ASTM SEGMENTS

CHAPTER 1 ASTM - ASTM RESULT REPORT

SEGMENT H - HEADER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
5	SENDER	ZA		o	n	0	0
11	COMMENT	ST		o	n	0	0
13	VERSION ID	ID	1008	o	n	8	0
14	DATE/TIME OF MESSAGE	TS		o	n	26	0

SEGMENT P - PATIENT

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEQUENCE NUMBER	SI		o	n	0	0
3	LAB ASSIGNED PATIENT ID	ID		o	n	16	0
5	PATIENT NAME	PN		o	n	0	0
8	SEX	ID	1	o	n	1	0
14	PATIENT AGE	CQ		o	n	0	0
16	PATIENT HEIGHT	CQ		o	n	0	0
17	PATIENT WEIGHT	CQ		o	n	0	0
26	LOCATION	ID		o	n	12	0

SEGMENT O - ORDER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEQUENCE NUMBER	SI		o	n	0	0
3	INSTRUMENT SPECIMEN ID	ZI		o	n	0	0
7	SPECIMEN COLLECTION DATE/TIME	TS		o	n	26	0
15	SPECIMEN DESCRIPTOR	ZS		o	n	0	0

SEGMENT R - RESULT

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEQUENCE NUMBER	SI		o	n	0	0
2	UNIVERSAL TEST ID	ZT		o	n	0	0
3	MEASUREMENT VALUE	ST		o	n	0	0
4	UNITS	ID	3	o	n	0	0
6	ABNORMAL FLAG	ID	78	o	n	1	0
8	RESULT STATUS	ID	85	o	n	0	0
10	OPERATOR ID	ID		o	n	12	0
11	DATE/TIME TEST STARTED	TS		o	n	26	0
13	INSTRUMENT ID	ID	1006	o	n	3	0

SEGMENT L - TRAILER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEQUENCE NUMBER	SI		o	n	0	0
2	TERMINATION CODE	ID	1007	o	n	0	0

CHAPTER 2 CNT - CONTROL/QUERY

SEGMENT ADD - ADDENDUM

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	ADDENDUM CONTINUATION POINTER	ST				65536	66

SEGMENT BHS - BATCH HEADER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
3	BATCH SENDING APPLICATION	ST				15	83
4	BATCH SENDING FACILITY	ST				20	84
5	BATCH RECEIVING APPLICATION	ST				15	85
6	BATCH RECEIVING FACILITY	ST				20	86
7	BATCH CREATION DATE/TIME	TS				26	87
8	BATCH SECURITY	ST				40	88
9	BATCH NAME/ID/TYPE	ST				20	89
10	BATCH COMMENT	ST				80	90
11	BATCH CONTROL ID	ST				20	91
12	REFERENCE BATCH CONTROL ID	ST				20	92

SEGMENT BTS - BATCH TRAILER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	BATCH MESSAGE COUNT	ST				10	93
2	BATCH COMMENT	ST				80	96
3	BATCH TOTALS	CM			y	100	95

SEGMENT DSC - CONTINUATION POINTER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	CONTINUATION POINTER	ST				180	60

SEGMENT DSP - DISPLAY DATA

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID - DISPLAY DATA	SI				4	61
2	DISPLAY LEVEL	SI				4	62
3	DATA LINE	TX		r		300	63
4	LOGICAL BREAK POINT	ST				2	64
5	RESULT ID	TX				20	65

SEGMENT ERR - ERROR

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	ERROR CODE AND LOCATION	ZE	60	r	y	80	24

SEGMENT FHS - FILE HEADER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
3	FILE SENDING APPLICATION	ST				15	69
4	FILE SENDING FACILITY	ST				20	70
5	FILE RECEIVING APPLICATION	ST				15	71
6	FILE RECEIVING FACILITY	ST				20	72
7	FILE CREATION DATE/TIME	TS				26	73
8	FILE SECURITY	ST				40	74
9	FILE NAME/ID	ST				20	75
10	FILE HEADER COMMENT	ST				80	76
11	FILE CONTROL ID	ST				20	77
12	REFERENCE FILE CONTROL ID	ST				20	78

SEGMENT FTS - FILE TRAILER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	FILE BATCH COUNT	NM				10	79
2	FILE TRAILER COMMENT	ST				80	80

SEGMENT MSA - MESSAGE ACKNOWLEDGEMENT

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	ACKNOWLEDGEMENT CODE	ID	8	r		2	18
2	MESSAGE CONTROL ID	ST		r		20	10
3	TEXT MESSAGE	ST				80	20
4	EXPECTED SEQUENCE NUMBER	NM				15	21
5	DELAYED ACKNOWLEDGEMENT TYPE	ID	102			1	22
6	ERROR CONDITION	CE				100	23

SEGMENT MSH - MESSAGE HEADER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
3	SENDING APPLICATION	ST				15	3
4	SENDING FACILITY	ST				20	4
5	RECEIVING APPLICATION	ST				30	5
6	RECEIVING FACILITY	ST				30	6
7	DATE/TIME OF MESSAGE	TS				26	7
8	SECURITY	ST				40	8
9	MESSAGE TYPE	ZM	9995	r		7	9
10	MESSAGE CONTROL ID	ST		r		20	10
11	PROCESSING ID	ID	103	r		1	11
12	VERSION ID	ID	104	r		8	12
13	SEQUENCE NUMBER	NM				15	13
14	CONTINUATION POINTER	ST				180	14
15	ACCEPT ACKNOWLEDGEMENT TYPE	ID	155			2	15
16	APPLICATION ACKNOWLEDGEMENT TYPE	ID	155			2	16
17	COUNTRY CODE	ID				2	17

SEGMENT NTE - NOTES AND COMMENTS

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID - NOTES AND COMMENTS	SI				4	96
2	SOURCE OF COMMENT	ID	105			8	97
3	COMMENT	FT			y	65536	98

SEGMENT QRD - QUERY DEFINITION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	QUERY DATE/TIME	TS		r		26	25
2	QUERY FORMAT CODE	ID	106	r		1	26
3	QUERY PRIORITY	ID	91	r		1	27
4	QUERY ID	ST		r		10	28
5	DEFERRED RESPONSE TYPE	ID	107			1	29
6	DEFERRED RESPONSE DATE/TIME	TS				26	30
7	QUANTITY LIMITED REQUEST	CQ	126	r		10	31
8	WHO SUBJECT FILTER	ST		r	y	20	32
9	WHAT SUBJECT FILTER	ID	48	r	y	3	33
10	WHAT DEPARTMENT DATA CODE	ST		r	y	20	34
11	WHAT DATA CODE VALUE QUAL.	ST			y	20	35
12	QUERY RESULTS LEVEL	ID	108			1	36

