HL7 Message Dictionary

[Message Header]

MSH_3=20=Sending Application

MSH_3_1=15=Sending Application Namespace ID

MSH_3_2=15=Sending Application Universal ID

MSH_3_3=15=Sending Application Universal ID Type

MSH_4=20=Sending Facility

MSH_4_1=15=Sending Facility Namespace ID

MSH_4_2=15=Sending Facility Universal ID

MSH_4_3=15=Sending Facility Universal ID Type

MSH_5=20=Receiving Application

MSH_5_1=15=Receiving Application Namespace ID

MSH_5_2=15=Receiving Application Universal ID

MSH_5_3=15=Receiving Application Universal ID Type

MSH_6=20=Receiving Facility

MSH_6_1=15=Receiving Facility Namespace ID

MSH_6_2=15=Receiving Facility Universal ID

MSH_6_3=15=Receiving Facility Universal ID Type

MSH_7=26=Message Date/Time

MSH_8=40=Security

MSH_9=20=Message Type

MSH_9_1=10=Message Type ID

MSH_9_2=10=Trigger Event ID

MSH_10=20=Message Control ID

MSH_11=3=Processing ID

MSH_11_1=3=Processing ID ID

MSH_11_2=10=Processing ID Processing Mode

MSH_12=8=Version ID

MSH_13=15=Sequence Number

MSH_14=70=Continuation Pointer

MSH_15=2=Accept Acknowledgement Type

MSH_16=2=Application Acknowledgement Type

MSH_17=2=Country Code

MSH_18=6=Character Set

MSH_19=60=Principal Language Of Message

MSH_19_1=60=Principal Language Of Message ID

MSH_19_2=50=Principal Language Of Message Text

MSH_19_3=10=Prin. Lan. Of Msg Name of Coding System

MSH_19_4=10=Prin. Lan. Of Msg Alternate Identifier

MSH_19_5=50=Prin. Lan. Of Msg Alternate Text

MSH_19_6=15=Prin. Lan. Of Msg Name of Alternate Coding System

[Acknowledgement]

MSA_1=2=Acknowledgement Code

MSA_2=20=Message Control ID

MSA_3=80=Text Message

MSA_4=15=Expected Sequesnce Number

MSA_5=1=Delayed Acknowledgment Type

MSA_6=100=Error Condition

MSA_6_1=100=Error Condition ID

MSA_6_2=50=Error Condition Text

MSA_6_3=10=Error Condition Name of Coding System

MSA_6_4=10=Error Condition Alternate Identifier

MSA_6_5=50=Error Condition Alternate Text

MSA_6_6=15=Error Condition Name of Alternate Coding System

[Error Code]

ERR_1=80=Error Code and Location

ERR_1_1=80=Error Code and Location Segment ID

ERR_1_2=20=Error Code and Location Sequence

ERR_1_3=20=Error Code and Location Field Position

ERR_1_4=20=Error Code and Location Code Identifying Error

[Merging]

