-38`	Policy Limit - Amount	NM	Optional	Once		12
`IN1-39`	Policy Limit - Days	NM	Optional	Once		4
`IN1-40`	Room Rate - Semi-private	NM	Optional	Once		12
`IN1-41`	Room Rate - Private	NM	Optional	Once		12
`IN1-42`	Insured's Employment Status	ID	Optional	Once	0066	1
`IN1-43`	Insured's Sex	ID	Optional	Once	0001	1
`IN1-44`	Insured's Employer Address	AD	Optional	Once		106

FHIR map of segment IN1Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

MRGMerge Patient InformationAccount3 fields

Field	Name	Type	Use	Repeats	Length	FHIR
`MRG-1`	Prior Patient Id - Internal	CK	Required	Once	16
`MRG-2`	Prior Alternate Patient Id	CK	Optional	Once	16
`MRG-3`	Prior Patient Account Number	CK	Optional	Once	20	Account.identifier

FHIR map of segment MRGDefined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

MSAMessage AcknowledgmentMessageHeader5 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`MSA-1`	Acknowledgment Code	ID	Required	Once	0008	2	MessageHeader.response.code
`MSA-2`	Message Control Id	ST	Required	Once		20	MessageHeader.response.identifier
`MSA-3`	Text Message	ST	Optional	Once		80
`MSA-4`	Expected Sequence Number	NM	Optional	Once		15
`MSA-5`	Delayed Acknowledgment Type	ID	Optional	Once	0102	1

FHIR map of segment MSADefined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

MSHMessage HeaderProvenance, Bundle, Encounter +114 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`MSH-1`	Field Separator	ST	Required	Once		1
`MSH-2`	Encoding Characters	ST	Required	Once		4
`MSH-3`	Sending Application	ST	Optional	Once		15	Provenance.entity.what Provenance.entity.role+2 more
`MSH-4`	Sending Facility	ST	Optional	Once		20	Provenance.agent.who Provenance.agent.type.coding.code+2 more
`MSH-5`	Receiving Application	ST	Optional	Once		15	MessageHeader.destination.target MessageHeader.destination.name+1 more
`MSH-6`	Receiving Facility	ST	Optional	Once		30	MessageHeader.destination.receiver
`MSH-7`	Date/Time Of Message	TS	Optional	Once		19	Provenance.recorded Provenance.occurred+1 more
`MSH-8`	Security	ST	Optional	Once		40	MessageHeader.meta.security
`MSH-9`	Message Type	ID	Required	Once	0076	7	Provenance.activity.coding.display Encounter.status+1 more
`MSH-10`	Message Control Id	ST	Required	Once		20	Bundle.identifier.value Bundle.identifier.system
`MSH-11`	Processing Id	ID	Required	Once	0103	1	MessageHeader.meta
`MSH-12`	Version Id	NM	Required	Once	0104	8
`MSH-13`	Sequence Number	NM	Optional	Once		15
`MSH-14`	Continuation Pointer	ST	Optional	Once		180

FHIR map of segment MSHDefined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

NCKSystem Clock1 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`NCK-1`	System Date/Time	TS	Required	Once		19

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

NK1Next Of KinPatient, RelatedPerson5 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`NK1-1`	Set Id - Next Of Kin	SI	Required	Once		4
`NK1-2`	Next Of Kin Name	PN	Optional	Once		48	Patient.contact.name RelatedPerson.name
`NK1-3`	Next Of Kin Relationship	ST	Optional	Once	0063	15	Patient.contact.relationship RelatedPerson.relationship
`NK1-4`	Next Of Kin - Address	AD	Optional	Once		106	Patient.contact.address RelatedPerson.address
`NK1-5`	Next Of Kin - Phone Number	TN	Optional	Repeats		40	Patient.contact.telecom RelatedPerson.telecom

FHIR map of segment NK1Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

NPUNon-patient Update2 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`NPU-1`	Bed Location	ID	Required	Once	0079	12
`NPU-2`	Bed Status	ID	Optional	Once	0116	1