SEGMENT QRF - QUERY FILTER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	WHERE SUBJECT FILTER	ST		r	y	20	37
2	WHEN DATA START DATE/TIME	TS				26	38
3	WHEN DATA END DATE/TIME	TS				26	39
4	WHAT USER QUALIFIER	ST			y	20	40
5	OTHER QRY SUBJECT FILTER	ST			y	20	41
6	WHICH DATE/TIME QUALIFIER	ID	156		y	12	42
7	WHICH DATE/TIME STATUS QUALIFIER	ID	157		y	12	43
8	DATE/TIME SELECTION QUALIFIER	ID	158		y	12	44

SEGMENT URD - RESULTS/UPDATE DEFINITION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	R/U DATE/TIME	TS				26	45
2	REPORT PRIORITY	ID	109			1	46
3	R/U WHO SUBJECT DEFINITION	ST		r	y	20	47
4	R/U WHAT SUBJECT DEFINITION	ID	48		y	3	48
5	R/U WHAT DEPARTMENT CODE	ST			y	20	49
6	R/U DISPLAY/PRINT LOCATIONS	ST			y	20	50
7	R/U RESULTS LEVEL	ID	108			1	51

SEGMENT URS - UNSOLICITED SELECTION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	R/U WHERE SUBJECT DEFINITION	ST		r	y	20	52
2	R/U WHEN DATA START DATE/TIME	TS				26	53
3	R/U WHEN DATA END DATE/TIME	TS				26	54
4	R/U WHAT USER QUALIFIER	ST			y	20	55
5	R/U OTHER RESULTS SUBJECT DEFINITION	ST			y	20	56
6	R/U WHICH DATE/TIME QUALIFIER	ID	156		y	12	57
7	R/U WHICH DATE/TIME STATUS QUALIFIER	ID	157		y	12	58
8	R/U DATE/TIME SELECTION QUALIFIER	ID	158		y	12	59

CHAPTER 3 ADT - REG/ADT

SEGMENT AL1 - PATIENT ALLERGY INFORMATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID - ALLERGY	SI		r		4	203
2	ALLERGY TYPE	ID	127			2	204
3	ALLERGY CODE/MNEMONIC/DESCRIPTION	CE		r		60	205
4	ALLERGY SEVERITY	ID	128			2	206
5	ALLERGY REACTION	ST				15	207
6	IDENTIFICATION DATE	DT				8	208

SEGMENT EVN - EVENT TYPE

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	EVENT TYPE CODE	ID	9996	r		3	99
2	DATE/TIME OF EVENT	TS		r		26	100
3	DATE/TIME PLANNED EVENT	TS				26	101
4	EVENT REASON CODE	ID	62			3	102
5	OPERATOR ID	ID	188			5	103

SEGMENT MRG - MERGE PATIENT INFORMATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	PRIOR PATIENT ID - INTERNAL	CK		r		20	211
2	PRIOR ALTERNATE PATIENT ID	ST				16	212
3	PRIOR PATIENT ACCOUNT NUMBER	CK				20	213
4	PRIOR PATIENT ID - EXTERNAL	CK				16	214

SEGMENT NK1 - NEXT OF KIN

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID - NEXT OF KIN	SI		r		4	190
2	NAME	PN				48	191
3	RELATIONSHIP	CE	63			60	192
4	ADDRESS	AD				106	193
5	PHONE NUMBER	TN			y/3	40	194
6	BUSINESS PHONE NUMBER	TN				40	195
7	CONTACT ROLE	CE	131			60	196
8	START DATE	DT				8	197
9	END DATE	DT				8	198
10	NEXT OF KIN JOB TITLE	ST				60	199
11	NEXT OF KIN JOB CODE/CLASS	CM				20	200
12	NEXT OF KIN EMPLOYEE NUMBER	ST				20	201
13	ORGANIZATION NAME	ST				60	202

SEGMENT NPU - BED STATUS UPDATE

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	BED LOCATION	ZL	79	r		12	209
2	BED STATUS	ID	116			1	170

SEGMENT PID - PATIENT IDENTIFICATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID - PATIENT ID	SI				4	104
2	PATIENT ID (EXTERNAL ID)	CK				16	105
3	PATIENT ID (INTERNAL ID)	CK		r	y	20	106
4	ALTERNATE PATIENT ID	ST				12	107
5	PATIENT NAME	PN		r		48	108
6	MOTHER'S MAIDEN NAME	ST				30	109
7	DATE OF BIRTH	TS				26	110
8	SEX	ID	1			1	111
9	PATIENT ALIAS	PN			y	48	112
10	RACE	ID	5			1	113
11	PATIENT ADDRESS	AD			y/3	106	114
12	COUNTY CODE	ID				4	115
13	PHONE NUMBER - HOME	TN			y/3	40	116
14	PHONE NUMBER - BUSINESS	TN			y/3	40	117
15	LANGUAGE - PATIENT	ST				25	118
16	MARITAL STATUS	ID	2			1	119
17	RELIGION	ID	6			3	120
18	PATIENT ACCOUNT NUMBER	CK				20	121
19	SSN NUMBER - PATIENT	ST				16	122
20	DRIVER'S LIC NUM - PATIENT	CM				25	123
21	MOTHER'S IDENTIFIER	CK				20	124
22	ETHNIC GROUP	ID	189			1	125
23	BIRTH PLACE	ST				25	126
24	MULTIPLE BIRTH INDICATOR	ID				2	127
25	BIRTH ORDER	NM				2	128
26	CITIZENSHIP	ID	171		y	3	129
27	VETERANS MILITARY STATUS	CE	172			60	130