MRG_1=20=Prior Patient ID

MRG_1_1=20=Prior Patient ID ID

MRG_1_2=5=Prior Patient ID - Check Digit

MRG_1_3=5=Prior Patient ID - Check Digit Scheme

MRG_1_4=5=Prior Patient ID - Assigning Authority

MRG_1_4_1=5=Prior Patient ID - Assigning Authority Name ID

MRG_1_4_2=10=Prior Patient ID - Assigning Authority Univ ID

MRG_1_4_3=5=Prior Pat. ID - Assigning Authority Univ ID Type

MRG_1_5=5=Prior Patient ID - ID Type Code

MRG_1_6=5=Prior Patient ID - Assigning Facility

MRG_1_6_1=5=Prior Patient ID - Assigning Facility Name ID

MRG_1_6_2=10=Prior Patient ID - Assigning Facility Univ ID

MRG_1_6_3=5=Prior Patient ID - Assigning Fac. Univ ID Type

MRG_2=20=Prior Alternate Patient ID

MRG_2_1=20=Prior Alternate Patient ID ID

MRG_2_2=5=Prior Alternate Patient ID - Check Digit

MRG_2_3=5=Prior Alternate Patient ID - Check Digit Scheme

MRG_2_4=5=Prior Alt. Pat. ID - Assigning Authority

MRG_2_4_1=5=Prior Alt. Pat. ID - Assigning Authority Name ID

MRG_2_4_2=10=Prior Alt. Pat. ID - Assigning Authority Univ ID

MRG_2_4_3=5=Prior Alt. Pat. ID - Assigning Auth. Univ ID Type

MRG_2_5=5=Prior Alternate Patient ID - ID Type Code

MRG_2_6=5=Prior Alt. Pat. ID - Assigning Facility

MRG_2_6_1=5=Prior Alt. Pat. ID - Assigning Facility Name ID

MRG_2_6_2=10=Prior Alt. Pat. ID - Assigning Facility Univ ID

MRG_2_6_3=5=Prior Alt. Pat. ID - Assigning Fac. Univ ID Type

MRG_3=20=Prior Patient Account Number

MRG_3_1=20=Prior Patient Account Number ID

MRG_3_2=5=Prior Patient Account Number - Check Digit

MRG_3_3=5=Prior Patient Account Number - Check Digit Scheme

MRG_3_4=5=Prior Pat. Acc. Number - Assigning Auth.

MRG_3_4_1=5=Prior Pat. Acc. Number - Assigning Auth. Name ID

MRG_3_4_2=10=Prior Pat. Acc. Number - Assigning Auth. Univ ID

MRG_3_4_3=5=Prior Pat. Acc. Number-Assign. Auth. Univ ID Type

MRG_3_5=5=Prior Patient Account Number - ID Type Code

MRG_3_6=5=Prior Pat. Acc. Number - Assigning Fac.

MRG_3_6_1=5=Prior Pat. Acc. Number - Assigning Fac. Name ID

MRG_3_6_2=10=Prior Pat. Acc. Number - Assigning Fac. Univ ID

MRG_3_6_3=5=Prior Pat. Acc. # - Assign. Fac. Univ ID Type

MRG_4=20=Prior Patient ID - External

MRG_4_1=20=Prior Patient ID - External - ID

MRG_4_2=5=Prior Patient ID - External - Check Digit

MRG_4_3=5=Prior Patient ID - External - Check Digit Scheme

MRG_4_4=5=Prior Pat. ID - External - Assigning Auth.

