Please note that MDH uses different Terminologies than the HL7 Version 2.5.1 Implementation Guide:
Electronic Laboratory Reporting to Public Health, Release 1 (US Realm) to denote which segments and
fields are Required, Desired, Optional or Not Used by MDH-ELR for a valid message. Please refer to the
table below for the definition of these terms. Please be aware that HL7 messages cannot be processed
at MDH without the required fields denoted by "R" in the "Required by MDH" column in the MDH
specifications for ELR (HL7 2.5.1) document.
MDH is using following terminologies that are different from the HL7 2.5.1 Implementation Guide.
R: Message will not be processed without these required segments and fields
D: MDH would like to receive data for these fields. Send them to MDH if you have the data. Messages can be
processed without those data but MDH anticipates requesting those data in future for further processing. Hence,
it is better to send them beforehand as desired by MDH.
O: Messages can be sent to MDH without the optional data.
X: Fields not used by the MDH receiving system, the sending facility can provide information in these fields but
they will not be used by the receiving system and guidelines on what to send in these fields will not be provided
by MDH.
Sequence Number HL7 2.5.1 Data Element Name
Required
by HL7
2.5.1
Required
by MDH
Data Element Notes
Recommended Values and
Examples
File Header Segment (FHS)
FHS-1
File Field Separator
FHS-2
File Encoding Characters
R
R
FHS- 3
File Sending Application
O
O
RE
R
R
O
O
O
FHS- 3.1
FHS- 3.2
FHS- 3.3
FHS-4
Namespace ID
Universal ID
Universal ID Type
File Sending Facility
R
R
O
R
FHS- 4.1
Namespace ID
RE
R
FHS- 4.2
Universal ID
R
R
FHS- 4.3
Universal ID Type
R
R
The character used to separate fields is a pipe
‘|’.
The four characters always appear in the same
order
File sending application (values should match
those in MSH-3)
File sending facility (values should match those
in MSH-4)
Name of the file sending facility
MDH understands most senders will not have
OID. OID or CLIA # of sending facility is
acceptable here. Example shows MDH Lab's
CLIA #
Constrained to the value 'ISO' except where the
Universal ID is a CLIA #, then 'CLIA' is allowed
O
R
Namespace ID
RE
R
Name of the receiving application
FHS- 5.2
Universal ID
R
R
Must be OID of Receiving Application
FHS- 5.3
Universal ID Type
R
R
Constrained to the value 'ISO'
File Receiving Facility
O
D
FHS- 6.1
Namespace ID
RE
D
Name of the receiving facility
FHS- 6.2
Universal ID
R
D
Must be OID of Receiving Facility
R
O
D
D
Constrained to the value 'ISO'
The Date/ Time when the file was created
R
D
Date/ Time the File was created by the sending
system. Format:
YYYYMMDDHHMMSS[.S[S[S[S]]]]+/-ZZZZ. Note
that the time zone offset us required and the
minimum granularity is to the second, although
more precise time stamps are allowed.
X
X
X
X
X
X
FHS-5
FHS- 5.1
FHS-6
FHS- 6.3
FHS-7
FHS-7.1
File Receiving Application
Universal ID Type
File Creation Date/ Time
Date/Time
Literal Value:"|" (pipe delimiter)
Literal Value: "^~\&"
e.g. MDH Lab
e.g. 24D0651409
e.g. CLIA
Literal Value: "MEDSS-ELR Prod"
Literal Value:
"2.16.840.1.114222.4.3.3.6.2.1"
Literal Value: "ISO"
Literal Value: "MN DOH"
Literal Value
"2.16.840.1.114222.4.1.3661"
Literal Value: "ISO"
e.g. 20111216201500.574-0600
FHS-7.2
FHS-8
FHS-9
FHS-10
FHS-11
FHS-12
Degree Of Precision
File Security
File Name/ ID
File Header Comment
File Control/ ID
Reference File Control ID
X
X
O
X
X
X
BHS-1
Batch field Separator
R
R
Literal Value: "|"
BHS-2
Batch Encoding Characters
R
R
Literal Value: "^~\&"
BHS-3
BHS-3.1
BHS-3.2
BHS-3.3
BHS-4
BHS-4.1
Batch Sending Application
Namespace ID
Universal ID
Universal ID Type
Batch Sending Facility
Namespace ID
O
RE
R
R
O
RE
O
O
O
O
R
R
Batch Header Segment (BHS)
BHS-4.2
Universal ID
R
R
BHS-4.3
Universal ID Type
R
R
BHS-5
BHS- 5.1
Batch Receiving Application
Namespace ID
O
R
RE
R
Name of the batch sending facility
MDH understands most senders will not have an
OID. OID or CLIA # of batch sending facility is
acceptable here. Example shows MDH Lab's
CLIA #
Constrained to the value 'ISO' except where the
Universal ID is a CLIA #, then 'CLIA' is allowed
Name of the batch receiving application
e.g. MDH Lab
e.g. 24D0651409
e.g. CLIA
Literal Value: "MN.MEDSS.Prod"
BHS- 5.2
Universal ID
R
R
Must be OID of the receiving application
BHS- 5.3
Universal ID Type
R
R
Constrained to the value 'ISO'
O
O
Unique Identifier of the facility that is to receive
the message. This filed has the same deifinition
as the corresponding filed in the MSH segment.
BHS-6
Batch Receiving Facillity
BHS- 6.1
Namespace ID
RE
O
BHS- 6.2
Universal ID
R
O
R
O
O
O
Date/ time the batch was created by the sending
system.
R
O
Date/ Time the Batch was created by the
sending system. Format:
YYYYMMDDHHMMSS[.S[S[S[S]]]]+/-ZZZZ. Note
that the time zone offset us required and the
minimum granularity is to the second, although
more precise time stamps are allowed.