SEGMENT PV1 - PATIENT VISIT

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID - PATIENT VISIT	SI				4	131
2	PATIENT CLASS	ID	4	r		1	132
3	ASSIGNED PATIENT LOCATION	ZL				12	133
4	ADMISSION TYPE	ID	7			2	134
5	PREADMIT NUMBER	ST				20	135
6	PRIOR PATIENT LOCATION	ZL				12	136
7	ATTENDING DOCTOR	CN	10			60	137
8	REFERRING DOCTOR	CN	10			60	138
9	CONSULTING DOCTOR	CN	10		y	60	139
10	HOSPITAL SERVICE	ID	69			3	140
11	TEMPORARY LOCATION	ZL	79			12	141
12	PREADMIT TEST INDICATOR	ID	87			2	142
13	READMISSION INDICATOR	ID	92			2	143
14	ADMIT SOURCE	ID	23			3	144
15	AMBULATORY STATUS	ID	9		y	2	145
16	VIP INDICATOR	ID	99			2	146
17	ADMITTING DOCTOR	CN	10			60	147
18	PATIENT TYPE	ID	18			2	148
19	VISIT NUMBER	CK				15	149
20	FINANCIAL CLASS	CM	64		y/4	50	150
21	CHARGE PRICE INDICATOR	ID	32			2	151
22	COURTESY CODE	ID	45			2	152
23	CREDIT RATING	ID	46			2	153
24	CONTRACT CODE	ID	44		y	2	154
25	CONTRACT EFFECTIVE DATE	DT			y	8	155
26	CONTRACT AMOUNT	NM			y	12	156
27	CONTRACT PERIOD	NM			y	3	157
28	INTEREST CODE	ID	73			2	158
29	TRANSFER TO BAD DEBT CODE	ID	110			1	159
30	TRANSFER TO BAD DEBT DATE	DT				8	160
31	BAD DEBT AGENCY CODE	ID	21			10	161
32	BAD DEBT TRANSFER AMOUNT	NM				12	162
33	BAD DEBT RECOVERY AMOUNT	NM				12	163
34	DELETE ACCOUNT INDICATOR	ID	111			1	164
35	DELETE ACCOUNT DATE	DT				8	165
36	DISCHARGE DISPOSITION	ID	112			3	166
37	DISCHARGED TO LOCATION	CK	113			25	167
38	DIET TYPE	ID	114			2	168
39	SERVICING FACILITY	ID	115			2	169
40	BED STATUS	ID	116			1	170
41	ACCOUNT STATUS	ID	117			2	171
42	PENDING LOCATION	ZL				12	172
43	PRIOR TEMPORARY LOCATION	ZL				12	173
44	ADMIT DATE/TIME	TS				26	174
45	DISCHARGE DATE/TIME	TS				26	175
46	CURRENT PATIENT BALANCE	NM				12	176
47	TOTAL CHARGES	NM				12	177
48	TOTAL ADJUSTMENTS	NM				12	178
49	TOTAL PAYMENTS	NM				12	179
50	ALTERNATE VISIT ID	CM				20	180

SEGMENT PV2 - PATIENT VISIT - ADDITIONAL INFORMATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	PRIOR PENDING LOCATION	ZL				12	181
2	ACCOMMODATION CODE	CE	129			60	182
3	ADMIT REASON	CE	4901			60	183
4	TRANSFER REASON	CE				60	184
5	PATIENT VALUABLES	ST			y	25	185
6	PATIENT VALUABLES LOCATION	ST				25	186
7	VISIT USER CODE	ID	130			2	187
8	EXPECTED ADMIT DATE	DT				8	188
9	EXPECTED DISCHARGE DATE	DT				8	189

CHAPTER 4 ORD - ORDER ENTRY

SEGMENT BLG - BILLING

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	WHEN TO CHARGE	CM	100			15	234
2	CHARGE TYPE	ID	122			50	235
3	ACCOUNT ID	CM				100	236

SEGMENT OBR - OBSERVATION REQUEST

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID OBSERVATION REQUEST	SI				4	237
2	PLACER ORDER NUMBER	CM		c		75	216
3	FILLER ORDER NUMBER	CM		c		75	217
4	UNIVERSAL SERVICE ID	CE		r		200	238
5	PRIORITY - NOT USED IN 2.2	ID				2	239
6	REQUESTED DATE/TIME - NOT USED	TS				26	240
7	OBSERVATION DATE/TIME	TS		c		26	241
8	OBSERVATION END DATE/TIME	TS		c		26	242
9	COLLECTION VOLUME	CQ		c		20	243
10	COLLECTOR IDENTIFIER	CN			y	60	244
11	SPECIMEN ACTION CODE	ID	65			1	245
12	DANGER CODE	CE				60	246
13	RELEVANT CLINICAL INFO.	ST				300	247
14	SPECIMEN RECEIVED DATE/TIME	TS		c		26	248
15	SPECIMEN SOURCE	CM	70			300	249
16	ORDERING PROVIDER	CN				80	226
17	ORDER CALLBACK PHONE NUMBER	TN			y/2	40	250
18	PLACER FIELD 1	ST				60	251
19	PLACER FIELD 2	ST				60	252
20	FILLER FIELD 1	ST				60	253
21	FILLER FIELD 2	ST				60	254
22	RESULTS RPT/STATUS CHNG - DATE/TIME	TS		c		26	255
23	CHARGE TO PRACTICE	CM				40	256
24	DIAGNOSTIC SERV SECT ID	ID	74			10	257
25	RESULT STATUS	ID	123	c		1	258
26	PARENT RESULT	CM				200	259
27	QUANTITY/TIMING	TQ			y	200	221
28	RESULT COPIES TO	CN			y/5	150	260
29	PARENT NUMBER	CM				150	261
30	TRANSPORTATION MODE	ID	124			20	262
31	REASON FOR STUDY	CE			y	300	263
32	PRINCIPAL RESULT INTERPRETER	CM				60	264
33	ASSISTANT RESULT INTERPRETER	CM			y	60	265
34	TECHNICIAN	CM			y	60	266
35	TRANSCRIPTIONIST	CM			y	60	267
36	SCHEDULED DATE/TIME	TS				26	268

SEGMENT ODS - DIETARY ORDERS, SUPPLEMENTS, AND PREFERENCES

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	TYPE	ID	159	r		1	269
2	SERVICE PERIOD	CE			y10	60	270
3	DIET, SUPPLEMENT, OR PREFERENCE CODE	CE		r	y/20	60	271
4	TEXT INSTRUCTION	ST			y/2	80	272

SEGMENT ODT - DIET TRAY INSTRUCTIONS

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	TRAY TYPE	CE	160	r		5	273
2	SERVICE PERIOD	CE			y10	60	270
3	TEXT INSTRUCTIONS	ST				80	272