MRG_4_4_1=5=Prior Pat. ID - External - Assigning Auth. Name ID

MRG_4_4_2=10=Prior Pat. ID - External - Assign. Auth. Univ ID

MRG_4_4_3=5=Prior Pat. ID - Ext. - Assign. Auth. Univ ID Type

MRG_4_5=5=Prior Patient ID - External - ID Type Code

MRG_4_6=5=Prior Pat. ID - External - Assigning Fac

MRG_4_6_1=5=Prior Pat. ID - External - Assigning Fac. Name ID

MRG_4_6_2=10=Prior Pat. ID - External - Assigning Fac. Univ ID

MRG_4_6_3=5=Prior Pat. ID - Ext. - Assign. Fac. Univ ID Type

MRG_5=20=Prior Visit Number

MRG_5_1=20=Prior Visit Number - ID

MRG_5_2=5=Prior Visit Number - Check Digit

MRG_5_3=5=Prior Visit Number - Check Digit Scheme

MRG_5_4=5=Prior Visit Number - Assigning Authority

MRG_5_4_1=5=Prior Visit Number - Assigning Authority Name ID

MRG_5_4_2=10=Prior Visit Number - Assigning Authority Univ ID

MRG_5_4_3=5=Prior Visit Number - Assigning Auth. Univ ID Type

MRG_5_5=5=Prior Visit Number - ID Type Code

MRG_5_6=5=Prior Visit Number - Assigning Facility

MRG_5_6_1=5=Prior Visit Number - Assigning Facility Name ID

MRG_5_6_2=10=Prior Visit Number - Assigning Facility Univ ID

MRG_5_6_3=5=Prior Visit Number - Assigning Fac. Univ ID Type

MRG_6=20=Prior Alternate Visit ID

MRG_6_1=20=Prior Alternate Visit ID - ID

MRG_6_2=5=Prior Alternate Visit ID - Check Digit

MRG_6_3=5=Prior Alternate Visit ID - Check Digit Scheme

MRG_6_4=5=Prior Alt. Visit ID - Assigning Authority

MRG_6_4_1=5=Prior Alt. Visit ID - Assigning Authority Name ID

MRG_6_4_2=10=Prior Alt. Visit ID - Assigning Auth. Univ ID

MRG_6_4_3=5=Prior Alt. Visit ID - Assign. Auth. Univ ID Type

MRG_6_5=5=Prior Alternate Visit ID - ID Type Code

MRG_6_6=5=Prior Alt. Visit ID - Assigning Facility

MRG_6_6_1=5=Prior Alt. Visit ID - Assigning Facility Name ID

MRG_6_6_2=10=Prior Alternate Visit ID - Assigning Fac. Univ ID

MRG_6_6_3=5=Prior Alt. Visit ID - Assigning Fac. Univ ID Type

MRG_7=100=Prior Patient Name

MRG_7_1=25=Prior Patient Name Family Name

MRG_7_2=15=Prior Patient Name Given Name

MRG_7_3=15=Prior Patient Name Middle Name

MRG_7_4=5=Prior Patient Name Suffix

MRG_7_5=5=Prior Patient Name Prefix

MRG_7_6=5=Prior Patient Name Degree

MRG_7_7=5=Prior Patient Name Source Table

[Query Definition]

QRD_1=26=Query Date/Time

QRD_2=1=Query Format Code

QRD_3=1=Query Priority

QRD_4=10=Query ID

QRD_5=1=Deferred Response Type

QRD_6=26=Deferred Response Date/Time

QRD_7=10=Quantity Limited Request

QRD_7_1=10=Quantity Limited Request Quantity

QRD_7_2=10=Quantity Limited Rquest Units

QRD_8=60=Who Subject Filter

QRD_8_1=60=Who Subject Filter ID

QRD_8_2=20=Who Subject Filter Last Name

QRD_8_3=15=Who Subject Filter First Name

QRD_8_4=15=Who Subject Filter Middle Name

QRD_8_5=5=Who Subject Filter Suffix

QRD_8_6=5=Who Subject Filter Prefix

QRD_8_7=10=Who Subject Filter Degree

QRD_8_8=10=Who Subject Filter Source Table

QRD_8_9=5=Who Subject Filter Assigning Authority

QRD_8_9_1=5=Who Subject Filter Assigning Authority Name ID

QRD_8_9_2=10=Who Subject Filter - Assigning Authority Univ ID

QRD_8_9_3=5=Who Subject Filter - Assigning Auth. Univ ID Type

QRD_8_10=5=Who Subject Filter- Name Type Code

QRD_8_11=5=Who Subject Filter - Check Digit

QRD_8_12=5=Who Subject Filter - Check Digit Scheme

QRD_8_13=5=Who Subject Filter - ID Type Code

QRD_8_14=5=Who Subject Filter - Assigning Facility

QRD_8_14_1=5=Who Subject Filter - Assigning Facility Name ID

QRD_8_14_2=10=Who Subject Filter - Assigning Facility Univ ID

QRD_8_13_3=5=Who Subject Filter - Assigning Fac. Univ ID Type

QRD_9=60=What Subject Filter

QRD_9_1=60=What Subject Filter ID

QRD_9_2=50=What Subject Filter Text

QRD_9_3=10=What Subject Filter Name of Coding System

QRD_9_4=10=What Subject Filter Alternate Identifier

QRD_9_5=50=What Subject Filter Alternate Text

QRD_9_6=15=What Subj. Filter Name of Alternate Coding System

QRD_10=60=What Department Data Code

QRD_10_1=60=What Department Data Code ID

QRD_10_2=50=What Department Data Code Text

QRD_10_3=10=What Department Data Code Name of Coding System

QRD_10_4=10=What Department Data Code Alternate Identifier

QRD_10_5=50=What Department Data Code Alternate Text

QRD_10_6=15=What D. Data Code Name of Alternate Coding System

QRD_11=20=What Data Code Value Qual

QRD_11_1=20=What Data Code Value Qual First Data Code Value

QRD_11_2=20=What Data Code Value Qual Last Data Code Value

QRD_12=1=Query Result Level

[Query Filter]