X
X
X
X
X
X
BHS- 6.3
BHS-7
BHS-7.1
Universal ID Type
Batch Creation Date/ Time
Date/Time
BHS-7.2
BHS-8
BHS-9
BHS-10
BHS-11
BHS-12
Degree of Precision
Batch Security
Batch Name/ ID/ Type
Batch Comment
Batch Control ID
Reference Batch Control D
X
X
O
X
X
X
MSH-1
MSH-2
Field Separator
Encoding Characters
R
R
R
R
MSH- 3
Sending Application
R
D
RE
D
Literal Value:
"2.16.840.1.114222.4.3.3.6.2.1"
Literal Value: "ISO"
Literal Value: "MN DOH"
Literal Value
"2.16.840.1.114222.4.1.3661"
Literal Value: "ISO"
Message Header (MSH)
MSH-3.1
MSH-3.2
MSH-3.3
MSH- 4
MSH-4.1
Namespace ID
Universal ID
Universal ID Type
Sending Facility
Namespace ID
R
D
R
D
R
R
RE
R
Literal Value:"|" (pipe delimiter)
Literal Value: "^~\&"
Sending application (values should match those
in FHS-3)
Name of the sending application
MDH understands most senders will not have
an application OID. In that case this can be left
blank. The example shows the OID for MDH
Lab's sending application
Constrained to the value 'ISO'
Sending facility (values should match those in
FHS-4)
Name of the sending facility (values should
match those in FHS-4)
MSH-4.2
Universal ID
R
D
MDH understands most senders will not have
OID. OID or CLIA # of sender is acceptable
here. The example shows MDH Lab's CLIA #
MSH-4.3
Universal ID Type
R
D
If MSH4.2 is valued, MSH 4.3.must be valued.
Constrained to the value 'ISO' except where the
facility CLIA # is sent, then 'CLIA' is allowed
MSH- 5
R
R
MSH-5.1
Namespace ID
RE
R
Name of the receiving application
MSH-5.2
Universal ID
R
R
Must be OID of the receiving application
R
R
R
R
MSH-5.3
MSH- 6
Receiving Application
Universal ID Type
Receiving Facility
Constrained to the value 'ISO'
MSH-6.1
Namespace ID
RE
R
"MN DOH" is required value which is the name
of the receiving facility
MSH-6.2
Universal ID
R
R
Must be OID of the receiving facility
R
R
R
R
Constrained to the value 'ISO'
MSH-6.3
MSH-7
MSH-7.1
MSH-7.2
MSH- 8
MSH-9
Universal ID Type
Date/ Time of message
Date/Time
Degree of Precision
Security
Message Type
R
R
X
O
R
X
O
R
MSH-9.1
Message Code
R
R
MSH-9.2
Trigger Event
R
R
MSH-9.3
Message Structure
R
R
R
R
R
R
MSH-10
MSH-11
Message Control ID
Processing ID
MSH-11.1
Processing ID
R
R
MSH-11.2
Processing Mode
O
O
R
R
R
R
MSH-12
MSH-12.1
Version ID
Version ID
Date/ Time the message was created by the
sending system. Format:
YYYYMMDDHHMMSS[.S[S[S[S]]]]+/-ZZZZ. Note
that the time zone offset us required and the
minimum granularity is to the second, although
more precise time stamps are allowed.
Message Type (ORU), HL7 0076 Refer to the
HL7 0301 table from HL7 2.5.1 Implementation
Guide for values.
Trigger Event (RO1). Refer to the HL7 00031
table from HL7 2.5.1 Implementation Guide for
values.
Message Structure: Value is "ORU^R01". Refer
to the HL7 0354 table from HL7 2.5.1
Implementation Guide for values.
Unique Message Id
Use "T" for Test messages, use "P" for
Production messages
Refer to the HL7 0207 table from HL7 2.5.1
Implementation Guide for values.
HL7 Version Number used to interpret the
format and content of the message
e.g. MN OpenELIS Prod
e.g. 2.16.840.1.114222.4.3.3.6.1.1
ISO
e.g. MDH Lab
e.g. 24D0651409
e.g. CLIA
Literal Value: "MEDSS-ELR Prod"
Literal Value
"2.16.840.1.114222.4.3.3.6.2.1"
Literal Value: "ISO"
Literal Value: "MN DOH"
Literal Value
"2.16.840.1.114222.4.1.3661"
Literal Value: "ISO"
e.g. 20111216190021.972-0600
Literal Value: "ORU"
Literal Value: "R01"
Literal Value: "ORU_R01"
e.g. 10718
e.g. P
Literal Value: "2.5.1"
MSH- 17
Internationalization Code
International Version ID
Sequence number
Continuation Pointer
Accept Acknowledgement
Type
Application
Acknowledgement Type
Country Code
MSH- 18
Character Set
MSH-12.2
MSH-12.3
MSH- 13
MSH- 14
MSH- 15
MSH- 16
Principal Language of
Message
Alternate Character Set
Handling Scheme
MSH- 19
MSH- 20
MSH 21
Message Profile Identifier
O
O
O
O
X
X
O
O
CE
X
CE
X
O
O
O
O
O
X
O
X
R
R
If empty, the default is 'USA"
Refer to the HL7 0211 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0356 table from HL7 2.5.1
Implementation Guide for values.
See HL7 2.5.1 guide section 3.3 Dynamic
Definitions for acceptable values
See HL7 2.5.1 guide section 3.3 Dynamic
Definitions for acceptable values
MSH 21.1
Entity Identifier
R
R
MSH 21.2
Namespace ID
RE
R
MSH 21.3
Universal ID
R
R
Must be an OID.