SEGMENT ORC - COMMON ORDER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	ORDER CONTROL	ID	119	r		2	215
2	PLACER ORDER NUMBER	CM		c		75	216
3	FILLER ORDER NUMBER	CM		c		75	217
4	PLACER GROUP NUMBER	CM				75	218
5	ORDER STATUS	ID	38			2	219
6	RESPONSE FLAG	ID	121			1	220
7	QUANTITY/TIMING	TQ				200	221
8	PARENT	CM				200	222
9	DATE/TIME OF TRANSACTION	TS				26	223
10	ENTERED BY	CN				80	224
11	VERIFIED BY	CN				80	225
12	ORDERING PROVIDER	CN				80	226
13	ENTERER'S LOCATION	CM				80	227
14	CALL BACK PHONE NUMBER	TN			y/2	40	228
15	ORDER EFFECTIVE DATE/TIME	TS				26	229
16	ORDER CONTROL CODE REASON	CE				200	230
17	ENTERING ORGANIZATION	CE				60	231
18	ENTERING DEVICE	CE				60	232
19	ACTION BY	CN				80	233

SEGMENT RQ1 - REQUISITION DETAIL-1

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	ANTICIPATED PRICE	ST				10	285
2	MANUFACTURER ID	CE				60	286
3	MANUFACTURER'S CATALOG	ST				16	287
4	VENDOR ID	CE				60	288
5	VENDOR CATALOG	ST				16	289
6	TAXABLE	ID	136			1	290
7	SUBSTITUTE ALLOWED	ID	136			1	291

SEGMENT RQD - REQUISITION DETAIL

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	REQUISITION LINE NUMBER	SI				4	275
2	ITEM CODE - INTERNAL	CE				60	276
3	ITEM CODE - EXTERNAL	CE				60	277
4	HOSPITAL ITEM CODE	CE				60	278
5	REQUISITION QUANTITY	NM				6	279
6	REQUISITION UNIT OF	CE				60	280
7	DEPT. COST CENTER	ID				30	281
8	ITEM NATURAL ACCOUNT CODE	ID				30	282
9	DELIVER TO ID	CE				60	283
10	DATE NEEDED	DT				8	284

SEGMENT RXA - PHARMACY ADMINISTRATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	GIVE SUB-ID COUNTER	NM		r		4	342
2	ADMINISTRATION SUB-ID COUNTER	NM		r		4	344
3	DATE/TIME START OF ADMINISTRATION	TS		r		26	345
4	DATE/TIME END OF ADMINISTRATION	TS		r		26	346
5	ADMINISTERED CODE	CE		r		100	347
6	ADMINISTERED AMOUNT	NM		r		20	348
7	ADMINISTERED UNITS	CE		c		60	349
8	ADMINISTERED DOSAGE FORM	CE				60	350
9	ADMINISTRATION NOTES	ST		c		200	351
10	ADMINISTERING PROVIDER	CN				200	352
11	ADMINISTERED-AT LOCATION	ID		c		12	353
12	ADMINISTERED PER (TIME UNIT)	ST		c		20	354

SEGMENT RXC - PHARMACY COMPONENT ORDER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	RX COMPONENT TYPE	ID	166	r		1	313
2	COMPONENT CODE	CE		r		100	314
3	COMPONENT AMOUNT	NM		r		20	315
4	COMPONENT UNITS	CE		r		20	316

SEGMENT RXD - PHARMACY DISPENSE

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	DISPENSE SUB-ID COUNTER	NM		r		4	334
2	DISPENSE/GIVE CODE	CE		r		100	335
3	DATE/TIME DISPENSED	TS				26	336
4	ACTUAL DISPENSE AMOUNT	NM		r		20	337
5	ACTUAL DISPENSE UNITS	CE		c		60	338
6	ACTUAL DOSAGE FORM	CE				60	339
7	PRESCRIPTION NUMBER	NM		c		20	325
8	NUMBER OF REFILLS REMAINING	NM		c		20	326
9	DISPENSE NOTES	CE		c	y	200	340
10	DISPENSING PROVIDER	CN				200	341
11	SUBSTITUTION STATUS	ID	167			1	322
12	TOTAL DAILY DOSE	NM				10	329
13	DISPENSE-TO LOCATION	ID		c		12	299
14	NEEDS HUMAN REVIEW	ID				1	307
15	PHARMACY SPECIAL DISPENSING INSTRUCTIONS	CE			y	200	330

SEGMENT RXE - PHARMACY ENCODED ORDER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	QUANTITY/TIMING	TQ		r		200	221
2	GIVE CODE	CE		r		100	317
3	GIVE AMOUNT - MINIMUM	NM		r		20	318
4	GIVE AMOUNT - MAXIMUM	NM				20	319
5	GIVE UNITS	CE		r		60	320
6	GIVE DOSAGE FORM	CE				60	321
7	PROVIDER'S ADMINISTRATION INSTRUCTIONS	CE			y	200	298
8	DELIVER-TO LOCATION	CM		c		12	299
9	SUBSTITUTION STATUS	ID	167			1	322
10	DISPENSE AMOUNT	NM		c		20	323
11	DISPENSE UNITS	CE		c		60	324
12	NUMBER OF REFILLS	NM				3	304
13	ORDERING PROVIDER'S DEA NUMBER	CN		c		60	305
14	PHARMACIST VERIFIER ID	CN		c		60	306
15	PRESCRIPTION NUMBER	ST		r		20	325
16	NUMBER OF REFILLS REMAINING	NM		c		20	326
17	NUMBER OF REFILLS/DOSES DISPENSED	NM		c		20	327
18	D/T OF MOST RECENT REFILL OR DOSE DISPENSED	TS		c		26	328
19	TOTAL DAILY DOSE	CQ		c		10	329
20	NEEDS HUMAN REVIEW	ID				1	307
21	PHARMACY SPECIAL DISPENSING INSTRUCTIONS	ST				200	330
22	GIVE PER (TIME UNIT)	ST		c		20	331
23	GIVE RATE AMOUNT	ST				6	332
24	GIVE RATE UNITS	CE				60	333

SEGMENT RXG - PHARMACY GIVE

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	GIVE SUB-ID COUNTER	NM		r		4	342
2	DISPENSE SUB-ID	NM				4	334
3	QUANTITY/TIMING	TQ		r		200	221
4	GIVE CODE	CE		r		100	317
5	GIVE AMOUNT - MINIMUM	NM		r		20	318
6	GIVE AMOUNT - MAXIMUM	NM				20	319
7	GIVE UNITS	CE		r		60	320
8	GIVE DOSAGE FORM	CE				60	321
9	ADMINISTRATION NOTES	CE		c	y	200	351
10	SUBSTITUTION STATUS	ID	167			20	322
11	DISPENSE-TO LOCATION	ID				12	299
12	NEEDS HUMAN REVIEW	ID				1	307
13	PHARMACY SPECIAL ADMINISTRATION INSTRUCTIONS	CE			y	200	343
14	GIVE PER (TIME UNIT)	ST		c		20	331
15	GIVE RATE AMOUNT	ST				6	332
16	GIVE RATE UNITS	CE				60	333

