HL7 v2 2.2

Segments and their fields in version 2.2. 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		26
`ACC-2`	Accident Code	ID	Optional	Once	0050	2
`ACC-3`	Accident Location	ST	Optional	Once		25

Defined in versions2.12.22.3 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		65536

Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

AL1Patient Allergy InformationAllergyIntolerance6 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`AL1-1`	Set Id - Allergy	SI	Required	Once		4
`AL1-2`	Allergy Type	ID	Optional	Once	0127	2	AllergyIntolerance.category AllergyIntolerance.type+1 more
`AL1-3`	Allergy Code / Mnemonic / Description	CE	Required	Once		60	AllergyIntolerance.code
`AL1-4`	Allergy Severity	ID	Optional	Once	0128	2	AllergyIntolerance.criticality AllergyIntolerance.reaction.severity+1 more
`AL1-5`	Allergy Reaction	ST	Optional	Once		15	AllergyIntolerance.reaction.manifestation.text
`AL1-6`	Identification Date	DT	Optional	Once		8	AllergyIntolerance.onsetDateTime

FHIR map of segment AL1Defined in versions2.22.3 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	4
`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	30
`BHS-6`	Batch Receiving Facility	ST	Optional	Once	30
`BHS-7`	Batch Creation Date / Time	TS	Optional	Once	26
`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 versions2.12.22.3 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_CCD	Optional	Once		15
`BLG-2`	Charge Type	ID	Optional	Once	0122	50
`BLG-3`	Account Id	CK	Optional	Once		100

Defined in versions2.12.22.3 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_BATCH_TOTAL	Optional	Repeats	100

Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

DG1DiagnosisCondition, Encounter, EpisodeOfCare16 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		26	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	CE	Optional	Once	0118	60
`DG1-8`	Diagnostic Related Group	ID	Optional	Once	0055	4
`DG1-9`	Drg Approval Indicator	ID	Optional	Once	0136	2
`DG1-10`	Drg Grouper Review Code	ID	Optional	Once	0056	2
`DG1-11`	Outlier Type	ID	Optional	Once	0083	60
`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
`DG1-15`	Diagnosis / Drg Priority	NM	Optional	Once		2	Encounter.diagnosis.rank EpisodeOfCare.diagnosis.rank
`DG1-16`	Diagnosing Clinician	CN_PERSON	Optional	Once		60	Condition.asserter Encounter.diagnosis.condition+1 more

FHIR map of segment DG1Defined in versions2.12.22.3 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		180

Defined in versions2.12.22.3 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 versions2.12.22.3 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	CM_ELD	Required	Repeats		80

Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

EVNEvent TypeProvenance5 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		26	Provenance.recorded
`EVN-3`	Date / Time Planned Event	TS	Optional	Once		26
`EVN-4`	Event Reason Code	ID	Optional	Once	0062	3	Provenance.reason Provenance.reason.extension
`EVN-5`	Operator Id	ID	Optional	Once	0188	5	Provenance.agent.who

FHIR map of segment EVNDefined in versions2.12.22.3 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	30
`FHS-6`	File Receiving Facility	ST	Optional	Once	30
`FHS-7`	File Creation Date / Time	TS	Optional	Once	26
`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 versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

FT1Financial Transaction23 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		10
`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	CE	Required	Once	0132	20
`FT1-8`	Transaction Description	ST	Backward	Once		40
`FT1-9`	Transaction Description - Alternate	ST	Backward	Once		40
`FT1-10`	Transaction Quantity	NM	Backward	Once		4
`FT1-11`	Transaction Amount - Extended	NM	Optional	Once		12
`FT1-12`	Transaction Amount - Unit	NM	Optional	Once		12
`FT1-13`	Department Code	CE	Optional	Once	0049	60
`FT1-14`	Insurance Plan Id	ID	Optional	Once	0072	8
`FT1-15`	Insurance Amount	NM	Optional	Once		12
`FT1-16`	Assigned Patient Location	CM_INTERNAL_LOCATION	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	CE	Optional	Repeats	0051	8
`FT1-20`	Performed By Code	CN_PERSON	Optional	Once	0084	60
`FT1-21`	Ordered By Code	CN_PERSON	Optional	Once		60
`FT1-22`	Unit Cost	NM	Optional	Once		12
`FT1-23`	Filler Order Number	CM_FILLER	Conditional	Once		75

Defined in versions2.12.22.3 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	NM	Optional	Once		10
`FTS-2`	File Trailer Comment	ST	Optional	Once		80

Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

GT1Guarantor21 fields

Field	Name	Type	Use	Repeats	Table	Length
`GT1-1`	Set Id - Guarantor	SI	Required	Once		4
`GT1-2`	Guarantor Number	COMP_ID_DIGIT	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 Phone Number - Home	TN	Optional	Once		40
`GT1-7`	Guarantor Phone Number - 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 Social Security Number	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 Number	TN	Optional	Once		40
`GT1-19`	Guarantor Employee Id Number	ST	Optional	Once		20
`GT1-20`	Guarantor Employment Status	ID	Optional	Once	0066	2
`GT1-21`	Guarantor Organization	ST	Optional	Once		60

Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

IN1InsuranceCoverage46 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		9
`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 Company Contact Pers	PN	Optional	Once		48
`IN1-7`	Insurance Company 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 Employer Id	ST	Optional	Once		12	Coverage.policyHolder Coverage.extension
`IN1-11`	Insured's Group Employer 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	CM_AUI	Optional	Once		55
`IN1-15`	Plan Type	ID	Optional	Once	0086	5	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	0135	2
`IN1-21`	Coordination Of Benefits	ID	Optional	Once	0173	2
`IN1-22`	Coordination Of Benefits - Priority	ST	Optional	Once		2
`IN1-23`	Notice Of Admission Code	ID	Optional	Once	0136	2
`IN1-24`	Notice Of Admission Date	DT	Optional	Once		8
`IN1-25`	Report Of Eligibility Code	ID	Optional	Once	0136	4
`IN1-26`	Report Of Eligibility Date	DT	Optional	Once		8
`IN1-27`	Release Information Code	ID	Optional	Once	0093	2
`IN1-28`	Pre-admit Certification (pac)	ST	Optional	Once		15
`IN1-29`	Verification Date / Time	TS	Optional	Once		26
`IN1-30`	Verification By	CN_PERSON	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 Lifetime Reserve Days	NM	Optional	Once		4
`IN1-35`	Company Plan Code	ID	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	Backward	Once		12
`IN1-41`	Room Rate - Private	NM	Backward	Once		12
`IN1-42`	Insured's Employment Status	CE	Optional	Once	0066	60
`IN1-43`	Insured's Sex	ID	Optional	Once	0001	1
`IN1-44`	Insured's Employer Address	AD	Optional	Once		106
`IN1-45`	Verification Status	ST	Optional	Once		2
`IN1-46`	Prior Insurance Plan Id	ID	Optional	Once	0072	8