MSH 21.4
Universal ID Type
R
R
Constrained to the value 'ISO'
Literal Value: "PHLabReport-Batch"
Literal Value: "PHIN"
Literal Value:
"2.16.840.1.114222.4.10.3"
Literal Value: "ISO"
Software Segment [{SFT}]
SFT-1
R
D
SFT-1.1
Organization Name
Software Vendor Organization
CE
D
SFT-1.2
Organization Name Type Code
RE
O
SFT-1.3
ID number
X
X
SFT-1.4
Check Digit
O
O
SFT-1.5
Check Digit Scheme
O
O
SFT-1.6
Assigning Authority
CE
O
SFT-1.6.1
Namespace ID
Re
O
SFT-1.6.2
Universal ID
R
O
SFT-1.6.3
Universal ID Type
SFT-1.7
Identifier Type Code
SFT-1.8
Assigning Facility
SFT-1.8.1
Namespace ID
R
O
CE
O
O
O
Re
O
SFT-1.8.2
Universal ID
R
O
SFT-1.8.3
Universal ID Type
R
O
SFT-1.9
SFT-1.10
SFT-2
SFT-3
Name Representation Code
Organization Identifier
Software Certified Version or
Release Number
Software Product Name
O
O
RE
O
e.g. Orion Health
R
D
e.g. 4
R
D
e.g. Orion Rhapsody
e.g. 789654
SFT-4
Software Binary ID
R
D
SFT-5
Software Product Information
O
O
SFT-6
Software Install Date
RE
D
SFT-6.1
Time
R
D
SFT-6.2
Degree of Precision
X
X
e.g. 20110101
Patient Identifier List (PID)
Set ID- PID
Patient ID
Patient Identifier List
PID-1
PID-2
PID- 3
PID- 3.1
ID number
R
X
R
R
X
R
R
R
O
O
R
RE
X
X
R
R
PID- 3.2
PID- 3.3
PID- 3.4
PID- 3.4.1
Check Digit
Check Digit Scheme
Assigning Authority
Namespace ID
PID- 3.4.2
Universal ID
R
O
Universal ID Type
R
O
R
R
RE
RE
R
R
PID- 3.4.3
PID- 3.5
Identifier Type Code
PID- 3.6
PID- 3.6.1
Assigning Facility
Namespace ID
PID- 3.6.2
Universal ID
R
O
PID- 3.6.3
PID- 3.7
PID- 3.8
Universal ID Type
Effective Date
Expiration Date
R
O
O
O
O
O
Literal Value: '1'
NOTE: PATIENT SOCIAL SECURITY
NUMBERS ARE NOT ALLOWED AT MDH FOR
INFECTIOUS DISEASE REPORTING
Name of the Assigning Authority
Must be an OID if one exists for the assigning
authority. However if the patient ID is assigned
by the sending application or facility MDH
understands most senders will not have an OID.
(In that case this can be left blank The example
shows the OID for MDH Lab's sending
application)
Constrained to the value 'ISO'
Refer to the HL7 0203 table from HL7 2.5.1
Implementation Guide for values.
Assigning Facility Name
Must be an OID if one exists for the assigning
Facility. However if the patient ID is assigned
by the sending facility MDH understands most
senders will not have a Facility OID. In that
case this can be left blank.
Constrained to the value 'ISO'
e.g. 2011300524
e.g. MN OpenELIS Prod
e.g. 2.16.840.1.114222.4.3.3.6.1.1
ISO
e.g. PI
e.g. MDH Lab
e.g. 2.16.840.1.114222.4.1.10080
ISO
PID- 3.9
PID- 3.10
PID- 4
PID- 5
Assigning Jurisdiction
Assigning Agency or
Department
Alternate Patient ID
Patient Name
PID- 5.1
PID- 5.1.1
PID- 5.1.2
PID- 5.1.3
Family Name
Surname
Own Surname Prefix
Own Surname
Surname Prefix from Partner/
PID- 5.1.4
Spouse
PID- 5.1.5 Surname from Partner/ Spouse
O
X
O
X
X
X
R
R
RE
R
O
O
D
D
O
O
O
O
Patient name or aliases. When the
name of the patient is not known, a
value must still be placed in this
field since the field is required. In
that case, HL7 recommends the
following: |~^^^^^^U|. The "U" for the
name type code in the second name
indicates that it is unspecified.
Since there may be no name
components populated, this means
there is no legal name, nor is there
an alias. This guide will interpret
this sequence to mean there is no
patient name.
e.g. Johnson
O
O
RE
D
RE
D
e.g. A.
PID- 5.4
PID- 5.5
Given Name
Second and Further Given
Names or Initials
Suffix (e.g., JR or III)
Prefix (e.g., DR)
RE
RE
D
D
e.g. JR
e.g. DR
PID- 5.6
Degree (e.g., MD)
O
O
PID- 5.7
Name Type Code
RE
D
PID- 5.8
Name Representation Code
O
O
X
PID- 5.2
PID- 5.3
e.g. John
Refer to the HL7 0360 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0200 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0465 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0448 table from HL7 2.5.1
Implementation Guide for values.
PID- 5.9
Name Context
O
PID- 5.10
Name Validity Range
X
X
PID- 5.11
Name Assembly Order
O
O
O
O
X
X
RE
D
Refer to the HL7 0360 table from HL7 2.5.1
Implementation Guide for values.
RE
D
Please include when necessary for identification
purposes of the patient (i.e. newborns) Name
type code is constrained to the value "M"
RE
R
O
O
D
D
X
X
PID- 5.12
PID- 5.13
PID- 5.14
PID- 6
Efective Date
Expiration Date
Professional Suffix
Mother's Maiden Name
PID- 6.1
PID- 6.1.1
PID- 6.1.2
PID- 6.1.3
Family Name
Surname
Own Surname Prefix
Own Surname
Surname Prefix from Partner/
PID- 6.1.4
Spouse
PID- 6.1.5 Surname from Partner/ Spouse
PID- 6.2
PID- 6.3
PID- 6.4
PID- 6.5
PID- 6.6
PID- 6.7
PID- 6.8
PID- 6.9
PID- 6.10
PID- 6.11
PID- 6.12
PID- 6.13
PID- 6.14
PID-7
PID-7.1
Given Name
Second and Further Given
Names or Initials
Suffix (e.g., JR or III)
Prefix (e.g., DR)
Degree (e.g., MD)
Name Type Code
Name Representation Code
Name Context
Name Validity Range
Name Assembly Order
Efective Date
Expiration Date
Professional Suffix
Patient Date/ Time of Birth
O
X
O
X
RE
O
RE
X
RE
RE
O
RE
O
O
X
O
O
O
RE
RE
X
X
X
O
X
X
X
X
X
X
X
D
Date/Time
X
X
PID-8
Administrative Sex
RE
D
PID- 9
PID- 10
Patient Alias
Patient Race
X
RE
X
D
PID-7.2
Degree of Precision
D
PID- 10.1
Identifier
RE
D
PID- 10.2
Description Text
CE
X
e.g. L
Refer to the HL7 0444 table from HL7 2.5.1
Implementation Guide for values.