SEGMENT RXO - PHARMACY PRESCRIPTION ORDER

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	REQUESTED GIVE CODE	CE		r		100	292
2	REQUESTED GIVE AMOUNT - MINIMUM	NM		r		20	293
3	REQUESTED GIVE AMOUNT - MAXIMUM	NM				20	294
4	REQUESTED GIVE UNITS	CE		r		60	295
5	REQUESTED DOSAGE FORM	CE				60	296
6	PROVIDER'S PHARMACY INSTRUCTIONS	CE			y	200	297
7	PROVIDER'S ADMINISTRATION INSTRUCTIONS	CE			y	200	298
8	DELIVER-TO LOCATION	CM		c		12	299
9	ALLOW SUBSTITUTIONS	ID	161			1	300
10	REQUESTED DISPENSE CODE	CE		c		100	301
11	REQUESTED DISPENSE AMOUNT	NM		c		20	302
12	REQUESTED DISPENSE UNITS	CE		c		60	303
13	NUMBER OF REFILLS	NM				3	304
14	ORDERING PROVIDER'S DEA NUMBER	CN		c		60	305
15	PHARMACIST VERIFIER ID	CN		c		60	306
16	NEEDS HUMAN REVIEW	ID				1	307
17	REQUESTED GIVE PER (TIME UNIT)	ST		c		20	308

SEGMENT RXR - PHARMACY ROUTE

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	ROUTE	CE	162	r		60	309
2	SITE	CE	163			60	310
3	ADMINISTRATION DEVICE	CE	164			60	311
4	ADMINISTRATION METHOD	CE	0			60	312

CHAPTER 6 BLN - FINANCE

SEGMENT ACC - ACCIDENT

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	ACCIDENT DATE/TIME	TS				26	527
2	ACCIDENT CODE	ID	50			2	528
3	ACCIDENT LOCATION	ST				25	529

SEGMENT DG1 - DIAGNOSIS

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID DIAGNOSIS	SI		r		4	375
2	DIAGNOSIS CODING METHOD	ID	53	r		2	376
3	DIAGNOSIS CODE	ID	51			8	377
4	DIAGNOSIS DESCRIPTION	ST				40	378
5	DIAGNOSIS DATE/TIME	TS				26	379
6	DIAGNOSIS/DRG TYPE	ID	52	r		2	380
7	MAJOR DIAGNOSTIC CATEGORY	CE	118			60	381
8	DIAGNOSTIC RELATED GROUP	ID	55			4	382
9	DRG APPROVAL INDICATOR	ID				2	383
10	DRG GROUPER REVIEW CODE	ID	56			2	384
11	OUTLIER TYPE	CE	83			60	385
12	OUTLIER DAYS	NM				3	386
13	OUTLIER COST	NM				12	387
14	GROUPER VERSION AND TYPE	ST				4	388
15	DIAGNOSIS/DRG PRIORITY	NM	4921			2	389
16	DIAGNOSING CLINICIAN	CN				60	390

SEGMENT FT1 - FINANCIAL TRANSACTION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID FINANCIAL TRANSACTION	SI				4	355
2	TRANSACTION ID	ST				12	356
3	TRANSACTION BATCH ID	ST				10	357
4	TRANSACTION DATE	DT		r		8	358
5	TRANSACTION POSTING DATE	DT				8	359
6	TRANSACTION TYPE	ID	17	r		8	360
7	TRANSACTION CODE	ID	132	r		20	361
8	TRANSACTION DESCRIPTION	ST				40	362
9	TRANSACTION DESCRIPTION ALTERNATE	ST				40	363
10	TRANSACTION QUANTITY	NM				4	364
11	TRANSACTION AMOUNT EXTENDED	NM				12	365
12	TRANSACTION AMOUNT UNIT	NM				12	366
13	DEPARTMENT CODE	CE	49			60	367
14	INSURANCE PLAN ID	ID	72			8	368
15	INSURANCE AMOUNT	CM				12	369
16	ASSIGNED PATIENT LOCATION	CM	79			12	133
17	FEE SCHEDULE	ID	24			1	370
18	PATIENT TYPE	ID	18			2	148
19	DIAGNOSIS CODE	CE	51		y	8	371
20	PERFORMED BY CODE	CN	84			60	372
21	ORDERED BY CODE	CN				60	373
22	UNIT COST	NM				12	374
23	FILLER ORDER NUMBER	CM				75	217

SEGMENT GT1 - GUARANTOR

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID GUARANTOR	SI		r		4	405
2	GUARANTOR NUMBER	CK				20	406
3	GUARANTOR NAME	PN		r		48	407
4	GUARANTOR SPOUSE NAME	PN				48	408
5	GUARANTOR ADDRESS	AD				106	409
6	GUARANTOR PH NUM HOME	TN			y/3	40	410
7	GUARANTOR PH NUM BUSINESS	TN			y/3	40	411
8	GUARANTOR DATE OF BIRTH	DT				8	412
9	GUARANTOR SEX	ID	1			1	413
10	GUARANTOR TYPE	ID	68			2	414
11	GUARANTOR RELATIONSHIP	ID	63			2	415
12	GUARANTOR SSN	ST				11	416
13	GUARANTOR DATE BEGIN	DT				8	417
14	GUARANTOR DATE END	DT				8	418
15	GUARANTOR PRIORITY	NM				2	419
16	GUARANTOR EMPLOYER NAME	ST				45	420
17	GUARANTOR EMPLOYER ADDRESS	AD				106	421
18	GUARANTOR EMPLOY PHONE NUMBER	TN			y/3	40	422
19	GUARANTOR EMPLOYEE ID NUM	ST				20	423
20	GUARANTOR EMPLOYMENT STATUS	ID	66			2	424
21	GUARANTOR ORGANIZATION	ST				60	425