FHIR map of segment IN1Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

IN2Insurance Additional Info30 fields

Field	Name	Type	Use	Repeats	Table	Length
`IN2-1`	Insured's Employee Id	ST	Optional	Once		15
`IN2-2`	Insured's Social Security Number	NM	Optional	Once		9
`IN2-3`	Insured's Employer Name	CN_PERSON	Optional	Once		60
`IN2-4`	Employer Information Data	ID	Optional	Once	0139	1
`IN2-5`	Mail Claim Party	ID	Optional	Once	0137	1
`IN2-6`	Medicare Health Insurance Card Number	NM	Optional	Once		15
`IN2-7`	Medicaid Case Name	PN	Optional	Once		48
`IN2-8`	Medicaid Case Number	NM	Optional	Once		15
`IN2-9`	Champus Sponsor Name	PN	Optional	Once		48
`IN2-10`	Champus Id Number	NM	Optional	Once		20
`IN2-11`	Dependent Of Champus Recipient	ID	Optional	Once		1
`IN2-12`	Champus Organization	ST	Optional	Once		25
`IN2-13`	Champus Station	ST	Optional	Once		25
`IN2-14`	Champus Service	ID	Optional	Once	0140	14
`IN2-15`	Champus Rank / Grade	ID	Optional	Once	0141	2
`IN2-16`	Champus Status	ID	Optional	Once	0142	3
`IN2-17`	Champus Retire Date	DT	Optional	Once		8
`IN2-18`	Champus Non-availability Certification On File	ID	Optional	Once	0136	1
`IN2-19`	Baby Coverage	ID	Optional	Once	0136	1
`IN2-20`	Combine Baby Bill	ID	Optional	Once	0136	1
`IN2-21`	Blood Deductible	NM	Optional	Once		1
`IN2-22`	Special Coverage Approval Name	PN	Optional	Once		48
`IN2-23`	Special Coverage Approval Title	ST	Optional	Once		30
`IN2-24`	Non-covered Insurance Code	ID	Optional	Repeats	0143	8
`IN2-25`	Payor Id	ST	Optional	Once		6
`IN2-26`	Payor Subscriber Id	ST	Optional	Once		6
`IN2-27`	Eligibility Source	ID	Optional	Once	0144	1
`IN2-28`	Room Coverage Type / Amount	CM_RMC	Optional	Repeats		25
`IN2-29`	Policy Type / Amount	CM_PTA	Optional	Repeats		25
`IN2-30`	Daily Deductible	CM_DDI	Optional	Once		25

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

IN3Insurance Additional Info-certificationCareTeam25 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`IN3-1`	Set Id - Insurance Certification	SI	Required	Once		4
`IN3-2`	Certification Number	ST	Optional	Once		25
`IN3-3`	Certified By	CN_PERSON	Optional	Once		60
`IN3-4`	Certification Required	ID	Optional	Once	0136	1
`IN3-5`	Penalty	CM_PEN	Optional	Once		10
`IN3-6`	Certification Date / Time	TS	Optional	Once		26
`IN3-7`	Certification Modify Date / Time	TS	Optional	Once		26
`IN3-8`	Operator	CN_PERSON	Optional	Once		60
`IN3-9`	Certification Begin Date	DT	Optional	Once		8
`IN3-10`	Certification End Date	DT	Optional	Once		8
`IN3-11`	Days	CM_DTN	Optional	Once		3
`IN3-12`	Non-concur Code / Description	CE	Optional	Once		60
`IN3-13`	Non-concur Effective Date / Time	TS	Optional	Once		26
`IN3-14`	Physician Reviewer	CN_PERSON	Optional	Once		60
`IN3-15`	Certification Contact	ST	Optional	Once		48
`IN3-16`	Certification Contact Phone Number	TN	Optional	Once		40
`IN3-17`	Appeal Reason	CE	Optional	Once		60
`IN3-18`	Certification Agency	CE	Optional	Once		60
`IN3-19`	Certification Agency Phone Number	TN	Optional	Once		40
`IN3-20`	Pre-certification Required / Window	CM_PCF	Optional	Repeats		40
`IN3-21`	Case Manager	ST	Optional	Once		48	CareTeam.participant.role.coding.value CareTeam.participant.role.coding.system+1 more
`IN3-22`	Second Opinion Date	DT	Optional	Once		8
`IN3-23`	Second Opinion Status	ID	Optional	Once	0151	1
`IN3-24`	Second Opinion Documentation Received	ID	Optional	Once	0152	1
`IN3-25`	Second Opinion Practitioner	CN_PERSON	Optional	Once		60

FHIR map of segment IN3Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

MFAMaster File Acknowledgement5 fields

Field	Name	Type	Use	Repeats	Table	Length
`MFA-1`	Record-level Event Code	ID	Required	Once	0180	3
`MFA-2`	Mfn Control Id	ST	Conditional	Once		20
`MFA-3`	Event Completion Date / Time	TS	Conditional	Once		26
`MFA-4`	Error Return Code And/Or Text	CE	Required	Once	0181	60
`MFA-5`	Primary Key Value	CE	Required	Repeats		60

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

MFEMaster File Entry4 fields

Field	Name	Type	Use	Repeats	Table	Length
`MFE-1`	Record-level Event Code	ID	Required	Once	0180	3
`MFE-2`	Mfn Control Id	ST	Conditional	Once		20
`MFE-3`	Effective Date / Time	TS	Optional	Once		26
`MFE-4`	Primary Key Value	CE	Required	Repeats		60

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

MFIMaster File Identification6 fields

Field	Name	Type	Use	Repeats	Table	Length
`MFI-1`	Master File Identifier	CE	Required	Once	0175	60
`MFI-2`	Master File Application Identifier	ID	Optional	Once	0176	6
`MFI-3`	File-level Event Code	ID	Required	Once	0178	3
`MFI-4`	Entered Date / Time	TS	Optional	Once		26
`MFI-5`	Effective Date / Time	TS	Optional	Once		26
`MFI-6`	Response Level Code	ID	Required	Once	0179	2

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

MRGMerge Patient InformationAccount4 fields

Field	Name	Type	Use	Repeats	Length	FHIR
`MRG-1`	Prior Patient Id - Internal	CM_PAT_ID	Required	Once	20
`MRG-2`	Prior Alternate Patient Id	CM_PAT_ID	Optional	Once	16
`MRG-3`	Prior Patient Account Number	CK	Optional	Once	20	Account.identifier
`MRG-4`	Prior Patient Id - External	CK	Optional	Once	16

FHIR map of segment MRGDefined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

MSAMessage AcknowledgmentMessageHeader6 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`MSA-1`	Acknowledgement 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 Acknowledgement Type	ID	Optional	Once	0102	1
`MSA-6`	Error Condition	CE	Optional	Once		100

FHIR map of segment MSADefined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