QRF_1=20=Where Subject Filter

QRF_2=26=Whenb Data Start Date/Time

QRF_3=26=When Data End Date/Time

QRF_4=60=What User Qualifier

QRF_5=60=Other QRY Subject Filter

QRF_6=12=Which Date/Time Qualifier

QRF_7=12=Which Date/Time Status Qualifier

QRF_8=12=Date/Time Selection Qualifier

QRF_9=20=When Timing/Quantity Qualifier

QRF_9_1=20=When Timing/Quantity Qualifier Quantiy/Units

QRF_9_2=15=When Timing/Quantity Qualifier Interval

QRF_9_3=15=When Timing/Quantity Qualifier Duration

QRF_9_4=20=When Timing/Quantity Qualifier Start Date/Time

QRF_9_5=20=When Timing/Quantity Qualifier End Date/Time

QRF_9_6=5=When Timing/Quantity Qualifier Priority

QRF_9_7=10=When Timing/Quantity Qualifier Condition

QRF_9_8=50=When Timing/Quantity Qualifier Text

QRF_9_9=20=When Timing/Quantity Qualifier Conjuction

QRF_9_10=10=When Timing/Quantity Qualifier Order Sequencing

[Unsolicited Selection]

URS_1=20=R/U Where Subject Definition

URS_2=26=R/U When Data Start Date/Time

URS_3=26=R/U When Data End Date/Time

URS_4=20=R/U What User Qualifier

URS_5=20=R/U Other Results Subject Definition

URS_6=12=R/U Which Date/Time Qualifier

URS_7=12=R/U Which Date/Time Status Qualifier

URS_8=12=R/U Date/Time Selection Qualifier

URS_9=60=R/U Timing/Quantity Qualifier

URS_9_1=60=R/U Timing/Quantity Qualifier Quantiy/Units

URS_9_2=15=R/U Timing/Quantity Qualifier Interval

URS_9_3=15=R/U Timing/Quantity Qualifier Duration

URS_9_4=20=R/U Timing/Quantity Qualifier Start Date/Time

URS_9_5=20=R/U Timing/Quantity Qualifier End Date/Time

URS_9_6=5=R/U Timing/Quantity Qualifier Priority

URS_9_7=10=R/U Timing/Quantity Qualifier Condition

URS_9_8=50=R/U Timing/Quantity Qualifier Text

URS_9_9=20=R/U Timing/Quantity Qualifier Conjuction

URS_9_10=10=R/U Timing/Quantity Qualifier Order Sequencing

[Continuate Pointer]

DSC_1=70=Continuation Pointer

[Display Data]

DSP_1=4=Set ID - DSP

DSP_2=4=Display Level

DSP_3=300=Data Line

DSP_4=2=Logical Break Point

DSP_5=20=Result ID

[Addendum]

ADD_1=100=64k-Addendum Continuation Pointer

[File Header]

FHS_1=1=File Field Separator

FHS_2=4=File Encoding Characters

FHS_3=15=File Sending Application

FHS_4=20=File Sending Facility

FHS_5=15=File Receiving Application

FHS_6=20=File Receiving Facility

FHS_7=26=File Creation Date/Time

FHS_8=40=File Security

FHS_9=20=File Name/ID

FHS_10=80=File Header Comment

FHS_11=20=File Control ID

FHS_12=20=Reference File Control ID

[File Trailer]

FTS_1=10=File Batch Count

FTS_2=80=File Trailer Comment

[Batch Header]