SEGMENT IN1 - INSURANCE

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID INSURANCE	SI		r		4	426
2	INSURANCE PLAN ID	ID	72	r		8	368
3	INSURANCE COMPANY ID	ST		r		6	428
4	INSURANCE COMPANY NAME	ST				45	429
5	INSURANCE COMPANY ADDRESS	AD				106	430
6	INSURANCE CO. CONTACT PERS	PN				48	431
7	INSURANCE CO PHONE NUMBER	TN			y/3	40	432
8	GROUP NUMBER	ST				12	433
9	GROUP NAME	ST				35	434
10	INSURED'S GROUP EMP ID	ST				12	435
11	INSURED'S GROUP EMP NAME	ST				45	436
12	PLAN EFFECTIVE DATE	DT				8	437
13	PLAN EXPIRATION DATE	DT				8	438
14	AUTHORIZATION INFORMATION	CM				55	439
15	PLAN TYPE	ID	86			2	440
16	NAME OF INSURED	PN				48	441
17	INSURED'S RELATIONSHIP TO PATIENT	ID	63			2	442
18	INSURED'S DATE OF BIRTH	DT				8	443
19	INSURED'S ADDRESS	AD				106	444
20	ASSIGNMENT OF BENEFITS	ID	135			2	445
21	COORDINATION OF BENEFITS	ID	173			2	446
22	COORD OF BEN. PRIORITY	ST				2	447
23	NOTICE OF ADMISSION CODE	ID	136			2	448
24	NOTICE OF ADMISSION DATE	DT				8	449
25	RPT OF ELIGIBILITY CODE	ID	136			2	450
26	RPT OF ELIGIBILITY DATE	DT				8	451
27	RELEASE INFORMATION CODE	ID	93			2	452
28	PRE ADMIT CERT (PAC)	ST				15	453
29	VERIFICATION DATE/TIME	TS				26	454
30	VERIFICATION BY	CN				60	455
31	TYPE OF AGREEMENT CODE	ID	98			2	456
32	BILLING STATUS	ID	22			2	457
33	LIFETIME RESERVE DAYS	NM				4	458
34	DELAY BEFORE L. R. DAY	NM				4	459
35	COMPANY PLAN CODE	ID	42			8	460
36	POLICY NUMBER	ST				15	461
37	POLICY DEDUCTIBLE	NM				12	462
38	POLICY LIMIT AMOUNT	NM				12	463
39	POLICY LIMIT DAYS	NM				4	464
40	ROOM RATE SEMI PRIVATE	NM				12	465
41	ROOM RATE PRIVATE	NM				12	466
42	INSURED'S EMPLOYMENT STATUS	CE	66			60	467
43	INSURED'S SEX	ID	1			1	468
44	INSURED'S EMPLOYER ADDRESS	AD				106	469
45	VERIFICATION STATUS	ST				2	470
46	PRIOR INSURANCE PLAN ID	ID	72			8	471

SEGMENT IN2 - INSURANCE ADDITIONAL INFO

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	INSURED'S EMPLOYEE ID	ST				15	472
2	INSURED'S SOCIAL SECURITY NUMBER	NM				9	473
3	INSURED'S EMPLOYER NAME	CN				60	474
4	EMPLOYER INFORMATION DATA	ID	139			1	475
5	MAIL CLAIM PARTY	ID	137			1	476
6	MEDICARE HEALTH INS CARD NUMBER	NM				15	477
7	MEDICAID CASE NAME	PN				48	478
8	MEDICAID CASE NUMBER	NM				15	479
9	CHAMPUS SPONSOR NAME	PN				48	480
10	CHAMPUS ID NUMBER	NM				20	481
11	DEPENDENT OF CHAMPUS RECIPIENT	ID				1	482
12	CHAMPUS ORGANIZATION	ST				25	483
13	CHAMPUS STATION	ST				25	484
14	CHAMPUS SERVICE	ID	140			14	485
15	CHAMPUS RANK/GRADE	ID	141			2	486
16	CHAMPUS STATUS	ID	142			3	487
17	CHAMPUS RETIRE DATE	DT				8	488
18	CHAMPUS NON-AVAIL CERT ON FILE	ID	136			1	489
19	BABY COVERAGE	ID	136			1	490
20	COMBINE BABY BILL	ID	136			1	491
21	BLOOD DEDUCTIBLE	NM				1	531
22	SPECIAL COVERAGE APPROVAL NAME	PN				48	493
23	SPECIAL COVERAGE APPROVAL TITLE	ST				30	494
24	NON-COVERED INSURANCE CODE	ID	143		y	8	495
25	PAYOR ID	ST				6	496
26	PAYOR SUBSCRIBER ID	ST				6	497
27	ELIGIBILITY SOURCE	ID	144			1	498
30	DAILY DEDUCTIBLE	CM				25	501

SEGMENT IN3 - INSURANCE ADDITIONAL INFO - CERTIFICATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID - INSURANCE CERTIFICATION	SI		r		4	502
2	CERTIFICATION NUMBER	ST				25	503
3	CERTIFIED BY	CN				60	504
4	CERTIFICATION REQUIRED	ID	136			1	505
5	PENALTY	ID	148			1	506
6	CERTIFICATION DATE/TIME	TS				26	507
7	CERTIFICATION MODIFY DATE/TIME	TS				26	508
8	OPERATOR	CN				60	509
9	CERTIFICATION BEGIN DATE	DT				8	510
10	CERTIFICATION END DATE	DT				8	511
11	DAYS	CM	149			3	512
12	NON-CONCUR CODE/DESCRIPTION	CE				60	513
13	NON-CONCUR EFF DATE/TIME	TS				26	514
14	PHYSICIAN REVIEWER	CN				60	515
15	CERTIFICATION CONTACT	ST				48	516
16	CERTIFICATION CONTACT PHONE NUMBER	TN			y/3	40	517
17	APPEAL REASON	CE				60	518
18	CERTIFICATION AGENCY	CE				60	519
19	CERTIFICATION AGENCY PHONE NUMBER	TN			y/3	40	520
20	PRE-CERTIFICATION REQ/WINDOW	CM	150		y	10	521
21	CASE MANAGER	ST				48	522
22	SECOND OPINION DATE	DT				8	523
23	SECOND OPINION STATUS	ID	151			1	524
24	SECOND OPINION DOCUMENTATION RECEIVED	ID	152			1	525
25	SECOND OPINION PRACTITIONER	CN				60	526

SEGMENT PR1 - PROCEDURES

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID PROCEDURE	SI		r		4	391
2	PROCEDURE CODING METHOD	ID	89	r	y	2	392
3	PROCEDURE CODE	ID	88	r	y	10	393
4	PROCEDURE DESCRIPTION	ST			y	40	394
5	PROCEDURE DATE/TIME	TS		r		26	395
6	PROCEDURE TYPE	ID	90	r		2	396
7	PROCEDURE MINUTES	NM				4	397
8	ANESTHESIOLOGIST	CN	10			60	398
9	ANESTHESIA CODE	ID	19			2	399
10	ANESTHESIA MINUTES	NM				4	400
11	SURGEON	CN	10			60	401
12	PROCEDURE PRACTITIONER	CM	10		y	60	402
13	CONSENT CODE	ID	59			2	403
14	PROCEDURE PRIORITY	NM				2	404