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

NSCStatus Change9 fields

Field	Name	Type	Use	Repeats	Length
`NSC-1`	Network Change Type	ID	Required	Once	4
`NSC-2`	Current Cpu	ST	Optional	Once	30
`NSC-3`	Current Fileserver	ST	Optional	Once	30
`NSC-4`	Current Application	ST	Optional	Once	30
`NSC-5`	Current Facility	ST	Optional	Once	30
`NSC-6`	New Cpu	ST	Optional	Once	30
`NSC-7`	New Fileserver	ST	Optional	Once	30
`NSC-8`	New Application	ST	Optional	Once	30
`NSC-9`	New Facility	ST	Optional	Once	30

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

NSTStatistics15 fields

Field	Name	Type	Use	Repeats	Length
`NST-1`	Statistics Available	ID	Required	Once	1
`NST-2`	Source Identifier	ST	Optional	Once	30
`NST-3`	Source Type	ID	Optional	Once	3
`NST-4`	Statistics Start	TS	Optional	Once	19
`NST-5`	Statistics End	TS	Optional	Once	19
`NST-6`	Receive Character Count	NM	Optional	Once	10
`NST-7`	Send Character Count	NM	Optional	Once	10
`NST-8`	Messages Received	NM	Optional	Once	10
`NST-9`	Messages Sent	NM	Optional	Once	10
`NST-10`	Checksum Errors Received	NM	Optional	Once	10
`NST-11`	Length Errors Received	NM	Optional	Once	10
`NST-12`	Other Errors Received	NM	Optional	Once	10
`NST-13`	Connect Timeouts	NM	Optional	Once	10
`NST-14`	Receive Timeouts	NM	Optional	Once	10
`NST-15`	Network Errors	NM	Optional	Once	10

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

NTENotes And CommentsAppointment, DocumentReference, Observation +13 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`NTE-1`	Set Id - Notes And Comments	SI	Optional	Once		4
`NTE-2`	Source Of Comment	ID	Optional	Once	0105	8
`NTE-3`	Comment	TX	Required	Repeats		120	DocumentReference.content.attachment.data DocumentReference.content.contentType+3 more

FHIR map of segment NTEDefined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OBRObservation RequestDiagnosticReport, ServiceRequest, Specimen36 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`OBR-1`	Set Id - Observation Request	SI	Optional	Once		4
`OBR-2`	Placer Order #	CM	Optional	Once		75	DiagnosticReport.identifier DiagnosticReport.identifier.type.coding.code+5 more
`OBR-3`	Filler Order #	CM	Optional	Once		75	DiagnosticReport.identifier DiagnosticReport.identifier.type.coding.code+4 more
`OBR-4`	Universal Service Ident.	CE	Required	Once		200	DiagnosticReport.code ServiceRequest.code
`OBR-5`	Priority	ST	Optional	Once		2	ServiceRequest.priority
`OBR-6`	Requested Date-time	TS	Optional	Once		19	ServiceRequest.occurrenceDateTime
`OBR-7`	Observation Date/Time	TS	Required	Once		19	DiagnosticReport.effectiveDateTime DiagnosticReport.effectivePeriod.start+2 more
`OBR-8`	Observation End Date/Time	TS	Required	Once		19	DiagnosticReport.effectivePeriod.end Specimen.collection.collectedPeriod.end
`OBR-9`	Collection Volume	CQ	Required	Once	0036	20	Specimen.collection.quantity
`OBR-10`	Collector Identifier	CN	Optional	Repeats		60	Specimen.collection.collector
`OBR-11`	Specimen Action Code	ST	Optional	Once	0065	1	ServiceRequest.intent
`OBR-12`	Danger Code	CM	Optional	Once	0047	60
`OBR-13`	Relevant Clinical Info.	ST	Optional	Once		300	Specimen.collection.fastingStatusCodeableConcept Specimen.collection.fastingStatusDuration+2 more
`OBR-14`	Specimen Received Date/Time	TS	Required	Once		19	Specimen.receivedTime
`OBR-15`	Specimen Source	CM	Optional	Once	0070	300	Specimen.$this
`OBR-16`	Ordering Provider	CN	Optional	Repeats	0010	60	ServiceRequest.requester
`OBR-17`	Order Call-back Phone Num	TN	Optional	Once		40	ServiceRequest.requester.extension
`OBR-18`	Placers Field #1	ST	Optional	Once		60
`OBR-19`	Placers Field #2	ST	Optional	Once		60
`OBR-20`	Fillers Field #1	ST	Optional	Once		60
`OBR-21`	Fillers Field #2	ST	Optional	Once		60
`OBR-22`	Results Rpt/Status Chng - Date/T	TS	Required	Once		19	DiagnosticReport.issued
`OBR-23`	Charge To Practice	CM	Optional	Once		40
`OBR-24`	Diagnostic Serv Sect Id	ID	Optional	Once	0074	10	DiagnosticReport.category
`OBR-25`	Result Status	ID	Optional	Once	0123	1	DiagnosticReport.status
`OBR-26`	Linked Results	CE	Optional	Once		200
`OBR-27`	Quantity/Timing	CM	Optional	Repeats		200	ServiceRequest.$this
`OBR-28`	Result Copies To	CN	Optional	Once		80
`OBR-29`	Parent Accession #	CM	Optional	Once		150	ServiceRequest.basedOn.identifier ServiceRequest.basedOn.type
`OBR-30`	Transportation Mode	ID	Optional	Once	0124	20
`OBR-31`	Reason For Study	CE	Optional	Repeats		300	ServiceRequest.reasonCode
`OBR-32`	Principal Result Interpreter	CN	Optional	Once		60	DiagnosticReport.resultsInterpreter
`OBR-33`	Assistant Result Interpreter	CN	Optional	Once		60
`OBR-34`	Technician	CN	Optional	Once		60	DiagnosticReport.performer DiagnosticReport.performer.extension+2 more
`OBR-35`	Transcriptionist	CN	Optional	Once		60	DiagnosticReport.performer DiagnosticReport.performer.extension+2 more
`OBR-36`	Scheduled - Date/Time	TS	Optional	Once		19