BHS_1=1=Batch Field Separator

BHS_2=3=Batch Encoding Characters

BHS_3=15=Batch Sending Application

BHS_4=20=Batch Sending Facility

BHS_5=15=Batch Receiving Application

BHS_6=20=Batch Receiving Facility

BHS_7=26=Batch Creation Date/Time

BHS_8=40=Batch Security

BHS_9=20=Batch Name/ID

BHS_10=80=Batch Header Comment

BHS_11=20=Batch Control ID

BHS_12=20=Reference Batch File Control ID

[Batch Trailer]

BTS_1=1=Batch Message Count

BTS_2=80=Batch Comment

BTS_3=100=Batch Totals

[Notes And Comments]

NTE_1=4=Set ID - NTE

NTE_2=8=Source of Comment

NTE_3=64k=Comment

[Embedded Query]

EQL_1=32=Query Tag

EQL_2=1=Query/Response Format Code

EQL_3=60=EQL Query Name

EQL_3_1=60=EQL Query Name ID

EQL_3_2=50=EQL Query Name Text

EQL_3_3=10=EQL Query Name Name of Coding System

EQL_3_4=10=EQL Query Name Alternate Identifier

EQL_3_5=50=EQL Query Name Alternate Text

EQL_3_6=15=EQL Query Name Name of Alternate Coding System

EQL_4=4096=EQL Query Statement

[Virtual Table Query]

VTQ_1=32=Query Tag

VTQ_2=1=Query/Response Format Code

VTQ_3=60=VT Query Name

VTQ_3_1=60=VT Query Name ID

VTQ_3_2=50=VT Query Name Text

VTQ_3_3=10=VT Query Name Name of Coding System

VTQ_3_4=10=VT Query Name Alternate Identifier

VTQ_3_5=50=VT Query Name Alternate Text

VTQ_3_6=15=VT Query Name Name of Alternate Coding System

VTQ_4=60=Virtual Table Name

VTQ_4_1=60=Virtual Table Name ID

VTQ_4_2=50=Virtual Table Name Text

VTQ_4_3=10=Virtual Table Name Name of Coding System

VTQ_4_4=10=Virtual Table Name Alternate Identifier

VTQ_4_5=50=Virtual Table Name Alternate Text

VTQ_4_6=15=Virtual Tbl Name Name of Alternate Coding System

VTQ_5=256=Selection Criteria

VTQ_5_1=256=Selection Criteria Name of Field

VTQ_5_2=50=Selection Criteria Relational Operation

VTQ_5_3=20=Selection Criteria Value

VTQ_5_4=20=Selection Criteria Relational Conjunction

[Table Row Definition]

RDF_1=3=Number of Columns Per Row

RDF_2=40=Column Description

RDF_2_1=40=Column Description HL7 Item Number

RDF_2_2=15=Column Description HL7 Data Type

RDF_2_3=5=Maximum Column Width

[Table Row Data]

RDT_1=1=Column Value

[Store Procedure]

SPR_1=32=Query Tag

SPR_2=1=Query/Response Format Code

SPR_3=60=Stored Procedure Name

SPR_3_1=60=Stored Procedure Name ID

SPR_3_2=50=Stored Procedure Name Text

SPR_3_3=10=Stored Procedure Name Name of Coding System

SPR_3_4=10=Stored Procedure Name Alternate Identifier

SPR_3_5=50=Stored Procedure Name Alternate Text

SPR_3_6=15=Stored Proc. Name Name of Alternate Coding System

SPR_4=256=Stored Input Parameter List

SPR_4_1=256=Stored Input Parameter List Field Name

SPR_4_2=25=Stored Input Parameter List Values 1, 2, 3...

[Event Replay Query]

ERQ_1=32=Query Tag

ERQ_2=60=Event Identifier

ERQ_2_1=60=Event Identifier ID

ERQ_2_2=50=Event Identifier Text

ERQ_2_3=10=Event Identifier Name of Coding System

ERQ_2_4=10=Event Identifier Alternate Identifier

ERQ_2_5=50=Event Identifier Alternate Text

ERQ_2_6=15=Event Identifier Name of Alternate Coding System

ERQ_3=256=Event Input Parameter List

ERQ_3_1=256=Event Input Parameter List Field Name

ERQ_3_2=25=Event Input Parameter List Values 1, 2, 3...