constrained to the value M
Date/ Time Format:
YYYYMMDDHHMMSS[.S[S[S[S]]]]+/-ZZZZ. The
time zone component is optional for patient
DOB. Noe: If a birthdate is not provided in PID
7 then the patient age at specimen collection
must be reported as an observation associated
with the SPM segement.
e.g. CER
M
e.g.19920101
Refer to the HL7 0001 table from HL7 2.5.1
Implementation Guide for values.
e.g. M
Refer to the HL7 0005 table from HL7 2.5.1
Implementation Guide for values.
e.g. 2106-3
PID- 10.3
Name of Coding System
CE
D
PID- 10.4
PID- 10.5
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
RE
CE
X
X
PID- 10.9
PID- 10.10
PID- 10.11
PID- 10.6
CE
X
RE
D
RE
X
Original Text
CE
D
O
O
X
X
O
X
PID- 10.14
PID- 10.15
PID- 10.16
PID- 10.17
PID- 10.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
PID- 10.19
Alternate Value Set Version ID
PID- 10.7
PID- 10.8
PID- 10.12
PID- 10.13
Second Alternate Coding
PID- 10.20
System OID
Second Alternate Value Set
PID- 10.21
OID
Second Alternate Value Set
PID- 10.22
Version ID
PID-11
Patient Address
PID-11.1
Street Address
Street or Mailing Address
PID- 11.1.1
PID- 11.1.2
PID- 11.1.3
Street Name
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
RE
RE
R
D
D
D
O
O
O
O
PID- 11.2
PID- 11.3
PID- 11.4
PID- 11.5
PID- 11.6
Other Designation
City Name
State or Province
Zip Code or Postal Code
Country
RE
RE
RE
RE
RE
D
D
D
D
D
PID- 11.7
Address Type
RE
D
PID- 11.8
Other Geographic Designation
O
O
PID- 11.9
PID- 11.10
Patient County/ Parish Code
Census Tract
RE
O
D
X
PID- 11.11
Address Representation Code
O
X
X
O
O
X
RE
X
X
X
X
X
D
X
RE
X
PID- 11.12
PID- 11.13
PID- 11.14
PID- 12
PID- 13
PID- 13.1
PID- 13.2
Dwelling Number
O
Address Validity Range
Effective Date
Expiration Date
County Code
Phone Number- Home
Telephone Number
Telecommunication Use Code
PID- 13.4
PID- 13.5
PID- 13.6
Telecommuncition Equipment
Type
Email Address
Country Code
City/ Area Code
PID- 13.7
Local Number
PID- 13.3
PID- 13.8
PID- 13.9
PID- 13.10
PID- 13.11
PID- 13.12
PID- 14
PID- 14.1
PID- 14.2
Extension
Any Text
Extension Prefix
Speed Dial Code
Unformatted Telephone
Number
Patient Business Phone
Telephone Number
Telecommunication Use Code
PID- 14.4
PID- 14.5
PID- 14.6
Telecommuncition Equipment
Type
Email Address
Country Code
City/ Area Code
PID- 14.7
Local Number
PID- 14.3
PID- 14.8
PID- 14.9
PID- 14.10
PID- 14.11
PID- 14.12
PID- 15
Extension
Any Text
Extension Prefix
Speed Dial Code
Unformatted Telephone
Number
Primary Language
RE
X
CE
CE
CE
D
D
D
CE
D
CE
RE
X
X
D
O
X
X
X
X
RE
X
D
X
RE
X
RE
X
CE
CE
CE
D
D
D
CE
D
CE
RE
X
X
D
O
X
X
X
X
O
D
Value this field if an identifier is provided in PID10.1. Refer to the HL7 0396 table from HL7
2.5.1 Implementation Guide for values.
HL70005
2.5.1
If no code is provided in PID- 10.1 then this
component is desired for race information
e.g. 1234 First Street
If complete street address is provided in PID11.1.1 leave this field empty
If complete street address is provided in PID11.1.1 leave this field empty
Desired if applicable, otherwise leave empty
Patient State or Province
see HL7 table 0399 for values
Refer to the HL7 0190 table from HL7 2.5.1
Implementation Guide for values.
e.g. Apartment 4
e.g. Minneapolis
e.g. MN
e.g. 55409
e.g. USA
e.g. H
e.g. 27053
e.g.1
e.g. 612
Provide phone number with 7 Digits with no
dashes.
e.g. 5555555
e.g.123
Provide phone number with 7 Digits with no
dashes.