MSHMessage HeaderProvenance, Bundle, Encounter +117 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		30	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		26	Provenance.recorded Provenance.occurred+1 more
`MSH-8`	Security	ST	Optional	Once		40	MessageHeader.meta.security
`MSH-9`	Message Type	CM_MSG	Required	Once		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	ID	Required	Once	0104	8
`MSH-13`	Sequence Number	NM	Optional	Once		15
`MSH-14`	Continuation Pointer	ST	Optional	Once		180
`MSH-15`	Accept Acknowledgement Type	ID	Optional	Once	0155	2
`MSH-16`	Application Acknowledgement Type	ID	Optional	Once	0155	2
`MSH-17`	Country Code	ID	Optional	Once	`ISO3166`	2	MessageHeader.sender

FHIR map of segment MSHDefined in versions2.12.22.3 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		26

Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

NK1Next Of KinPatient, RelatedPerson13 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`NK1-1`	Set Id - Next Of Kin	SI	Required	Once		4
`NK1-2`	Name	PN	Optional	Once		48	Patient.contact.name RelatedPerson.name
`NK1-3`	Relationship	CE	Optional	Once	0063	60	Patient.contact.relationship RelatedPerson.relationship
`NK1-4`	Address	AD	Optional	Once		106	Patient.contact.address RelatedPerson.address
`NK1-5`	Phone Number	TN	Optional	Once		40	Patient.contact.telecom RelatedPerson.telecom
`NK1-6`	Business Phone Number	TN	Optional	Once		40	Patient.contact.telecom Patient.contact.telecom.use+2 more
`NK1-7`	Contact Role	CE	Optional	Once	0131	60	Patient.contact.relationship RelatedPerson.relationship
`NK1-8`	Start Date	DT	Optional	Once		8	Patient.contact.period.start RelatedPerson.period.start
`NK1-9`	End Date	DT	Optional	Once		8	Patient.contact.period.end RelatedPerson.period.end
`NK1-10`	Next Of Kin	ST	Optional	Once		60
`NK1-11`	Next Of Kin Job Code / Class	CM_JOB_CODE	Optional	Once		60
`NK1-12`	Next Of Kin Employee Number	ST	Optional	Once		20	RelatedPerson.identifier
`NK1-13`	Organization Name	ST	Optional	Once		60	Patient.contact.organization

FHIR map of segment NK1Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

NPUBed Status Update2 fields

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

Defined in versions2.12.22.3 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	Table	Length
`NSC-1`	Network Change Type	ID	Required	Once	`NSC1`	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 versions2.12.22.3 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	Table	Length
`NST-1`	Statistics Available	ID	Required	Once	0136	1
`NST-2`	Source Identifier	ST	Optional	Once		30
`NST-3`	Source Type	ID	Optional	Once	`NST3`	3
`NST-4`	Statistics Start	TS	Optional	Once		26
`NST-5`	Statistics End	TS	Optional	Once		26
`NST-6`	Receive Character Count	NM	Optional	Once		10
`NST-7`	Send Character Count	NM	Optional	Once		10
`NST-8`	Message Received	NM	Optional	Once		10
`NST-9`	Message 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 versions2.12.22.3 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	FT	Optional	Repeats		65536	DocumentReference.content.attachment.data DocumentReference.content.contentType+3 more

FHIR map of segment NTEDefined in versions2.12.22.3 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	Conditional	Once		4
`OBR-2`	Placer Order Number	CM_PLACER	Conditional	Once		75	DiagnosticReport.identifier DiagnosticReport.identifier.type.coding.code+5 more
`OBR-3`	Filler Order Number +	CM_FILLER	Required	Once		75	DiagnosticReport.identifier DiagnosticReport.identifier.type.coding.code+4 more
`OBR-4`	Universal Service Id	CE	Optional	Once		200	DiagnosticReport.code ServiceRequest.code
`OBR-5`	Priority	ST	Backward	Once		2	ServiceRequest.priority
`OBR-6`	Requested Date / Time	TS	Backward	Once		26	ServiceRequest.occurrenceDateTime
`OBR-7`	Observation Date / Time	TS	Conditional	Once		26	DiagnosticReport.effectiveDateTime DiagnosticReport.effectivePeriod.start+2 more
`OBR-8`	Observation End Date / Time	TS	Conditional	Once		26	DiagnosticReport.effectivePeriod.end Specimen.collection.collectedPeriod.end
`OBR-9`	Collection Volume *	CQ	Optional	Once		20	Specimen.collection.quantity
`OBR-10`	Collector Identifier *	CN_PERSON	Optional	Repeats		60	Specimen.collection.collector
`OBR-11`	Specimen Action Code *	ID	Optional	Once	0065	1	ServiceRequest.intent
`OBR-12`	Danger Code	CE	Optional	Once		60
`OBR-13`	Relevant Clinical Information	ST	Conditional	Once		300	Specimen.collection.fastingStatusCodeableConcept Specimen.collection.fastingStatusDuration+2 more
`OBR-14`	Specimen Received Date / Time *	TS	Optional	Once		26	Specimen.receivedTime
`OBR-15`	Specimen Source *	CM_SPS	Optional	Once		300	Specimen.$this
`OBR-16`	Ordering Provider	CN_PERSON	Optional	Repeats		80	ServiceRequest.requester
`OBR-17`	Order Callback Phone Number	TN	Optional	Once		40	ServiceRequest.requester.extension
`OBR-18`	Placer Field 1	ST	Optional	Once		60
`OBR-19`	Placer Field 2	ST	Optional	Once		60
`OBR-20`	Filler Field 1 +	ST	Optional	Once		60
`OBR-21`	Filler Field 2 +	ST	Conditional	Once		60
`OBR-22`	Results Report / Status Change - Date / Time +	TS	Optional	Once		26	DiagnosticReport.issued
`OBR-23`	Charge To Practice +	CM_MOC	Optional	Once		40
`OBR-24`	Diagnostic Service Section Id	ID	Conditional	Once	0074	10	DiagnosticReport.category
`OBR-25`	Result Status +	ID	Optional	Once	0123	1	DiagnosticReport.status
`OBR-26`	Parent Result +	CM_PRL	Optional	Once		200
`OBR-27`	Quantity / Timing	TQ	Optional	Repeats		200	ServiceRequest.$this
`OBR-28`	Result Copies To	CN_PERSON	Optional	Once		150
`OBR-29`	Parent Number +	CM_EIP	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 +	CM_NDL	Optional	Once		60	DiagnosticReport.resultsInterpreter
`OBR-33`	Assistant Result Interpreter +	CM_NDL	Optional	Repeats		60
`OBR-34`	Technician +	CM_NDL	Optional	Repeats		60	DiagnosticReport.performer DiagnosticReport.performer.extension+2 more
`OBR-35`	Transcriptionist +	CM_NDL	Optional	Repeats		60	DiagnosticReport.performer DiagnosticReport.performer.extension+2 more
`OBR-36`	Scheduled Date / Time +	TS	Optional	Once		26