[Query Acknowledge]

QAK_1=32=Query Tag

QAK_2=2=Query Response Status

[Patient Allergy]

AL1_1=4=Set ID - AL1

AL1_2=5=Allergy Type

AL1_3=10=Allergy Code

AL1_3_1=10=Allergy Code ID

AL1_3_2=15=Allergy Description

AL1_3_3=10=Allergy Coding System

AL1_3_4=10=Allergy Alternate Code

AL1_3_5=15=Allergy Alternate Description

AL1_3_6=10=Allergy Alternate Coding System

AL1_4=5=Allergy Severity

AL1_5=15=Allergy Reaction

AL1_6=10=Allergy Identified Date

[Disability Info]

DB1_1=4=Set ID - DB1

DB1_2=2=Disabled Person Code

DB1_3=15=Disabled Person ID

DB1_3_1=15=Disabled Person ID - ID

DB1_3_2=5=Disabled Person ID - Check Digit

DB1_3_3=5=Disabled Person ID - Check Digit Scheme

DB1_3_4=5=Disabled Person ID - Assigning Authority

DB1_3_4_1=5=Disabled Person ID - Assigning Authority Name ID

DB1_3_4_2=10=Disabled Person ID - Assigning Authority Univ ID

DB1_3_4_3=5=Disabled Person ID - Assigning Auth. Univ ID Type

DB1_3_5=5=Disabled Person ID - ID Type Code

DB1_3_6=5=Disabled Person ID - Assigning Facility

DB1_3_6_1=5=Disabled Person ID - Assigning Facility Name ID

DB1_3_6_2=10=Disabled Person ID - Assigning Facility Univ ID

DB1_3_6_3=5=Disabled Person ID - Assigning Fac. Univ ID Type

DB1_4=1=Disabled Indicator

DB1_5=8=Disability Start Date

DB1_6=8=Disability End Date

DB1_7=8=Disability Return to Work Date

DB1_8=8=Disability Unable to Work Date

[Event]

EVN_1=5=Event Type Code

EVN_2=26=Recorded Date/Time

EVN_3=26=Planned Event Date/Time

EVN_4=5=Event Reason Code

EVN_5=60=Operator ID

EVN_6=26=Event Occurred

[Billing]