SEGMENT UB1 - UB82 DATA

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID UB82	SI				4	530
2	BLOOD DEDUCTIBLE (43)	NM	136			1	492
3	BLOOD FURN PINTS OF (40)	NM				2	532
4	BLOOD REPLACED PINTS (41)	NM				2	533
5	BLOOD NOT RPLCD PINTS(42)	NM				2	534
6	CO INSURANCE DAYS (25)	NM				2	535
7	CONDITION CODE (35-39)	ID	43		y/5	2	536
8	COVERED DAYS (23)	NM				3	537
9	NON COVERED DAYS (24)	NM				3	538
10	VALUE AMOUNT & CODE (46-49)	ID	153		y/8	12	539
11	NUMBER OF GRACE DAYS (90)	NM				2	540
12	SPEC PROG INDICATOR (44)	ID				2	541
13	PSRO/UR APPROVAL IND (87)	ID				1	542
14	PSRO/UR APRVD STAY FM (88)	DT				8	543
15	PSRO/UR APRVD STAY TO (89)	DT				8	544
16	OCCURRENCE (28 32)	CM			y/5	20	545
17	OCCURRENCE SPAN (33)	ID				2	546
18	OCCUR SPAN START DATE(33)	DT				8	547
19	OCCUR SPAN END DATE (33)	DT				8	548
20	UB 82 LOCATOR 2	ST				30	549
21	UB 82 LOCATOR 9	ST				7	550
22	UB 82 LOCATOR 27	ST				8	551
23	UB 82 LOCATOR 45	ST				17	552

SEGMENT UB2 - UB92 DATA

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID UB92	SI				4	553
2	CO-INSURANCE DAYS (9)	ST				3	554
3	CONDITION CODE (24-30)	ID	43		y/7	2	555
4	COVERED DAYS (7)	ST				3	556
5	NON-COVERED DAYS (8)	ST				4	557
6	VALUE AMOUNT & CODE (39-41)	CM			y12	11	558
7	OCCURRENCE CODE & DATE (32-35)	CM			y/8	11	559
8	OCCURRENCE SPAN CODE/DATES (36)	CM			y/2	28	560
9	UB92 LOCATOR 2 (STATE)	ST			y/2	29	561
10	UB92 LOCATOR 11 (STATE)	ST			y/2	12	562
11	UB92 LOCATOR 31 (NATIONAL)	ST				5	563
12	DOCUMENT CONTROL NUMBER (37)	ST			y/3	23	564
13	UB92 LOCATOR 49 (NATIONAL)	ST			y23	4	565
14	UB92 LOCATOR 56 (STATE)	ST			y/5	14	566
15	UB92 LOCATOR 57 (NATIONAL)	ST				27	567
16	UB92 LOCATOR 78 (STATE)	ST			y/2	2	568

CHAPTER 7 ANR - ANCILLARY RPT

SEGMENT OBX - OBSERVATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SET ID - OBSERVATIONAL SIMPLE	SI				4	569
2	VALUE TYPE	ID	9998	r		2	570
3	OBSERVATION IDENTIFIER	CE		r		80	571
4	OBSERVATION SUB-ID	ST		c		20	572
5	OBSERVATION VALUE	ID		c			573
6	UNITS	CE				60	574
7	REFERENCES RANGE	ST				60	575
8	ABNORMAL FLAGS	ID	78		y/5	10	576
9	PROBABILITY	NM				5	577
10	NATURE OF ABNORMAL TEST	ID	80			5	578
11	OBSERV RESULT STATUS	ID	85	r		2	579
12	DATE LAST OBS NORMAL VALUES	TS				26	580
13	USER DEFINED ACCESS CHECKS	ST				20	581
14	DATE/TIME OF THE OBSERVATION	TS				26	582
15	PRODUCER'S ID	CE				60	583
16	RESPONSIBLE OBSERVER	CN				60	584

SEGMENT OM1 - GENERAL - FIELDS THAT APPLY TO MOST OBSERVATIONS

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEGMENT TYPE ID	ST		r		3	585
2	SEQUENCE NUMBER	NM		r		4	586
3	PRODUCER'S TEST/OBSERVATION ID	CE		r		200	587
4	PERMITTED DATA TYPES	ID	9998		y	12	588
5	SPECIMEN REQUIRED	ID	136	r		1	589
6	PRODUCER ID	CE		r		200	590
7	OBSERVATION DESCRIPTION	CE				200	591
8	OTHER TEST/OBSERVATION IDS FOR THE OBSERVATION	CE				200	592
9	OTHER NAMES	ST		r	y	200	593
10	PREFERRED REPORT NAME FOR THE OBSERVATION	ST				30	594
11	PREFERRED SHORT NAME OR MNEMONIC FOR OBSERVATION	ST				8	595
12	PREFERRED LONG NAME FOR THE OBSERVATION	ST				200	596
13	ORDERABILITY	ID	136			1	597
14	IDENTITY OF INSTRUMENT USED TO PERFROM THIS STUDY	CE			y	60	598
15	CODED REPRESENTATION OF METHOD	CE			y	200	599
16	PORTABLE	ID	136			1	600
17	OBSERVATION PRODUCING DEPARTMENT/SECTION	ID			y	1	601
18	TELEPHONE NUMBER OF SECTION	TN				40	602
19	NATURE OF TEST/OBSERVATION	ID	174	r		1	603
20	REPORT SUBHEADER	CE				200	604
21	REPORT DISPLAY ORDER	ST				20	605
22	DATE/TIME STAMP FOR ANY CHANGE IN DEF ATTRI FOR OBS	TS		r		26	606
23	EFFECTIVE DATE/TIME OF CHANGE	TN				26	607
24	TYPICAL TURN-AROUND TIME	NM				20	608
25	PROCESSING TIME	NM				20	609
26	PROCESSING PRIORITY	ID	168		y	40	610
27	REPORTING PRIORITY	ID	176			5	611
28	OUTSIDE SITE(S) WHERE OBSERVATION MAY BE PERFORMED	CE			y	200	612
29	ADDRESS OF OUTSIDE SITE(S)	AD				1000	613
30	PHONE NUMBER OF OUTSIDE SITE	TN				400	614
31	CONFIDENTIALITY CODE	ID	177			1	615
32	OBSERVATIONS REQUIRED TO INTERPRET THE OBS	CE				200	616
33	INTERPRETATION OF OBSERVATIONS	TX				65536	617
34	CONTRAINDICATIONS TO OBSERVATIONS	CE				65536	618
35	REFLEX TESTS/OBSERVATIONS	CE			y	200	619
36	RULES THAT TRIGGER REFLEX TESTING	ST				80	620
37	FIXED CANNED MESSAGE	CE				65536	621
38	PATIENT PREPARATION	TX				200	622
39	PROCEDURE MEDICATION	CE				200	623
40	FACTORS THAT MAY EFFECT THE OBSERVATION	TX				200	624
41	TEST/OBSERVATION PERFORMANCE SCHEDULE	ST			y	60	625
42	DESCRIPTION OF TEST METHODS	TX				65536	626