PID- 15.1
Identifier
RE
D
PID- 15.2
Description Text
CE
X
PID- 15.3
Name of Coding System
CE
D
PID- 15.4
PID- 15.5
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
RE
CE
X
X
PID- 15.9
PID- 15.10
PID- 15.11
PID- 15.6
CE
X
RE
D
RE
X
Original Text
CE
D
O
O
X
X
O
X
PID- 15.14
PID- 15.15
PID- 15.16
PID- 15.17
PID- 15.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
PID- 15.19
Alternate Value Set Version ID
PID- 15.7
PID- 15.8
PID- 15.12
PID- 15.13
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
O
O
RE
CE
CE
RE
CE
O
O
O
X
X
PID- 16.14
PID- 16.15
PID- 16.16
PID- 16.17
PID- 16.18
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
PID- 16.19
Alternate Value Set Version ID
PID- 15.20
PID- 15.21
PID- 15.22
PID- 16
PID- 16.1
PID- 16.2
PID- 16.3
PID- 16.4
PID- 16.5
PID- 16.6
PID- 16.7
PID- 16.8
PID- 16.9
PID- 16.10
PID- 16.11
PID- 16.12
PID- 16.13
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Marital Status
CE
X
RE
O
RE
X
CE
O
O
O
X
X
O
X
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
PID- 17
PID- 18
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Religion
Patient Account Number
O
O
X
X
PID- 19
SSN Number- Patient
X
X
Driver's License NumberPatient
Mother's Identifier
X
X
PID- 21
O
X
PID- 22
Patient Ethnic Group
RE
D
PID- 16.20
PID- 16.21
PID- 16.22
PID- 20
PID-22.1
Patient Ethnic Group Identifier
RE
D
PID-22.2
Description Text
CE
X
PID-22.3
Name of Coding System
CE
D
PID-22.4
PID-22.5
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
RE
CE
X
X
CE
X
PID-22.6
See value set: PHVS_Language_ISO_6392_Alpah3 for values.
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values. If
value set is specified as from PHVS use:
"99zzz" where zzz is the value set code listed in
PHIN Vads
e.g.eng
e.g. 99ISO 639-2 Language
e.g. 1
If no code is provided in 15.1 then this
component is desired for language information
Refer to the HL7 0002 table from HL7 2.5.1
Implementation Guide for values.
NOTE: SOCIAL SECURITY NUMBERS ARE
NOT ALLOWED AT MDH FOR INFECTIOUS
DISEASE REPORTING
Refer to the HL7 0189 table from HL7 2.5.1
Implementation Guide for values.
e.g. H
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
e.g. HL70189
Coding System Version ID
Alternate coding System
Version ID
RE
D
RE
X
PID-22.9
Original Text
CE
D
PID- 22.10
PID- 22.11
O
O
X
X
O
X
PID- 22.14
PID- 22.15
PID- 22.16
PID- 22.17
PID- 22.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
PID- 22.19
Alternate Value Set Version ID
PID-22.7
PID-22.8
PID- 22.12
PID- 22.13
PID- 22.20
PID- 22.21
PID- 22.22
PID- 23
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Birth Place
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
O
D
PID- 24
Multiple Birth Indicator
O
D
PID- 25
Birth Order
O
D
PID- 26
Citizenship
O
X
PID- 27
PID- 28
Veterans Military Status
Nationality
O
X
X
X
PID-29
Patient Death Date and Time
RE
D
PID- 29.1
Date/Time
R
D
PID- 29.2
Degree of Precision
X
X
PID-30
Patient Death Indicator
RE
D
PID-31
PID-32
PID-33
PID-34
Identity Unknown Indicator
Identity Reliability Code
Last Update Date/ Time
Last Update Facility
O
O
RE
CE
X
X
X
X
PID-35
PID-35.1
PID-35.2
Species Code
Identifier
Description Text
RE
D
RE
CE
D
X
PID-35.3
Name of Coding System
CE
D
PID-35.4
PID-35.5
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
RE
CE
X
X
RE
X
PID-35.9
Original Text
CE
D
PID-35.10
PID-35.11
O
O
X
X
O
X
PID-35.14
PID-35.15
PID-35.16
PID-35.17
PID-35.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
PID-35.19
Alternate Value Set Version ID
PID-35.6
PID-35.7
PID-35.8
PID-35.12
PID-35.13
PID-35.20
PID-35.21
Second Alternate Coding
System OID
Second Alternate Value Set
OID
CE
X
RE
D
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
e.g. 2.5.1
If no code is provided in 22.1 then this
component is desired for Ethnic group
information
This field indicates the location of the patient's
birth, for example “St. Francis Community
e.g. St. Francis Community Hospital
Hospital”.
Use values from HL7 table 0136
e.g. N
This is a string field and no guidance is given in
e.g. 1
the CDC guide for this field.
Refer to the HL7 0171 table from HL7 2.5.1
Implementation Guide for values.
Date/ Time Format:
YYYYMMDDHHMMSS[.S[S[S[S]]]]+/-ZZZZ. Note
that the time zone offset is required and the
minimum granularity is to the second, although
more precise time stamps are allowed.
e.g. 20111214123025.956-0600
If PID-29 is valued, then this filed should be
populated with "Y" since the patient is known to
be dead. Refer to the HL7 0136 table from HL7
2.5.1 Implementation Guide for values.
Y
MDH understands most samples will be on
human patients. When the sample is of non
human origin the species code identifier is
desired. See PHVS_Animal_CDC value set for
acceptable values.
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values. If
value set is specified as from PHVS use:
"99zzz" where zzz is the value set code listed in
PHIN Vads
If no identifier present then this component is
Desired.
PID-39.14
PID-39.15
PID-39.16
PID-39.17
PID-39.18
Second Alternate Value Set
Version ID
Breed Code
Strain
Production Class Code
Tribal Citizenship
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
PID-39.19
Alternate Value Set Version ID
PID-35.22
PID-36
PID-37
PID-38
PID-39
PID-39.1
PID-39.2
PID-39.3
PID-39.4
PID-39.5
PID-39.6
PID-39.7
PID-39.8
PID-39.9
PID-39.10
PID-39.11
PID-39.12
PID-39.13
PID-39.20
PID-39.21
PID-39.22
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
X
X
O
O
O
O
RE
CE
CE
RE
CE
X
X
X
O
O
X
O
X
X
CE
X
RE
O
RE
X
CE
O
O
O
X
X
O
X
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Additional Demographics [PD1]
Living Dependency
Living Arrangement
Patient Primary Facility
Patient Primary Care Provider
name &ID No.