FHIR map of segment OBRDefined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OBXObservation ResultObservation, DocumentReference16 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`OBX-1`	Set Id - Observational Simple	SI	Optional	Once		4
`OBX-2`	Value Type	ID	Required	Once	0125	2
`OBX-3`	Observation Identifier	CE	Required	Once		80	Observation.code Observation.component[each].code
`OBX-4`	Observation Sub-id	ST	Conditional	Once		20	Observation.$this
`OBX-5`	Observation Value	VARIES	Conditional	Once		65536	Observation.component[each].valueQuantity Observation.component[each].valueString+23 more
`OBX-6`	Units	CE	Optional	Once		60	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	ID	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`	Observation Result Status	ID	Required	Once	0085	2	Observation.status Observation.dataAbsentReason.coding.code+4 more
`OBX-12`	Effective Date Last Observation Normal Values	TS	Optional	Once		26
`OBX-13`	User Defined Access Checks	ST	Optional	Once		20
`OBX-14`	Date / Time Of The Observation	TS	Optional	Once		26	Observation.effectiveDateTime
`OBX-15`	Producer's Id	CE	Optional	Once		60	Observation.performer
`OBX-16`	Responsible Observer	CN_PHYSICIAN	Optional	Once		60	Observation.performer)Observation.performer

FHIR map of segment OBXDefined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

ODSDietary Orders, Supplements, And Preferences4 fields

Field	Name	Type	Use	Repeats	Table	Length
`ODS-1`	Type	ID	Required	Once	0159	1
`ODS-2`	Service Period	CE	Optional	Once		60
`ODS-3`	Diet, Supplement, Or Preference Code	CE	Required	Once		60
`ODS-4`	Text Instruction	ST	Optional	Once		80

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

ODTDiet Tray Instruction3 fields

Field	Name	Type	Use	Repeats	Table	Length
`ODT-1`	Tray Type	CE	Required	Once	0160	60
`ODT-2`	Service Period	CE	Optional	Once		60
`ODT-3`	Text Instruction	ST	Optional	Once		80

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OM1General - Fields That Apply To Most Observations42 fields

Field	Name	Type	Use	Repeats	Table	Length
`OM1-1`	Segment Type Id	ST	Required	Once		3
`OM1-2`	Sequence Number - Test/ Observation Master File	NM	Required	Once		4
`OM1-3`	Producer's Test / Observation Id	CE	Required	Once		200
`OM1-4`	Permitted Data Types	ID	Optional	Repeats	0125	12
`OM1-5`	Specimen Required	ID	Required	Once	0136	1
`OM1-6`	Producer Id	CE	Required	Once		200
`OM1-7`	Observation Description	TX	Optional	Once		200
`OM1-8`	Other Test / Observation Ids For The Observation	CE	Optional	Once		200
`OM1-9`	Other Names	ST	Required	Repeats		200
`OM1-10`	Preferred Report Name For The Observation	ST	Optional	Once		30
`OM1-11`	Preferred Short Name Or Mnemonic For Observation	ST	Optional	Once		8
`OM1-12`	Preferred Long Name For The Observation	ST	Optional	Once		200
`OM1-13`	Orderability	ID	Optional	Once	0136	1
`OM1-14`	Identity Of Instrument Used To Perform This Study	CE	Optional	Repeats		60
`OM1-15`	Coded Representation Of Method	CE	Optional	Repeats		200
`OM1-16`	Portable	ID	Optional	Once	0136	1
`OM1-17`	Observation Producing Department / Section	ID	Optional	Repeats		1
`OM1-18`	Telephone Number Of Section	TN	Optional	Once		40
`OM1-19`	Nature Of Test / Observation	ID	Required	Once	0174	1
`OM1-20`	Report Subheader	CE	Optional	Once		200
`OM1-21`	Report Display Order	ST	Optional	Once		20
`OM1-22`	Date / Time Stamp For Any Change In Definition For Obs	TS	Required	Once		26
`OM1-23`	Effective Date / Time Of Change	TS	Optional	Once		26
`OM1-24`	Typical Turn-around Time	NM	Optional	Once		20
`OM1-25`	Processing Time	NM	Optional	Once		20
`OM1-26`	Processing Priority	ID	Optional	Repeats	0168	40
`OM1-27`	Reporting Priority	ID	Optional	Once	0169	5
`OM1-28`	Outside Site(s) Where Observation May Be Performed	CE	Optional	Repeats		200
`OM1-29`	Address Of Outside Site(s)	AD	Optional	Once		1000
`OM1-30`	Phone Number Of Outside Site	TN	Optional	Once		400
`OM1-31`	Confidentiality Code	ID	Optional	Once	0177	1
`OM1-32`	Observations Required To Interpret The Observation	CE	Optional	Once		200
`OM1-33`	Interpretation Of Observations	TX	Optional	Once		65536
`OM1-34`	Contraindications To Observations	CE	Optional	Once		65536
`OM1-35`	Reflex Tests / Observations	CE	Optional	Repeats		200
`OM1-36`	Rules That Trigger Reflex Testing	ST	Optional	Once		80
`OM1-37`	Fixed Canned Message	CE	Optional	Once		65536
`OM1-38`	Patient Preparation	TX	Optional	Once		200
`OM1-39`	Procedure Medication	CE	Optional	Once		200
`OM1-40`	Factors That May Affect The Observation	TX	Optional	Once		200
`OM1-41`	Test / Observation Performance Schedule	ST	Optional	Repeats		60
`OM1-42`	Description Of Test Methods	TX	Optional	Once		65536

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OM2Numeric Observation11 fields

Field	Name	Type	Use	Repeats	Length
`OM2-1`	Segment Type Id	ST	Required	Once	3
`OM2-2`	Sequence Number - Test/ Observation Master File	NM	Optional	Once	4
`OM2-3`	Units Of Measure	CE	Optional	Once	60
`OM2-4`	Range Of Decimal Precision	NM	Optional	Repeats	10
`OM2-5`	Corresponding Si Units Of Measure	CE	Optional	Once	60
`OM2-6`	Si Conversion Factor	TX	Optional	Once	20
`OM2-7`	Reference (normal) Range - Ordinal & Continuous Observations	CM_RFR	Optional	Once	200
`OM2-8`	Critical Range For Ordinal And Continuous Observations	CM_RANGE	Optional	Once	200
`OM2-9`	Absolute Range For Ordinal And Continuous Observations	CM_ABS_RANGE	Optional	Once	200
`OM2-10`	Delta Check Criteria	CM_DLT	Optional	Repeats	200
`OM2-11`	Minimum Meaningful Increments	NM	Optional	Once	20

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OM3Categorical Test/observation8 fields

Field	Name	Type	Use	Repeats	Length
`OM3-1`	Segment Type Id	ST	Optional	Once	3
`OM3-2`	Sequence Number - Test/ Observation Master File	NM	Optional	Once	4
`OM3-3`	Preferred Coding System	ID	Optional	Once	5
`OM3-4`	Valid Coded Answers	CE	Optional	Once	60
`OM3-5`	Normal Test Codes For Categorical Observations	CE	Optional	Repeats	200
`OM3-6`	Abnormal Test Codes For Categorical Observations	CE	Optional	Once	200
`OM3-7`	Critical Test Codes For Categorical Observations	CE	Optional	Once	200
`OM3-8`	Data Type	ID	Optional	Once	2

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OM4Observation That Require Specimens15 fields