FHIR map of segment OBRDefined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OBXResultObservation, DocumentReference12 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`OBX-1`	Set Id - Observation Simple	SI	Optional	Once		4
`OBX-2`	Value Type	ID	Optional	Once	0125	2
`OBX-3`	Observation Identifier	CE	Required	Once		80	Observation.code Observation.component[each].code
`OBX-4`	Observation Sub-id	NM	Optional	Once		20	Observation.$this
`OBX-5`	Observation Results	ST	Required	Once		65	Observation.component[each].valueQuantity Observation.component[each].valueString+23 more
`OBX-6`	Units	ID	Optional	Once		20	Observation.component[each].valueQuantity Observation.component[each].valueRange.low+8 more
`OBX-7`	References Range	ST	Optional	Once		60	Observation.component[each].referenceRange.text Observation.referenceRange.text
`OBX-8`	Abnormal Flags	ST	Optional	Once	0078	10	Observation.interpretation
`OBX-9`	Probability	NM	Optional	Once		5
`OBX-10`	Nature Of Abnormal Test	ID	Optional	Once	0080	5	Observation.extension.uri Observation.extension
`OBX-11`	Observ Result Status	ID	Optional	Once	0085	2	Observation.status Observation.dataAbsentReason.coding.code+4 more
`OBX-12`	Date Last Obs Normal Values	TS	Optional	Once		19

FHIR map of segment OBXDefined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

ORCCommon OrderDiagnosticReport, Immunization, MedicationAdministration +214 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`ORC-1`	Order Control	ST	Required	Once	0119	2	Provenance.activity.coding.code Provenance.activity.coding.system+10 more
`ORC-2`	Placer Order #	CM	Optional	Once		75	DiagnosticReport.identifier DiagnosticReport.identifier.type.coding.code+11 more
`ORC-3`	Filler Order #	CM	Optional	Once		75	DiagnosticReport.identifier DiagnosticReport.identifier.type.coding.code+10 more
`ORC-4`	Placer Group #	CM	Optional	Once		75	DiagnosticReport.identifier Immunization.identifier+6 more
`ORC-5`	Order Status	ST	Optional	Once	0038	2	ServiceRequest.status
`ORC-6`	Response Flag	ST	Optional	Once	0121	1
`ORC-7`	Timing/Quantity	CM	Optional	Once		200	ServiceRequest.$this
`ORC-8`	Parent	CM	Optional	Once		200
`ORC-9`	Date/Time Of Transaction	TS	Optional	Once		19	Immunization.recorded Provenance.recorded+4 more
`ORC-10`	Entered By	CN	Optional	Once		80	Provenance.agent.who Provenance.agent.type.coding.code+1 more
`ORC-11`	Verified By	CN	Optional	Once		80	Provenance.agent.who Provenance.agent.type.coding.code+1 more
`ORC-12`	Ordering Provider	CN	Optional	Once		80	Immunization.performer.actor Immunization.performer.function.coding.code+8 more
`ORC-13`	Enterer's Location	CM	Optional	Once		80
`ORC-14`	Call Back Phone Number	TN	Optional	Once		40	ServiceRequest.extension