FT1_1=4=Set ID

FT1_2=12=Transaction ID

FT1_3=10=Transaction Batch ID

FT1_4=26=Transaction Date

FT1_5=26=Transaction Posting Date

FT1_6=8=Transaction Type

FT1_7=80=Transaction Code ID

FT1_7_1=50=Transaction Code Text

FT1_7_2=10=Transaction Code Name of Coding System

FT1_7_3=10=Transaction Code Alternate Identifier

FT1_7_4=50=Transaction Code Alternate Text

FT1_7_5=15=Transaction Code Name of Alternate Coding System

FT1_8=40=Transaction Description

FT1_9=40=Transaction Description - Alternate

FT1_10=6=Transaction Quantity

FT1_11=12=Transaction Amount - Extended - Price

FT1_11_0_1=5=Transaction Amount - Extended - Denomination

FT1_11_1=5=Transaction Amount - Extended Price Type

FT1_11_2=12=Transaction Amount - Extended From Value

FT1_11_3=12=Transaction Amount - Extended To Value

FT1_11_4=10=Transaction Amount - Extended Range Unit ID

FT1_11_4_1=20=Transaction Amount - Extended Range Unit Description

FT1_11_4_2=10=Transaction Amount - Extended Range Unit Coding System

FT1_11_4_3=10=Transaction Amount - Extended Range Unit Alternate ID

FT1_11_4_4=20=Transaction Amount - Extended Range Unit Alt. Description

FT1_11_4_5=10=Transaction Amount - Extended Range Unit Alt. Coding Sys

FT1_12=12=Transaction Amount - Unit - Price

FT1_12_0_1=5=Transaction Amount - Unit - Denomination

FT1_12_1=5=Transaction Amount - Unit Price Type

FT1_12_2=12=Transaction Amount - Unit From Value

FT1_12_3=12=Transaction Amount - Unit To Value

FT1_12_4=10=Transaction Amount - UnitRange Unit ID

FT1_12_4_1=20=Transaction Amount - UnitRange Unit Description

FT1_12_4_2=10=Transaction Amount - UnitRange Unit Coding System

FT1_12_4_3=10=Transaction Amount - Unit Range Unit Alternate ID

FT1_12_4_4=20=Transaction Amount - UnitRange Unit Alt. Description

FT1_12_4_5=10=Transaction Amount - UnitRange Unit Alt. Coding Sys

FT1_13=60=Department Code ID

FT1_13_1=50=Department Code Text

FT1_13_2=10=Department Code Name of Coding System

FT1_13_3=10=Department Code Alternate Identifier

FT1_13_4=50=Department Code Alternate Text

FT1_13_5=15=Department Code Name of Alternate Coding System

FT1_14=60=Insurance Plan ID

FT1_14_1=50=Insurance Plan Text

FT1_14_2=10=Insurance Plan Name of Coding System

FT1_14_3=10=Insurance Plan Alternate Identifier

FT1_14_4=50=Insurance Plan Alternate Text

FT1_14_5=15=Insurance Plan Name of Alternate Coding System

FT1_15=12=Insurance Amount - Unit - Price

FT1_15_0_1=5=Insurance Amount - Unit - Denomination

FT1_15_1=5=Insurance Amount - Unit Price Type

FT1_15_2=12=Insurance Amount - Unit From Value

FT1_15_3=12=Insurance Amount - Unit To Value

FT1_15_4=10=Insurance Amount - UnitRange Unit ID

FT1_15_4_1=20=Insurance Amount - UnitRange Unit Description

FT1_15_4_2=10=Insurance Amount - UnitRange Unit Coding System

FT1_15_4_3=10=Insurance Amount - Unit Range Unit Alternate ID

FT1_15_4_4=20=Insurance Amount - UnitRange Unit Alt. Description

FT1_15_4_5=10=Insurance Amount - UnitRange Unit Alt. Coding Sys

FT1_16=80=Assigned Patient Location Point of Care

FT1_16_1=6=Assigned Patient Location Room

FT1_16_2=4=Assigned Patient Location Bed

FT1_16_3=15=Assigned Patient Location Facility

FT1_16_4=6=Assigned Patient Location Location Status

FT1_16_5=6=Assigned Patient Location Patient Location Type

FT1_16_6=6=Assigned Patient Location Building

FT1_16_7=6=Assigned Patient Location Floor

FT1_16_8=20=Assigned Patient Location Location Description

FT1_17=1=Fee Schedule

FT1_18=2=Patient Type

FT1_19=60=Diagnosis Code ID

FT1_19_1=50=Diagnosis Code Text

FT1_19_2=10=Diagnosis Code Name of Coding System