Field	Name	Type	Use	Repeats	Table	Length
`OM4-1`	Segment Type Id	ST	Optional	Once		3
`OM4-2`	Sequence Number - Test/ Observation Master File	NM	Optional	Once		4
`OM4-3`	Derived Specimen	ID	Optional	Once	0170	1
`OM4-4`	Container Description	TX	Optional	Once		60
`OM4-5`	Container Volume	NM	Optional	Once		20
`OM4-6`	Container Units	CE	Optional	Once		60
`OM4-7`	Specimen	CE	Optional	Once		60
`OM4-8`	Additive	CE	Optional	Once		60
`OM4-9`	Preparation	TX	Optional	Once		10240
`OM4-10`	Special Handling Requirements	TX	Optional	Once		10240
`OM4-11`	Normal Collection Volume	CQ	Optional	Once		20
`OM4-12`	Minimum Collection Volume	CQ	Optional	Once		20
`OM4-13`	Specimen Requirements	TX	Optional	Once		10240
`OM4-14`	Specimen Priorities	ID	Optional	Repeats	0027	60
`OM4-15`	Specimen Retention Time	CQ	Optional	Once		20

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OM5Observation Batteries4 fields

Field	Name	Type	Use	Repeats	Length
`OM5-1`	Segment Type Id	ST	Optional	Once	3
`OM5-2`	Sequence Number - Test/ Observation Master File	NM	Optional	Once	4
`OM5-3`	Tests / Observations Included Within An Ordered Test Battery	CE	Optional	Repeats	200
`OM5-4`	Observation Id Suffixes	ST	Optional	Once	200

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

OM6Observations That Are Calculated From Other Obersvations3 fields

Field	Name	Type	Use	Repeats	Length
`OM6-1`	Segment Type Id	ST	Optional	Once	3
`OM6-2`	Sequence Number - Test/ Observation Master File	NM	Optional	Once	4
`OM6-3`	Derivation Rule	TX	Optional	Once	10240

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

ORCCommom OrderDiagnosticReport, Immunization, MedicationAdministration +219 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`ORC-1`	Order Control	ID	Required	Once	0119	2	Provenance.activity.coding.code Provenance.activity.coding.system+10 more
`ORC-2`	Placer Order Number	CM_PLACER	Conditional	Once		75	DiagnosticReport.identifier DiagnosticReport.identifier.type.coding.code+11 more
`ORC-3`	Filler Order Number	CM_FILLER	Conditional	Once		75	DiagnosticReport.identifier DiagnosticReport.identifier.type.coding.code+10 more
`ORC-4`	Placer Group Number	CM_GROUP_ID	Optional	Once		75	DiagnosticReport.identifier Immunization.identifier+6 more
`ORC-5`	Order Status	ID	Optional	Once	0038	2	ServiceRequest.status
`ORC-6`	Response Flag	ID	Optional	Once	0121	1
`ORC-7`	Quantity / Timing	TQ	Optional	Repeats		200	ServiceRequest.$this
`ORC-8`	Parent	CM_EIP	Optional	Once		200
`ORC-9`	Date / Time Of Transaction	TS	Optional	Once		26	Immunization.recorded Provenance.recorded+4 more
`ORC-10`	Entered By	CN_PERSON	Optional	Once		80	Provenance.agent.who Provenance.agent.type.coding.code+1 more
`ORC-11`	Verified By	CN_PERSON	Optional	Once		80	Provenance.agent.who Provenance.agent.type.coding.code+1 more
`ORC-12`	Ordering Provider	CN_PERSON	Optional	Once		80	Immunization.performer.actor Immunization.performer.function.coding.code+8 more
`ORC-13`	Enterer's Location	PL	Optional	Once		80
`ORC-14`	Call Back Phone Number	TN	Optional	Once		40	ServiceRequest.extension
`ORC-15`	Order Effective Date / Time	TS	Optional	Once		26
`ORC-16`	Order Control Code Reason	CE	Optional	Once	0119	200	DiagnosticReport.extension ServiceRequest.extension
`ORC-17`	Entering Organization	CE	Optional	Once		60	Provenance.agent.onBehalfOf
`ORC-18`	Entering Device	CE	Optional	Once		60	Provenance.agent.who
`ORC-19`	Action By	CN_PERSON	Optional	Once		80	Provenance.agent.type.coding.code Provenance.agent.type.coding.system+1 more

FHIR map of segment ORCDefined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

PIDPatient IdentificationProvenance, Account, Appointment +127 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`PID-1`	Set Id - Patient Id	SI	Optional	Once		4
`PID-2`	Patient Id (external Id)	CK	Optional	Once		16	Appointment.participant.actor Patient.identifier+1 more
`PID-3`	Patient Id (internal Id)	CM_PAT_ID	Required	Repeats		20	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	TS	Optional	Once		26	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`	Race	ID	Optional	Once	0005	1
`PID-11`	Patient Address	AD	Optional	Once		106	Patient.address
`PID-12`	County Code	ST	Backward	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`	Social Security Number - Patient	ST	Optional	Once		16	Patient.identifier.value Patient.identifier.type.coding.code+2 more
`PID-20`	Driver's License Number - Patient	CM_LICENSE_NO	Optional	Once		25	Patient.identifier
`PID-21`	Mother's Identifier	CK	Optional	Once		20	Patient.$this
`PID-22`	Ethnic Group	ID	Optional	Once	0189	1
`PID-23`	Birth Place	ST	Optional	Once		25	Patient.extension Patient.extension.valueAddress.text
`PID-24`	Multiple Birth Indicator	ID	Optional	Once	0136	2	Patient.multipleBirthBoolean
`PID-25`	Birth Order	NM	Optional	Once		2	Patient.multipleBirthInteger
`PID-26`	Citizenship	ID	Optional	Repeats	0171	3	Patient.extension Patient.extension.extension
`PID-27`	Veterans Military Status	CE	Optional	Once	0172	60

FHIR map of segment PIDDefined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

PR1ProceduresProcedure14 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`PR1-1`	Set Id - Procedure	SI	Required	Once		4
`PR1-2`	Procedure Coding Method	ID	Required	Repeats	0089	2
`PR1-3`	Procedure Code	ID	Required	Repeats	0088	10	Procedure.code
`PR1-4`	Procedure Description	ST	Optional	Repeats		40	Procedure.code.text
`PR1-5`	Procedure Date / Time	TS	Required	Once		26	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_PERSON	Backward	Once	0010	60	Procedure.performer.actor Procedure.performer.function.coding.code+1 more
`PR1-9`	Anesthesia Code	ID	Backward	Once	0019	2
`PR1-10`	Anesthesia Minutes	NM	Optional	Once		4
`PR1-11`	Surgeon	CN_PERSON	Backward	Once	0010	60	Procedure.performer.actor Procedure.performer.function.coding.code+1 more
`PR1-12`	Procedure Practitioner	CM_PRACTITIONER	Optional	Repeats	0010	60	Procedure.performer.actor
`PR1-13`	Consent Code	ID	Optional	Once	0059	2
`PR1-14`	Procedure Priority	NM	Optional	Once		2