SEGMENT OM2 - NUMERIC OBSERVATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEGMENT TYPE ID	ST				3	585
2	SEQUENCE NUMBER	NM				4	586
3	UNITS OF MEASURE	CE				60	627
4	RANGE OF DECIMAL PRECISION	NM			y	10	628
5	CORRESPONDING SI UNITS OF MEASURE	CE				60	629
6	SI CONVERSION FACTOR	TX				20	630
7	REFERENCE (NORMAL) RANGE - ORDINAL & CONTINUOUS OBS	CM				200	631
8	CRITICAL RANGE FOR ORDINAL & CONTINUOUS OBS	CM				200	632
9	ABSOLUTE RANGE FOR ORDINAL AND CONTINUOUS OBS	CM				200	633
10	DELTA CHECK CRITERIA	CM			y	200	634
11	MINIMUM MEANINGFUL INCREMENTS	NM				20	635

SEGMENT OM3 - CATEGORICAL TEST/OBSERVATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEGMENT TYPE ID	ST				3	585
2	SEQUENCE NUMBER	NM				4	586
3	PREFERRED CODING SYSTEM	ID				5	636
4	VALID CODED ANSWERS	CE				60	637
5	NORMAL TEST CODES FOR CATEGORICAL OBS	CE			y	200	638
6	ABNORMAL TEST CODES FOR CATEGORICAL OBS	CE				200	639
7	CRITICAL TEST CODES FOR CATEGORICAL OBS	CE				200	640
8	DATA TYPE	ID				2	641

SEGMENT OM4 - OBSERVATIONS THAT REQUIRE SPECIMENS

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEGMENT TYPE ID	ST				3	585
2	SEQUENCE NUMBER	NM				4	586
3	DERIVED SPECIMEN	ID	170			60	642
4	CONTAINER DESCRIPTION	TX				60	643
5	CONTAINER VOLUME	NM				20	644
7	SPECIMEN	CE				60	646
8	ADDITIVE	CE				60	647
9	PREPARATION	TX				10000	648
10	SPECIAL HANDLING REQUIREMENTS	TX				10000	649
11	NORMAL COLLECTION VOLUME	CQ				20	650
12	MINIMUM COLLECTION VOLUME	CQ				20	651
13	SPECIMEN REQUIREMENTS	TX				10000	652
14	SPECIMEN PRIORITIES	ID	27		y	60	653
15	SPECIMEN RETENTION TIME	CQ				20	634

SEGMENT OM5 - OBSERVATION BATTERIES

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEGMENT TYPE ID	ST				3	585
2	SEQUENCE NUMBER	NM				4	586
3	TEST/OBSERVATIONS INCLUDED W/AN ORDERED TEST BATTERY	CE			y	200	655
4	OBSERVATION ID SUFFIXES	ST				200	656

SEGMENT OM6 - OBSERVATIONS THAT ARE CALCULATED FROM OTHER OBSERVATIONS

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	SEGMENT TYPE ID	ST				3	585
2	SEQUENCE NUMBER	NM				4	586
3	DERIVATION RULE	TX					657

CHAPTER 8 MFI - MASTER FILES

SEGMENT MFA - MASTER FILE ACKNOWLEDGEMENT

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	RECORD-LEVEL EVENT CODE	ID	180	r		3	664
2	MFN CONTROL ID	ST		c		20	665
3	EVENT COMPLETION DATE/TIME	TS		c		26	668
4	ERROR RETURN CODE &/OR TEXT	CE	181	r		60	669
5	PRIMARY KEY VALUE	CE				60	667

SEGMENT MFE - MASTER FILE ENTRY

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	RECORD-LEVEL EVENT CODE	ID	180	r		3	664
2	MFN CONTROL ID	ST		c		20	665
3	EFFECTIVE DATE/TIME	TS				26	662
4	PRIMARY KEY VALUE	CE		r	y	60	667

SEGMENT MFI - MASTER FILE IDENTIFICATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	MASTER FILE IDENTIFIER	CE	175	r		60	658
2	MASTER FILE APPLICATION IDENTIFIER	ID	176			6
3	FILE-LEVEL EVENT CODE	ID	178	r		3	660
4	ENTERED DATE/TIME	TS				26	661
5	EFFECTIVE DATE/TIME	TS				26	662
6	RESPONSE LEVEL CODE	ID	179	r		2	663

SEGMENT PRA - PRACTITIONER DETAIL

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	PRA - PRIMARY KEY VALUE	ST		r		20	0
2	PRACTITIONER GROUP	CE			y	60	0
3	PRACTITIONER CATEGORY	ID			y	3	0
4	PROVIDER BILLING	ID				1	688
5	SPECIALTY	ST			y	100	689
6	PRACTITIONER ID NUMBERS	ST			y	100	690
7	PRIVILEGES	ST			y	20	691

SEGMENT STF - STAFF IDENTIFICATION

SEQ	NAME	TYPE	TABLE	R/O	REP	LEN	ITEM#
1	STF - PRIMARY KEY VALUE	CE		r		60	671
2	STAFF ID CODE	CE			y	60	672
3	STAFF NAME	PN				48	673
4	STAFF TYPE	ID	182		y	2	674
5	SEX	ID	1			1	111
6	DATE OF BIRTH	TS				26	110
7	ACTIVE/INACTIVE	ID	183			1	675
8	DEPARTMENT	CE	184		y	200	676
9	SERVICE	CE			y	200	677
10	PHONE	TN			y	40	678
11	OFFICE/HOME ADDRESS	AD			y/2	106	679
12	ACTIVATION DATE	CM			y	19	680
13	INACTIVATION DATE	CM			y	19	681
14	BACKUP PERSON ID	CE			y	60	682
15	E-MAIL ADDRESS	ST			y	40	683
16	PREFERRED PHONE	ID				1	684