Student Indicator
Handicap
Living Will Code
Organ Donor Code
Separate Bill
Duplicate Patient
Publicity Code
Protection Indicator
Protection Indicator Effective
Date
Place of Worship
Advance Directive Code
Immunization Registry Status
Immunization Registry Status
Effective date
Publicity Code Effective date
PD1-1
PD1-2
PD1-3
PD1-4
PD1-5
PD1-6
PD1-7
PD1-8
PD1-9
PD1-10
PD1-11
PD1-12
PD1-13
PD1-14
PD1-15
PD1-16
PD1-17
PD1-18
O
O
O
X
X
X
B
X
O
O
O
O
O
O
O
O
X
X
X
X
X
X
X
X
O
X
O
O
O
X
X
X
O
X
O
X
PD1-19
Military Branch
O
X
PD1-20
Military Rank/Grade
O
X
PD1-21
Military Status
O
X
Patient Note/ Comment (NTE)
NTE-1
NTE-2
NTE-3
NTE-4
Set ID- NTE
Source of Comment
Comment
Comment Type
NK1-1
Set ID
NK1-2
Next of KIN Name
R
RE
R
RE
O
X
O
X
Comment contained in the segment
Next of KIN (NK1)
NK1-2.1
NK1-2.1.1
NK1-2.1.2
NK1-2.1.3
Last Name
Surname
Own Surname Prefix
Own Surname
Surname Prefix from Partner/
NK1-2.1.4
Spouse
NK1-2.1.5 Surname from Partner/ Spouse
NK1-2.2
NK1-2.3
NK1-2.4
NK1-2.5
NK1- 2.6
NK1-2.7
NK1-2.8
NK1-2.9
NK1-2.10
Given Name
Second and Further Given
Names or Initials
Suffix (e.g., JR or III)
Prefix (e.g., DR)
Degree (e.g., MD)
Name Type Code
Name Representation Code
Name Context
Name Validity Range
R
D
CE
D
RE
R
O
O
D
D
O
O
O
O
1
If next of kin or associated party is a person use
this field, otherwise use field NK1- 13
e.g. smith
O
O
RE
D
e.g. mike
RE
D
e.g. A
RE
RE
O
RE
O
O
X
X
X
X
X
X
X
X
NK1-2.11
NK1-2.12
NK1-2.13
NK1-2.14
NK1- 3
Name Assembly Order
Efective Date
Expiration Date
Professional Suffix
Relationship
O
O
O
RE
RE
X
X
X
X
D
NK1- 3.1
Identifier
RE
D
NK1- 3.2
Description Text
CE
X
NK1- 3.3
Name of Coding System
CE
D
NK1- 3.4
NK1- 3.5
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
RE
CE
X
X
NK1- 3.9
NK1- 3.10
NK1- 3.11
NK1- 3.6
CE
X
RE
D
RE
X
Original Text
CE
D
O
O
X
X
O
X
O
X
NK1- 3.14
NK1- 3.15
NK1- 3.16
NK1- 3.17
NK1- 3.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
NK1- 3.19
Alternate Value Set Version ID
X
X
X
X
X
X
X
X
RE
RE
X
X
D
X
RE
X
NK1- 3.7
NK1- 3.8
NK1- 3.12
NK1- 3.13
NK1- 3.20
NK1- 3.21
NK1- 3.22
NK1- 4
NK1- 5
NK1- 5.1
NK1- 5.2
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Address
Phone Number- Home
Telephone Number
Telecommunication Use Code
NK1- 5.4
NK1- 5.5
NK1- 5.6
Telecommuncition Equipment
Type
Email Address
Country Code
City/ Area Code
NK1- 5.7
Local Number
NK1- 5.3
NK1- 5.8
NK1- 5.9
NK1- 5.10
NK1- 5.11
Nk1- 5.12
NK1- 6
NK1- 7
NK1- 8
NK1- 9
NK1- 10
NK1- 11
NK1- 12
NK1- 13
NK1- 14
NK1- 15
NK1- 16
NK1- 17
NK1- 18
NK1- 19
NK1- 20
Extension
Any Text
Extension Prefix
Speed Dial Code
Unformatted Telephone
Number
Business Phone Number
Contact Role
Start Date
End Date
Next of Kin/ Associated
Parties Job Title
Next of Kin/ Associated
Parties Job Code/ Class
Next of Kin Associated
Parties Employee Number
Organization Name - NK1
Marital status
Administrative Sex
Date/ Time of Birth
Living Dependency
Ambulatory Status
Citizenship
Primary Language
RE
X
CE
CE
CE
D
D
D
CE
D
CE
RE
X
X
D
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CE
X
X
X
X
X
X
O
X
X
X
X
X
X
X
D
NK1- 20.1
Identifier
RE
D
NK1- 20.2
Description Text
CE
X
NK1- 20.3
Name of Coding System
CE
D
NK1- 20.4
NK1- 20.5
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
RE
CE
X
X
NK1- 20.6
NK1- 20.7
CE
X
RE
D
Refer to the HL7 0063 table from HL7 2.5.1
Implementation Guide for values.
e.g. EMC
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
HL70063
2.5.1
If no identifier and alternate identifier are
present, then this component is Desired.
e.g. 612
Provide phone number with 7 Digits with no
dashes.
e.g. 5555555
e.g. 4
See value set: PHVS_Language_ISO_6392_Alpah3 for values.