FHIR map of segment ORCDefined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OROOrder Other4 fields

Field	Name	Type	Use	Repeats	Table	Length
`ORO-1`	Order Item Id	CE	Optional	Once		200
`ORO-2`	Substitute Allowed	ID	Optional	Once		1
`ORO-3`	Results Copies To	CN	Optional	Repeats		80
`ORO-4`	Stock Location	ID	Optional	Once	0012	2

PD1Patient DemographicsObservation, Patient1 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`PD1-1`	PD1.1	ST	Optional	Once

FHIR map of segment PD1Defined in versions2.12.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

PIDPatient IdentificationProvenance, Account, Appointment +120 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`PID-1`	Set Id - Patient Id	SI	Optional	Once		4
`PID-2`	Patient Id External (external Id)	CK	Optional	Once		16	Appointment.participant.actor Patient.identifier+1 more
`PID-3`	Patient Id Internal (internal Id)	CK	Required	Once		16	Appointment.participant.actor Patient.identifier+1 more
`PID-4`	Alternate Patient Id	ST	Optional	Once		12	Appointment.participant.actor Patient.identifier+1 more
`PID-5`	Patient Name	PN	Required	Once		48	Patient.name
`PID-6`	Mother's Maiden Name	ST	Optional	Once		30	Patient.extension
`PID-7`	Date Of Birth	DT	Optional	Once		8	Patient.birthDate Patient.birthDate.extension
`PID-8`	Sex	ID	Optional	Once	0001	1	Patient.gender
`PID-9`	Patient Alias	PN	Optional	Repeats		48	Patient.name
`PID-10`	Ethnic Group	ID	Optional	Once	0005	1
`PID-11`	Patient Address	AD	Optional	Once		106	Patient.address
`PID-12`	County Code	ID	Optional	Once		4	Patient.address.district
`PID-13`	Phone Number - Home	TN	Optional	Once		40	Patient.telecom Patient.telecom.use
`PID-14`	Phone Number - Business	TN	Optional	Once		40	Patient.telecom Patient.telecom.use
`PID-15`	Language - Patient	ST	Optional	Once		25	Patient.communication.language
`PID-16`	Marital Status	ID	Optional	Once	0002	1	Patient.maritalStatus
`PID-17`	Religion	ID	Optional	Once	0006	3	Patient.extension
`PID-18`	Patient Account Number	CK	Optional	Once		20	Account.identifier
`PID-19`	Ssn Number - Patient	ST	Optional	Once		16	Patient.identifier.value Patient.identifier.type.coding.code+2 more
`PID-20`	Driver's Lic Num - Patient	CM	Optional	Once		25	Patient.identifier

FHIR map of segment PIDDefined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

PR1ProceduresProcedure13 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`PR1-1`	Set Id - Procedure	SI	Required	Repeats		4
`PR1-2`	Procedure Coding Method.	ID	Required	Once	0089	2
`PR1-3`	Procedure Code	ID	Required	Once	0088	10	Procedure.code
`PR1-4`	Procedure Description	ST	Optional	Once		40	Procedure.code.text
`PR1-5`	Procedure Date/Time	TS	Required	Once		19	Procedure.performedDateTime Procedure.performedPeriod.start
`PR1-6`	Procedure Type	ID	Required	Once	0090	2	Procedure.category
`PR1-7`	Procedure Minutes	NM	Optional	Once		4	Procedure.performedPeriod.end
`PR1-8`	Anesthesiologist	CN	Optional	Once	0010	60	Procedure.performer.actor Procedure.performer.function.coding.code+1 more
`PR1-9`	Anesthesia Code	ID	Optional	Once	0019	2
`PR1-10`	Anesthesia Minutes	NM	Optional	Once		4
`PR1-11`	Surgeon	CN	Optional	Once	0010	60	Procedure.performer.actor Procedure.performer.function.coding.code+1 more
`PR1-12`	Resident Code	CN	Optional	Once	0010	60	Procedure.performer.actor
`PR1-13`	Consent Code	ID	Optional	Once	0059	2