FHIR map of segment PR1Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

PRAPractitioner Detail7 fields

Field	Name	Type	Use	Repeats	Table	Length
`PRA-1`	Pra - Primary Key Value	ST	Required	Once		20
`PRA-2`	Practitioner Group	CE	Optional	Repeats		60
`PRA-3`	Practitioner Category	ID	Optional	Repeats	0186	3
`PRA-4`	Provider Billing	ID	Optional	Once	0187	1
`PRA-5`	Specialty	CM_SPD	Optional	Repeats		100
`PRA-6`	Practitioner Id Numbers	CM_PLN	Optional	Repeats		100
`PRA-7`	Privileges	CM_PIP	Optional	Repeats		20

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

PV1Patient VisitBasic, Coverage, Encounter +150 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	CM_INTERNAL_LOCATION	Optional	Once	0079	12	Encounter.location.location Encounter.location.status
`PV1-4`	Admission Type	ID	Optional	Once	0007	2	Encounter.type
`PV1-5`	Preadmit Number	ST	Optional	Once		20	Encounter.hospitalization.preAdmissionIdentifier
`PV1-6`	Prior Patient Location	CM_INTERNAL_LOCATION	Optional	Once		12	Encounter.location.location Encounter.location.status
`PV1-7`	Attending Doctor	CN_PHYSICIAN	Optional	Once	0010	60	Encounter.participant.individual Encounter.participant.type.coding.code+2 more
`PV1-8`	Referring Doctor	CN_PHYSICIAN	Optional	Once	0010	60	Encounter.participant.individual Encounter.participant.type.coding.code+2 more
`PV1-9`	Consulting Doctor	CN_PHYSICIAN	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	CM_INTERNAL_LOCATION	Optional	Once	0079	12	Encounter.location.location Encounter.location.status+6 more
`PV1-12`	Preadmit Test Indicator	ID	Optional	Once	0087	2
`PV1-13`	Readmission 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	Repeats	0009	2	Encounter.hospitalization.specialArrangement
`PV1-16`	Vip Indicator	ID	Optional	Once	0099	2	Encounter.hospitalization.specialCourtesy Patient.extension
`PV1-17`	Admitting Doctor	CN_PHYSICIAN	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	CM_PAT_ID	Optional	Once		15	Encounter.identifier Encounter.identifier.type.coding.code+2 more
`PV1-20`	Financial Class	CM_FINANCE	Optional	Once		50	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	ID	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	3	Encounter.hospitalization.dischargeDisposition
`PV1-37`	Discharged To Location	CM_DLD	Optional	Once		25	Encounter.hospitalization.destination
`PV1-38`	Diet Type	ID	Optional	Once	0114	2	Encounter.hospitalization.dietPreference
`PV1-39`	Servicing Facility	ID	Optional	Once	0115	4
`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	CM_INTERNAL_LOCATION	Optional	Once		12	Encounter.location.location Encounter.location.status
`PV1-43`	Prior Temporary Location	CM_INTERNAL_LOCATION	Optional	Once		12	Basic.extension Basic.extension.valueExtension.url+4 more
`PV1-44`	Admit Date / Time	TS	Optional	Once		26	Encounter.period.start
`PV1-45`	Discharge Date / Time	TS	Optional	Once		26	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
`PV1-50`	Alternate Visit Id	CM_PAT_ID_0192	Optional	Once		20	Encounter.identifier

FHIR map of segment PV1Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

PV2Patient Visit - Additional InformationEncounter9 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`PV2-1`	Prior Pending Location	CM_INTERNAL_LOCATION	Optional	Once		12	Encounter.location.location Encounter.location.status
`PV2-2`	Accommodation Code	CE	Optional	Once	0129	60
`PV2-3`	Admit Reason	CE	Optional	Once		60	Encounter.reasonCode
`PV2-4`	Transfer Reason	CE	Optional	Once		60
`PV2-5`	Patient Valuables	ST	Optional	Repeats		25
`PV2-6`	Patient Valuables Location	ST	Optional	Once		25
`PV2-7`	Visit User Code	ID	Optional	Once	0130	2
`PV2-8`	Expected Admit Date	DT	Optional	Once		8	Encounter.extension
`PV2-9`	Expected Discharge Date	DT	Optional	Once		8	Encounter.extension

FHIR map of segment PV2Defined in versions2.22.3 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		26
`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		26
`QRD-7`	Quantity Limited Request	CQ	Required	Once		10
`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 Qualifier	CM_VR	Optional	Repeats		20
`QRD-12`	Query Results Level	ID	Optional	Once	0108	1

Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

QRFQuery Filter8 fields

Field	Name	Type	Use	Repeats	Table	Length
`QRF-1`	Where Subject Filter	ST	Required	Repeats		20
`QRF-2`	When Data Start Date / Time	TS	Optional	Once		26
`QRF-3`	When Data End Date / Time	TS	Optional	Once		26
`QRF-4`	What User Qualifier	ST	Optional	Repeats		20
`QRF-5`	Other Qry Subject Filter	ST	Optional	Repeats		20
`QRF-6`	Which Date / Time Qualifier	ID	Optional	Repeats	0156	12
`QRF-7`	Which Date / Time Status Qualifier	ID	Optional	Repeats	0157	12
`QRF-8`	Date / Time Selection Qualifier	ID	Optional	Repeats	0158	12

Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RQ1Requisition Detail 17 fields

Field	Name	Type	Use	Repeats	Table	Length
`RQ1-1`	Anticipated Price	SI	Optional	Once		10
`RQ1-2`	Manufacturer Id	CE	Optional	Once		60
`RQ1-3`	Manufacturer's Catalog	ST	Optional	Once		16
`RQ1-4`	Vendor Id	CE	Optional	Once		60
`RQ1-5`	Vendor Catalog	ST	Optional	Once		16
`RQ1-6`	Taxable	ID	Optional	Once	0136	1
`RQ1-7`	Substitute Allowed	ID	Optional	Once	0136	1

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RQDRequisition Detail10 fields

Field	Name	Type	Use	Repeats	Length
`RQD-1`	Requisition Line Number	SI	Optional	Once	4
`RQD-2`	Item Code - Internal	CE	Optional	Once	60
`RQD-3`	Item Code - External	CE	Optional	Once	60
`RQD-4`	Hospital Item Code	CE	Optional	Once	60
`RQD-5`	Requisition Quantity	NM	Optional	Once	6
`RQD-6`	Requisition Unit Of Measure	CE	Optional	Once	60
`RQD-7`	Department Cost Center	ID	Optional	Once	30
`RQD-8`	Item Natural Account Code	ID	Optional	Once	30
`RQD-9`	Deliver-to Id	CE	Optional	Once	60
`RQD-10`	Date Needed	DT	Optional	Once	8

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RXAPharmacy AadministrationImmunization12 fields