FT1_19_3=10=Diagnosis Code Alternate Identifier

FT1_19_4=50=Diagnosis Code Alternate Text

FT1_19_5=15=Diagnosis Code Name of Alternate Coding System

FT1_20=120=Performed By Code ID

FT1_20_1=20=Performed By Code Last Name

FT1_20_2=15=Performed By Code First Name

FT1_20_3=15=Performed By Code Middle Name

FT1_20_4=5=Performed By Code Suffix

FT1_20_5=5=Performed By Code Prefix

FT1_20_6=10=Performed By Code Degree

FT1_20_7=10=Performed By Code Source Table

FT1_20_8=5=Performed By Code Assigning Authority Name ID

FT1_20_8_1=10=Performed By Code - Assigning Authority Univ ID

FT1_20_8_2=5=Performed By Code - Assigning Authority Univ ID Type

FT1_20_9=5=Performed By Code- Name Type Code

FT1_20_10=5=Performed By Code - Check Digit

FT1_20_11=5=Performed By Code- Check Digit Scheme

FT1_20_12=5=Performed By Code - ID Type Code

FT1_20_13=5=Performed By Code - Assigning Facility Name ID

FT1_20_13_1=10=Performed By Code - Assigning Facility Univ ID

FT1_20_13_2=5=Performed By Code - Assigning Facility Univ ID Type

FT1_21=120=Ordered By Code ID

FT1_21_1=20=Ordered By Code Last Name

FT1_21_2=15=Ordered By Code First Name

FT1_21_3=15=Ordered By Code Middle Name

FT1_21_4=5=Ordered By Code Suffix

FT1_21_5=5=Ordered By Code Prefix

FT1_21_6=10=Ordered By Code Degree

FT1_21_7=10=Ordered By Code Source Table

FT1_21_8=5=Ordered By Code Assigning Authority Name ID

FT1_21_8_1=10=Ordered By Code - Assigning Authority Univ ID

FT1_21_8_2=5=Ordered By Code - Assigning Authority Univ ID Type

FT1_21_9=5=Ordered By Code- Name Type Code

FT1_21_10=5=Ordered By Code - Check Digit

FT1_21_11=5=Ordered By Code- Check Digit Scheme

FT1_21_12=5=Ordered By Code - ID Type Code

FT1_21_13=5=Ordered By Code - Assigning Facility Name ID

FT1_21_13_1=10=Ordered By Code - Assigning Facility Univ ID

FT1_21_13_2=5=Ordered By Code - Assigning Facility Univ ID Type

FT1_22=12=Unit Cost - Price

FT1_22_0_1=5=Unit Cost - Denomination

FT1_22_1=5=Unit Costt - Unit Price Type

FT1_22_2=12=Unit Cost - Unit From Value

FT1_22_3=12=Unit Cost- Unit To Value

FT1_22_4=10=Unit Cost - UnitRange Unit ID

FT1_22_4_1=20=Unit Cost - UnitRange Unit Description

FT1_22_4_2=10=Unit Cost - UnitRange Unit Coding System

FT1_22_4_3=10=Unit Cost - Unit Range Unit Alternate ID

FT1_22_4_4=20=Unit Cost - UnitRange Unit Alt. Description

FT1_22_4_5=10=Unit Cost - UnitRange Unit Alt. Coding Sys

FT1_23=22=Filler Order Number

FT1_23_1=25=Filler Order Number Namespace

FT1_23_2=25=Filler Order Number Universal ID

FT1_23_3=25=Filler Order Number Universal ID Type

FT1_24=120=Entered By Code ID

FT1_24_1=20=Entered By Code Last Name

FT1_24_2=15=Entered By Code First Name

FT1_24_3=15=Entered By Code Middle Name

FT1_24_4=5=Entered By Code Suffix

FT1_24_5=5=Entered By Code Prefix

FT1_24_6=10=Entered By Code Degree

FT1_24_7=10=Entered By Code Source Table

FT1_24_8=5=Entered By Code Assigning Authority Name ID

FT1_24_8_1=10=Entered By Code - Assigning Authority Univ ID

FT1_24_8_2=5=Entered By Code - Assigning Authority Univ ID Type

FT1_24_9=5=Entered By Code- Name Type Code

FT1_24_10=5=Entered By Code - Check Digit

FT1_24_11=5=Entered By Code- Check Digit Scheme

FT1_24_12=5=Entered By Code - ID Type Code

FT1_24_13=5=Entered By Code - Assigning Facility Name ID

FT1_24_13_1=10=Entered By Code - Assigning Facility Univ ID

FT1_24_13_2=5=Entered By Code - Assigning Facility Univ ID Type

FT1_25=80=Procedure Code ID

FT1_25_1=50=Procedure Code Text

FT1_25_2=10=Procedure Code Name of Coding System

FT1_25_3=10=Procedure Code Alternate Identifier