FHIR map of segment PR1Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

PV1Patient VisitBasic, Coverage, Encounter +149 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`PV1-1`	Set Id - Patient Visit	SI	Optional	Once		4
`PV1-2`	Patient Class	ID	Required	Once	0004	1	Encounter.class Encounter.status
`PV1-3`	Assigned Patient Location	ID	Required	Once	0079	12	Encounter.location.location Encounter.location.status
`PV1-4`	Admission Type	ID	Optional	Once	0007	2	Encounter.type
`PV1-5`	Pre-admit Number	ST	Optional	Once		20	Encounter.hospitalization.preAdmissionIdentifier
`PV1-6`	Prior Patient Location	ID	Optional	Once	0079	12	Encounter.location.location Encounter.location.status
`PV1-7`	Attending Doctor	CN	Optional	Once	0010	60	Encounter.participant.individual Encounter.participant.type.coding.code+2 more
`PV1-8`	Referring Doctor	CN	Optional	Once	0010	60	Encounter.participant.individual Encounter.participant.type.coding.code+2 more
`PV1-9`	Consulting Doctor	CN	Optional	Repeats	0010	60	Encounter.participant.individual Encounter.participant.type.coding.code+2 more
`PV1-10`	Hospital Service	ID	Optional	Once	0069	3	Encounter.serviceType
`PV1-11`	Temporary Location	ID	Optional	Once	0079	12	Encounter.location.location Encounter.location.status+6 more
`PV1-12`	Pre-admit Test Indicator	ID	Optional	Once	0087	2
`PV1-13`	Re-admission Indicator	ID	Optional	Once	0092	2	Encounter.hospitalization.reAdmission
`PV1-14`	Admit Source	ID	Optional	Once	0023	3	Encounter.hospitalization.admitSource
`PV1-15`	Ambulatory Status	ID	Optional	Once	0009	2	Encounter.hospitalization.specialArrangement
`PV1-16`	Vip Indicator	ID	Optional	Once	0099	2	Encounter.hospitalization.specialCourtesy Patient.extension
`PV1-17`	Admitting Doctor	CN	Optional	Once	0010	60	Encounter.participant.individual Encounter.participant.type.coding.code+2 more
`PV1-18`	Patient Type	ID	Optional	Once	0018	2
`PV1-19`	Visit Number	NM	Optional	Once		4	Encounter.identifier Encounter.identifier.type.coding.code+2 more
`PV1-20`	Financial Class	ID	Optional	Once	0064	11	Coverage.type
`PV1-21`	Charge Price Indicator	ID	Optional	Once	0032	2
`PV1-22`	Courtesy Code	ID	Optional	Once	0045	2
`PV1-23`	Credit Rating	ID	Optional	Once	0046	2
`PV1-24`	Contract Code	ID	Optional	Repeats	0044	2
`PV1-25`	Contract Effective Date	DT	Optional	Repeats		8
`PV1-26`	Contract Amount	NM	Optional	Repeats		12
`PV1-27`	Contract Period	NM	Optional	Repeats		3
`PV1-28`	Interest Code	ID	Optional	Once	0073	2
`PV1-29`	Transfer To Bad Debt Code	ID	Optional	Once	0110	1
`PV1-30`	Transfer To Bad Debt Date	DT	Optional	Once		8
`PV1-31`	Bad Debt Agency Code	ST	Optional	Once	0021	10
`PV1-32`	Bad Debt Transfer Amount	NM	Optional	Once		12
`PV1-33`	Bad Debt Recovery Amount	NM	Optional	Once		12
`PV1-34`	Delete Account Indicator	ID	Optional	Once	0111	1
`PV1-35`	Delete Account Date	DT	Optional	Once		8
`PV1-36`	Discharge Disposition	ID	Optional	Once	0112	2	Encounter.hospitalization.dischargeDisposition
`PV1-37`	Discharged To Location	ID	Optional	Once	0113	2	Encounter.hospitalization.destination
`PV1-38`	Diet Type	ID	Optional	Once	0114	2	Encounter.hospitalization.dietPreference
`PV1-39`	Servicing Facility	ID	Optional	Once	0115	2
`PV1-40`	Bed Status	ID	Optional	Once	0116	1	Encounter.location.location
`PV1-41`	Account Status	ID	Optional	Once	0117	2
`PV1-42`	Pending Location	ID	Optional	Once	0079	12	Encounter.location.location Encounter.location.status
`PV1-43`	Prior Temporary Location	ID	Optional	Once	0079	12	Basic.extension Basic.extension.valueExtension.url+4 more
`PV1-44`	Admit Date/Time	TS	Optional	Once		19	Encounter.period.start
`PV1-45`	Discharge Date/Time	TS	Optional	Once		19	Encounter.period.end Encounter.status
`PV1-46`	Current Patient Balance	NM	Optional	Once		12
`PV1-47`	Total Charges	NM	Optional	Once		12
`PV1-48`	Total Adjustments	NM	Optional	Once		12
`PV1-49`	Total Payments	NM	Optional	Once		12