Field	Name	Type	Use	Repeats	Length	FHIR
`RXA-1`	Give Sub-id Counter	NM	Required	Once	4
`RXA-2`	Administration Sub-id Counter	NM	Required	Once	4
`RXA-3`	Date / Time Start Of Administration	TS	Required	Once	26	Immunization.occurrenceDateTime
`RXA-4`	Date / Time End Of Administration	TS	Required	Once	26
`RXA-5`	Administered Code	CE	Required	Once	100	Immunization.vaccineCode
`RXA-6`	Administered Amount	NM	Required	Once	20	Immunization.doseQuantity.value
`RXA-7`	Administered Units	CE	Conditional	Once	60	Immunization.doseQuantity
`RXA-8`	Administered Dosage Form	CE	Optional	Once	60
`RXA-9`	Administration Notes	ST	Conditional	Repeats	200
`RXA-10`	Administering Provider	CN_PERSON	Optional	Once	200	Immunization.performer.actor Immunization.performer.function.coding.code+1 more
`RXA-11`	Administered-at Location	CM_LA1	Conditional	Once	12
`RXA-12`	Administered Per (time Unit)	ST	Conditional	Once	20

FHIR map of segment RXADefined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RXCPharmacy Component Order4 fields

Field	Name	Type	Use	Repeats	Table	Length
`RXC-1`	Rx Component Type	ID	Required	Once	0166	1
`RXC-2`	Component Code	CE	Required	Once		100
`RXC-3`	Component Amount	NM	Required	Once		20
`RXC-4`	Component Units	CE	Required	Once		20

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RXDPharmacy Dispense15 fields

Field	Name	Type	Use	Repeats	Table	Length
`RXD-1`	Dispense Sub-id Counter	NM	Required	Once		4
`RXD-2`	Dispense / Give Code	CE	Required	Once		100
`RXD-3`	Date / Time Dispensed	TS	Required	Once		26
`RXD-4`	Actual Dispense Amount	NM	Required	Once		20
`RXD-5`	Actual Dispense Units	CE	Conditional	Once		60
`RXD-6`	Actual Dosage Form	CE	Optional	Once		60
`RXD-7`	Prescription Number	NM	Conditional	Once		20
`RXD-8`	Number Of Refills Remaining	NM	Conditional	Once		20
`RXD-9`	Dispense Notes	ST	Conditional	Repeats		200
`RXD-10`	Dispensing Provider	CN_PERSON	Optional	Once		200
`RXD-11`	Substitution Status	ID	Optional	Once	0167	1
`RXD-12`	Total Daily Dose	NM	Optional	Once		10
`RXD-13`	Dispense-to location	CM_LA1	Conditional	Once		12
`RXD-14`	Needs Human Review	ID	Optional	Once	0136	1
`RXD-15`	Pharmacy Special Dispensing Instructions	CE	Optional	Repeats		200

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RXEPharmacy Encoded Order24 fields

Field	Name	Type	Use	Repeats	Table	Length
`RXE-1`	Quantity / Timing	TQ	Required	Once		200
`RXE-2`	Give Code	CE	Required	Once		100
`RXE-3`	Give Amount - Minimum	NM	Required	Once		20
`RXE-4`	Give Amount - Maximum	NM	Optional	Once		20
`RXE-5`	Give Units	CE	Required	Once		60
`RXE-6`	Give Dosage Form	CE	Optional	Once		60
`RXE-7`	Provider's Administration Instructions	CE	Optional	Repeats		200
`RXE-8`	Deliver-to Location	CM_LA1	Conditional	Once		12
`RXE-9`	Substitution Status	ID	Optional	Once	0167	1
`RXE-10`	Dispense Amount	NM	Conditional	Once		20
`RXE-11`	Dispense Units	CE	Conditional	Once		60
`RXE-12`	Number Of Refills	NM	Optional	Once		3
`RXE-13`	Ordering Provider's Dea Number	CN_PERSON	Conditional	Once		60
`RXE-14`	Pharmacist Verifier Id	CN_PERSON	Conditional	Once		60
`RXE-15`	Prescription Number	ST	Required	Once		20
`RXE-16`	Number Of Refills Remaining	NM	Conditional	Once		20
`RXE-17`	Number Of Refills / Doses Dispensed	NM	Conditional	Once		20
`RXE-18`	Date / Time Of Most Recent Refill Or Dose Dispensed	TS	Conditional	Once		26
`RXE-19`	Total Daily Dose	CQ	Optional	Once		10
`RXE-20`	Needs Human Review	ID	Optional	Once	0136	1
`RXE-21`	Pharmacy Special Dispensing Instructions	CE	Optional	Repeats		200
`RXE-22`	Give Per (time Unit)	ST	Conditional	Once		20
`RXE-23`	Give Rate Amount	CE	Optional	Once		6
`RXE-24`	Give Rate Units	CE	Optional	Once		60

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RXGPharmacy Give16 fields

Field	Name	Type	Use	Repeats	Table	Length
`RXG-1`	Give Sub-id Counter	NM	Required	Once		4
`RXG-2`	Dispense Sub-id Counter	NM	Optional	Once		4
`RXG-3`	Quantity / Timing	TQ	Required	Once		200
`RXG-4`	Give Code	CE	Required	Once		100
`RXG-5`	Give Amount - Minimum	NM	Required	Once		20
`RXG-6`	Give Amount - Maximum	NM	Optional	Once		20
`RXG-7`	Give Units	CE	Required	Once		60
`RXG-8`	Give Dosage Form	CE	Optional	Once		60
`RXG-9`	Administration Notes	ST	Conditional	Repeats		200
`RXG-10`	Substitution Status	ID	Optional	Once	0167	1
`RXG-11`	Dispense-to location	CM_LA1	Conditional	Once		12
`RXG-12`	Needs Human Review	ID	Optional	Once	0136	1
`RXG-13`	Pharmacy Special Administration Instructions	CE	Optional	Repeats		200
`RXG-14`	Give Per (time Unit)	ST	Conditional	Once		20
`RXG-15`	Give Rate Amount	CE	Optional	Once		6
`RXG-16`	Give Rate Units	CE	Optional	Once		60