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values. If
value set is specified as from PHVS use:
"99zzz" where zzz is the Code System Name
listed in PHIN Vads
e.g. Eng
i.e. 99ISO 639-2 Language
e.g. 1
NK1- 20.8
Alternate coding System
Version ID
RE
X
NK1- 20.9
Original Text
CE
D
NK1- 20.10
NK1- 20.11
O
O
X
X
O
X
NK1- 20.14
NK1- 20.15
NK1- 20.16
NK1- 20.17
NK1- 20.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
NK1- 20.19
Alternate Value Set Version ID
NK1- 20.12
NK1- 20.13
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NK1- 38
NK1- 39
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Living Arrangement
Publicity Code
Protection Indicator
Student Indicator
Religion
Mother's Maiden Name
Nationality
Ethnic Group
Contact Reason
Contact Person's Name
Contact Person's Telephone
Number
Contact Person's Address
Next of Kin/ Associated
Party's Identifiers
Job Status
Race
Handicap
Contact Person Social
Security Number
Next of Kin Birth Place
VIP Indicator
PV1-1
Set ID- PV1
R
R
PV1- 2
Patient Class
R
R
Assigned Patient Location
Admission Type
Preadmit Number
Prior Patient Location
Attending Doctor
ID Number
Family Name
Surname
Own Surname Prefix
Own Surname
Surname Prefix from Partner/
PV1- 7.2.4
Spouse
O
RE
O
O
O
RE
RE
R
O
O
X
X
X
X
D
X
D
D
O
O
O
O
PV1- 7.2.5 Surname from Partner/ Spouse
O
O
NK1- 20.20
NK1- 20.21
NK1- 20.22
NK1- 21
NK1- 22
NK1- 23
NK1- 24
NK1- 25
NK1- 26
NK1- 27
NK1- 28
NK1- 29
NK1- 30
NK1- 31
NK1- 32
NK1- 33
NK1- 34
NK1- 35
NK1- 36
NK1- 37
X
X
X
X
X
X
X
X
X
X
X
CE
X
X
X
X
X
X
X
X
X
X
RE
X
RE
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
If no identifier and alternate identifier are
present, then this component is Desired.
Patient Visit Information (PV1)
PV1- 3
PV1- 4
PV1- 5
PV1- 6
PV1- 7
PV1- 7.1
PV1- 7.2
PV1- 7.2.1
PV1- 7.2.2
PV1- 7.2.3
PV1- 7.3
RE
D
RE
O
PV1- 7.5
PV1- 7.6
Given Name
Second and Further Given
Names or Initials
Suffix (e.g., JR or III)
Prefix (e.g., DR)
RE
RE
O
O
PV1- 7.7
Degree (e.g., MD)
O
O
O
CE
RE
O
O
CE
RE
O
O
X
O
O
O
RE
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
PV1- 7.4
PV1- 7.8
PV1- 7.9
PV1- 7.10
PV1- 7.11
PV1- 7.12
PV1- 7.13
PV1- 7.14
PV1- 7.15
PV1- 7.16
PV1- 7.17
PV1- 7.18
PV1- 7.19
PV1- 7.20
PV1- 7.21
PV1- 7.22
PV1- 7.23
PV1- 8
PV1- 8.1
PV1- 8.2
Source Table
Assigning Authority
Name Type Code
Identifier Check Digit
Check Digit Scheme
ID Type
Assigning Facility
Name Representation Code
Name context
Name Validity Range
Name Assembly Order
Effective Date
Expiration Date
Professional Suffix
Assigning Jurisdiction
Assigning Agency or
Department
Referring Doctor
ID Number
Family Name
O
X
O
RE
RE
D
X
D
Literal Value '1'
Refer to the HL7 0004 table from HL7 2.5.1
Implementation Guide for values.
e.g. E
e.g. Welby
e.g. Marcus
Refer to the HL7 0360 table from HL7 2.5.1
Implementation Guide for values.
Surname
Own Surname Prefix
Own Surname
Surname Prefix from Partner/
PV1- 8.2.4
Spouse
PV1- 8.2.1
PV1- 8.2.2
PV1- 8.2.3
PV1- 8.2.5 Surname from Partner/ Spouse
R
O
O
D
O
O
O
O
O
O
RE
D
RE
O
PV1- 8.5
PV1- 8.6
Given Name
Second and Further Given
Names or Initials
Suffix (e.g., JR or III)
Prefix (e.g., DR)
RE
RE
O
O
PV1- 8.7
Degree (e.g., MD)
O
O
PV1- 8.8
PV1- 8.9
PV1- 8.10
PV1- 8.11
PV1- 8.12
PV1- 8.13
PV1- 8.14
PV1- 8.15
PV1- 8.16
PV1- 8.17
PV1- 8.18
PV1- 8.19
PV1- 8.20
PV1- 8.21
PV1- 8.22
Source Table
Assigning Authority
Name Type Code
Identifier Check Digit
Check Digit Scheme
ID Type
Assigning Facility
Name Representation Code
Name context
Name Validity Range
Name Assembly Order
Effective Date
Expiration Date
Professional Suffix
Assigning Jurisdiction
Assigning Agency or
Department
Consulting Doctor
ID Number
Family Name
Surname
Own Surname Prefix
Own Surname
Surname Prefix from Partner/
Spouse
O
CE
RE
O
O
CE
RE
O
O
X
O
O
O
RE
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
PV1- 8.3
PV1- 8.4
PV1- 8.23
PV1- 9
PV1- 9.1
PV1- 9.2
PV1- 9.2.1
PV1- 9.2.2
PV1- 9.2.3
PV1- 9.2.4
PV1- 9.2.5 Surname from Partner/ Spouse
O
X
O
RE
RE
R
O
O
D
X
D
D
O
O
O
O
O
O
RE
D
RE
O
PV1- 9.5
PV1- 9.6
Given Name
Second and Further Given
Names or Initials
Suffix (e.g., JR or III)
Prefix (e.g., DR)
RE
RE
O
O
PV1- 9.7
Degree (e.g., MD)
O
O
PV1- 9.8
PV1- 9.9
PV1- 9.10
PV1- 9.11
PV1- 9.12
PV1- 9.13
PV1- 9.14
PV1- 9.15
PV1- 9.16
PV1- 9.17
PV1- 9.18
PV1- 9.19
PV1- 9.20
PV1- 9.21
PV1- 9.22
O
CE
RE
O
O
CE
RE
O
O
X
O
O
O
RE
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
PV1- 10
PV1- 11
PV1- 12
PV1- 13
Source Table
Assigning Authority
Name Type Code
Identifier Check Digit
Check Digit Scheme
ID Type
Assigning Facility
Name Representation Code
Name context
Name Validity Range
Name Assembly Order
Effective Date
Expiration Date
Professional Suffix
Assigning Jurisdiction
Assigning Agency or
Department
Hospital Service
Temporary Location
Preadmit Test Indicator
Re-admission Indicator
PV1- 14
PV1- 15
PV1- 16
PV1- 17
PV1- 18
PV1- 19
PV1- 20
PV1- 21
PV1- 22
PV1- 23
PV1- 24
PV1- 25
PV1- 26
PV1- 27
PV1- 28
PV1- 29
PV1- 30
PV1- 31
PV1- 32
PV1- 9.3
PV1- 9.4
PV1- 9.23
O
X
O
O
O
X
O
X
X
X
Admit Source
O
D
Ambulatory Status
VIP Indicator
Admitting Doctor
Patient Type
Visit Number
Financial Class
Charge Price Indicator
Courtesy Code
Credit Rating
Contract Code
Contract Effective Date
Contract Amount
Contract Period
Interest Code
Transfer to Bad Debt Code
Transfer to Bad Debt Date
Bad Debt Agency Code
Bad Debt Transfer Amount
X
X
O
O
O
O
X
X
X
X
X
X
X
X
X
O
O
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
e.g. House
e.g. Matt
Refer to the HL7 0360 table from HL7 2.5.1
Implementation Guide for values.