FHIR map of segment PV1Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

QRDQuery Definition12 fields

Field	Name	Type	Use	Repeats	Table	Length
`QRD-1`	Query Date/Time	TS	Required	Once		19
`QRD-2`	Query Format Code	ID	Required	Once	0106	1
`QRD-3`	Query Priority	ID	Required	Once	0091	1
`QRD-4`	Query Id	ST	Required	Once		10
`QRD-5`	Deferred Response Type	ID	Optional	Once	0107	1
`QRD-6`	Deferred Response Date/Time	TS	Optional	Once		19
`QRD-7`	Quantity Limited Request	CQ	Required	Once	0126	5
`QRD-8`	Who Subject Filter	ST	Required	Repeats		20
`QRD-9`	What Subject Filter	ID	Required	Repeats	0048	3
`QRD-10`	What Department Data Code	ST	Required	Repeats		20
`QRD-11`	What Data Code Value Qual.	ST	Optional	Repeats		20
`QRD-12`	Query Results Level	ID	Optional	Once	0108	1

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

QRFQuery Filter5 fields

Field	Name	Type	Use	Repeats	Length
`QRF-1`	Where Subject Filter	ST	Required	Repeats	20
`QRF-2`	When Data Start Date/Time	TS	Optional	Once	19
`QRF-3`	When Data End Date/Time	TS	Optional	Once	19
`QRF-4`	What User Qualifier	ST	Optional	Repeats	20
`QRF-5`	Other Qry Subject Filter	ST	Optional	Repeats	20

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RX1Pharmacy Order30 fields

Field	Name	Type	Use	Repeats	Table	Length
`RX1-1`	Unused	ST	Optional	Once
`RX1-2`	Unused	ST	Optional	Once
`RX1-3`	Route	ST	Optional	Once	0033	8
`RX1-4`	Site Administered	ST	Optional	Once	0034	20
`RX1-5`	Iv Solution Rate	CQ	Optional	Once		10
`RX1-6`	Drug Strength	CQ	Optional	Once		14
`RX1-7`	Final Concentration	NM	Optional	Once		10
`RX1-8`	Final Volume In Ml.	NM	Optional	Once		10
`RX1-9`	Drug Dose	CM	Optional	Once		10
`RX1-10`	Drug Role	ID	Optional	Once		1
`RX1-11`	Prescription Sequence #	NM	Optional	Once		3
`RX1-12`	Quantity Dispensed	CQ	Optional	Once		4
`RX1-13`	Unused	ST	Optional	Once
`RX1-14`	Drug Id	CE_0057	Optional	Once	0057	5
`RX1-15`	Component Drug Ids	ID	Optional	Once		5
`RX1-16`	Prescription Type	ID	Optional	Once		2
`RX1-17`	Substitution Status	ID	Optional	Once		1
`RX1-18`	Rx Order Status	ID	Optional	Once	0038	2
`RX1-19`	Number Of Refills	NM	Optional	Once		3
`RX1-20`	Unused	ST	Optional	Once
`RX1-21`	Refills Remaining	NM	Optional	Once		3
`RX1-22`	Dea Class	ID	Optional	Once		5
`RX1-23`	Ordering Md's Dea Number	NM	Optional	Once		10
`RX1-24`	Unused	ST	Optional	Once
`RX1-25`	Last Refill Date/Time	TS	Optional	Once		19
`RX1-26`	Rx Number	ST	Optional	Once		20
`RX1-27`	Prn Status	ID	Optional	Once		5
`RX1-28`	Pharmacy Instructions	TX	Optional	Once		80
`RX1-29`	Patient Instructions	TX	Optional	Once		80
`RX1-30`	Instructions (sig)	TX	Optional	Repeats		500