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RXOPharmacy Prescription OrderMedicationRequest17 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`RXO-1`	Requested Give Code	CE	Required	Once		100	MedicationRequest.medication
`RXO-2`	Requested Give Amount - Minimum	NM	Required	Once		20	MedicationRequest.dosageInstruction.doseAndRate.doseRange.low.value MedicationRequest.dosageInstruction.doseAndRate.type
`RXO-3`	Requested Give Amount - Maximum	NM	Optional	Once		20	MedicationRequest.dosageInstruction.doseAndRate.doseRange.high.value
`RXO-4`	Requested Give Units	CE	Required	Once		60	MedicationRequest.dosageInstruction.doseAndRate.doseRange.low.code MedicationRequest.dosageInstruction.doseAndRate.doseRange.low.unit+2 more
`RXO-5`	Requested Dosage Form	CE	Optional	Once		60	MedicationRequest.medication
`RXO-6`	Provider's Pharmacy Instructions	CE	Optional	Repeats		200
`RXO-7`	Provider's Administration Instructions	CE	Optional	Repeats		200
`RXO-8`	Deliver-to Location	CM_LA1	Conditional	Once		12
`RXO-9`	Allow Substitutions	ID	Optional	Once	0161	1	MedicationRequest.substitution.allowedCodeableConcept
`RXO-10`	Requested Dispense Code	CE	Conditional	Once		100
`RXO-11`	Requested Dispense Amount	NM	Conditional	Once		20	MedicationRequest.dispenseRequest.quantity.value
`RXO-12`	Requested Dispense Units	CE	Conditional	Once		60	MedicationRequest.dispenseRequest.quantity.code MedicationRequest.dispenseRequest.quantity.unit
`RXO-13`	Number Of Refills	NM	Optional	Once		3	MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
`RXO-14`	Ordering Provider's Dea Number	CN_PERSON	Conditional	Once		60	MedicationRequest.requester
`RXO-15`	Pharmacist Verifier Id	CN_PERSON	Conditional	Once		60
`RXO-16`	Needs Human Review	ID	Optional	Once	0136	1
`RXO-17`	Requested Give Per (time Unit)	ST	Conditional	Once		20

FHIR map of segment RXODefined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

RXRPharmacy RouteImmunization, MedicationRequest4 fields

Field	Name	Type	Use	Repeats	Table	Length	FHIR
`RXR-1`	Route	CE	Required	Once	0162	60	Immunization.route MedicationRequest.dosageInstruction.route
`RXR-2`	Site	CE	Optional	Once	0163	60	Immunization.site MedicationRequest.dosageInstruction.site
`RXR-3`	Administration Device	CE	Optional	Once	0164	60
`RXR-4`	Administration Method	CE	Optional	Once	0165	60	MedicationRequest.dosageInstruction.method

FHIR map of segment RXRDefined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

STFStaff Identification Segment16 fields

Field	Name	Type	Use	Repeats	Table	Length
`STF-1`	Stf - Primary Key Value	CE	Required	Once		60
`STF-2`	Staff Id Code	CE	Optional	Repeats		60
`STF-3`	Staff Name	PN	Optional	Once		48
`STF-4`	Staff Type	ID	Optional	Repeats	0182	2
`STF-5`	Sex	ID	Optional	Once	0001	1
`STF-6`	Date Of Birth	TS	Optional	Once		26
`STF-7`	Active / Inactive	ID	Optional	Once	0183	1
`STF-8`	Department	CE	Optional	Repeats	0184	200
`STF-9`	Service	CE	Optional	Repeats		200
`STF-10`	Phone	TN	Optional	Repeats		40
`STF-11`	Office / Home Address	AD	Optional	Once		106
`STF-12`	Activation Date	CM_DIN	Optional	Repeats		19
`STF-13`	Inactivation Date	CM_DIN	Optional	Repeats		19
`STF-14`	Backup Person Id	CE	Optional	Repeats		60
`STF-15`	E-mail Address	ST	Optional	Repeats		40
`STF-16`	Preferred Method Of Contact	ID	Optional	Once	0185	1

Defined in versions2.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

UB1Ub82 Data23 fields

Field	Name	Type	Use	Repeats	Table	Length
`UB1-1`	Set Id - Ub82	SI	Optional	Once		4
`UB1-2`	Blood Deductible (43)	NM	Optional	Once		1
`UB1-3`	Blood Furnished Pints Of (40)	NM	Optional	Once		2
`UB1-4`	Blood Replaced Pints (41)	NM	Optional	Once		2
`UB1-5`	Blood Not Replaced Pints (42)	NM	Optional	Once		2
`UB1-6`	Co-insurance Days (25)	NM	Optional	Once		2
`UB1-7`	Condition Code (35-39)	ID	Optional	Once	0043	2
`UB1-8`	Covered Days (23)	NM	Optional	Once		3
`UB1-9`	Non-covered Days (24)	NM	Optional	Once		3
`UB1-10`	Value Amount And Code (46-49)	CM_UVC	Optional	Once		12
`UB1-11`	Number Of Grace Days (90)	NM	Optional	Once		2
`UB1-12`	Special Program Indicator (44)	ID	Optional	Once		2
`UB1-13`	Psro / Ur Approval Indicator (87)	ID	Optional	Once		1
`UB1-14`	Psro / Ur Approved Stay - From (88)	DT	Optional	Once		8
`UB1-15`	Psro / Ur Approved Stay - To (89)	DT	Optional	Once		8
`UB1-16`	Occurrence (28-32)	CM_OCD	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`	Occurrence 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 versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

UB2Ub92 Data16 fields

Field	Name	Type	Use	Repeats	Table	Length
`UB2-1`	Set Id - Ub92	SI	Optional	Once		4
`UB2-2`	Co-insurance Days (9)	ST	Optional	Once		3
`UB2-3`	Condition Code (24-30)	ID	Optional	Once	0043	2
`UB2-4`	Covered Days (7)	ST	Optional	Once		3
`UB2-5`	Non-covered Days (8)	ST	Optional	Once		4
`UB2-6`	Value Amount And Code (39-41)	CM_UVC	Optional	Once		11
`UB2-7`	Occurrence Code And Date (32-35)	CM_OCD	Optional	Once		11
`UB2-8`	Occurrence Span Code / Dates (36)	CM_OSP	Optional	Once		28
`UB2-9`	Ub92 Locator 2 (state)	ST	Optional	Once		29
`UB2-10`	Ub92 Locator 11 (state)	ST	Optional	Once		12
`UB2-11`	Ub92 Locator 31 (national)	ST	Optional	Once		5
`UB2-12`	Document Control Number (37)	ST	Optional	Once		23
`UB2-13`	Ub92 Locator 49 (national)	ST	Optional	Once		4
`UB2-14`	Ub92 Locator 56 (state)	ST	Optional	Once		14
`UB2-15`	Ub92 Locator 57 (national)	ST	Optional	Once		27
`UB2-16`	Ub92 Locator 78 (state)	ST	Optional	Once		2

Defined in versions2.22.3 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		26
`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 versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

URSUnsolicited Selection8 fields

Field	Name	Type	Use	Repeats	Table	Length
`URS-1`	R/U Where Subject Definition	ST	Required	Repeats		20
`URS-2`	R/U When Data Start Date / Time	TS	Optional	Once		26
`URS-3`	R/U When Data End Date / Time	TS	Optional	Once		26
`URS-4`	R/U What User Qualifier	ST	Optional	Repeats		20
`URS-5`	R/U Other Results Subject Definition	ST	Optional	Repeats		20
`URS-6`	R/U Which Date / Time Qualifier	ID	Optional	Repeats	0156	12
`URS-7`	R/U Which Date / Time Status Qualifier	ID	Optional	Repeats	0157	12
`URS-8`	R/U Date / Time Selection Qualifier	ID	Optional	Repeats	0158	12

Defined in versions2.12.22.3 2.3.1 2.4 2.5 2.5.1 2.6 2.7 2.7.1 2.8

ZxxAny Z Segment1 fields

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

Defined in versions2.22.8