UB1Ub82 Data23 fields

Field	Name	Type	Use	Repeats	Table	Length
`UB1-1`	Set Id - Ub82	SI	Optional	Once		4
`UB1-2`	Blood Deductible	ST	Optional	Once		1
`UB1-3`	Blood Furn.-pints Of (40)	ST	Optional	Once		2
`UB1-4`	Blood Replaced-pints (41)	ST	Optional	Once		2
`UB1-5`	Blood Not Rplcd-pints(42)	ST	Optional	Once		2
`UB1-6`	Co-insurance Days (25)	ST	Optional	Once		2
`UB1-7`	Condition Code	ID	Optional	Once	0043	2
`UB1-8`	Covered Days - (23)	ST	Optional	Once		3
`UB1-9`	Non Covered Days - (24)	ST	Optional	Once		3
`UB1-10`	Value Amount & Code	CM	Optional	Once		12
`UB1-11`	Number Of Grace Days (90)	ST	Optional	Once		2
`UB1-12`	Spec. Prog. Indicator(44)	ID	Optional	Once		2
`UB1-13`	Psro/Ur Approval Ind. (87)	ID	Optional	Once		1
`UB1-14`	Psro/Ur Aprvd Stay-fm(88)	DT	Optional	Once		8
`UB1-15`	Psro/Ur Aprvd Stay-to(89)	DT	Optional	Once		8
`UB1-16`	Occurrence (28-32)	ID	Optional	Once		20
`UB1-17`	Occurrence Span (33)	ID	Optional	Once		2
`UB1-18`	Occurrence Span Start Date(33)	DT	Optional	Once		8
`UB1-19`	Occur. Span End Date (33)	DT	Optional	Once		8
`UB1-20`	Ub-82 Locator 2	ST	Optional	Once		30
`UB1-21`	Ub-82 Locator 9	ST	Optional	Once		7
`UB1-22`	Ub-82 Locator 27	ST	Optional	Once		8
`UB1-23`	Ub-82 Locator 45	ST	Optional	Once		17

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

URDResults/update Definition7 fields

Field	Name	Type	Use	Repeats	Table	Length
`URD-1`	R/U Date/Time	TS	Optional	Once		19
`URD-2`	Report Priority	ID	Optional	Once	0109	1
`URD-3`	R/U Who Subject Definition	ST	Required	Repeats		20
`URD-4`	R/U What Subject Definition	ID	Optional	Repeats	0048	3
`URD-5`	R/U What Department Code	ST	Optional	Repeats		20
`URD-6`	R/U Display/Print Locations	ST	Optional	Repeats		20
`URD-7`	R/U Results Level	ID	Optional	Once	0108	1

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

URSUnsolicited Selection5 fields

Field	Name	Type	Use	Repeats	Length
`URS-1`	R/U Where Subject Definition	ST	Required	Repeats	20
`URS-2`	R/U When Data Start Date/Time	TS	Optional	Once	19
`URS-3`	R/U When Data End Date/Time	TS	Optional	Once	19
`URS-4`	R/U What User Qualifier	ST	Optional	Repeats	20
`URS-5`	R/U Other Results Subject Defini	ST	Optional	Repeats	20

Defined in versions2.12.2 2.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8