e.g. Right
e.g. Alvin
Refer to the HL7 0360 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0023 table from HL7 2.5.1
Implementation Guide for values.
e.g. 1
PV1- 33
Bad Debt Recovery Amount
O
X
PV1- 34
PV1- 35
Delete Account Indicator
Delete Account Date
O
O
X
X
PV1- 36
Discharge Disposition
O
D
PV1- 37
Discharged to Location
O
D
PV1- 37.1
Discharge Location
PV1- 37.2
PV1- 37.2.1
PV1- 37.2.2
PV1- 38
PV1- 39
PV1- 40
PV1- 41
PV1- 42
PV1- 43
PV1- 44
PV1- 44.1
PV1- 44.2
PV1- 45
PV1- 45.1
PV1- 45.2
PV1- 46
PV1- 47
PV1- 48
PV1- 49
PV1- 50
PV1- 51
PV1- 52
PV1- 52.1
PV1- 52.2
PV1- 52.2.1
PV1- 52.2.2
PV1- 52.2.3
Effective Date
Date/Time
Degree of Precision
Diet Type
Servicing Facility
Bed Status
Account Status
Pending Location
Prior Temporary Location
Admit Date/ Time
Date/Time
Degree of Precision
Discharge Date/ Time
Date/Time
Degree of Precision
Current Patient Balance
Total Charges
Total Adjustments
Total Payments
Alternate Visit ID
Visit Indicator
Other Healthcare Provider
ID Number
Family Name
Surname
Own Surname Prefix
Own Surname
Surname Prefix from Partner/
PV1- 52.2.4
Spouse
PV1- 52.2.5 Surname from Partner/ Spouse
PV1- 52.3
PV1- 52.4
PV1- 52.5
PV1- 52.6
PV1- 52.7
PV1- 52.8
PV1- 52.9
PV1- 52.10
PV1- 52.11
PV1- 52.12
PV1- 52.13
PV1- 52.14
PV1- 52.14.1
PV1- 52.14.2
PV1- 52.14.3
PV1- 52.15
PV1- 52.16
PV1- 52.17
PV1- 52.18
PV1- 52.19
PV1- 52.20
PV1- 52.21
PV1- 52.22
PV1- 52.23
Given Name
Second and Further Given
Names or Initials
Suffix (e.g., JR or III)
Prefix (e.g., DR)
Degree (e.g., MD)
Source Table
Assigning Authority
Name Type Code
Identifier Check Digit
Check Digit Scheme
ID Type
Assigning Facility
Namespace ID
Universal ID
Universal ID Type
Name Representation Code
Name context
Name Validity Range
Name Assembly Order
Effective Date
Expiration Date
Professional Suffix
Assigning Jurisdiction
Assigning Agency or
Department
R
D
O
R
X
O
O
X
O
O
O
RE
R
X
RE
R
X
O
O
O
O
O
O
O
RE
RE
R
O
O
D
D
X
X
X
X
X
X
X
D
D
X
D
D
X
X
X
X
X
X
X
O
O
O
O
O
O
O
X
O
X
RE
O
RE
X
RE
RE
O
O
CE
RE
O
O
CE
RE
RE
R
R
O
O
X
O
O
O
RE
O
X
O
X
X
X
X
X
X
O
O
O
O
O
X
X
X
X
X
X
X
X
O
X
Disposition of the patient at discharge or once
the visit is completed, for example, "Discharged
to Home/Self-Care", Expired",
Discharged/transferred to skilled nursing facility
(SNF). Uses uniform billing codes. Refer to the
HL7 0112 table from HL7 2.5.1 Implementation
Guide for values.
Specifies the healthcare facility to which the
patient was discharged and the date
e.g. Best Ever Skilled Nursing
Home
e.g. 20111213
Date and time patient arrived for services
e.g. 20111210
Date and time patient services ended
e.g. 20111213
Patient Visit- Additional Information Segment (PV2)
PV2- 1
PV2- 2
Prior Pending Location
Accomodation Code
X
X
X
X
PV2- 3
Admit Reason
O
O
RE
CE
CE
RE
CE
X
X
X
X
X
PV2-3.1
PV2-3.2
PV2-3.3
PV2-3.4
PV2-3.5
PV2-3.6
PV2-3.7
PV2-3.8
PV2-3.9
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
CE
X
RE
X
RE
X
CE
O
e.g. 03
General reason for why patient needed services.
Frequently used for chief complaint. Has no
accepted value set
PV2-3.10
PV2-3.11
O
O
X
X
O
X
PV2-3.14
PV2-3.15
PV2-3.16
PV2-3.17
PV2-3.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
PV2-3.19
Alternate Value Set Version ID
PV2-3.12
PV2-3.13
PV2- 23.3
PV2- 23.4
PV2- 23.5
PV2- 23.6
PV2- 23.7
PV2- 23.8
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Transfer Reason
Patient Valuables
Patient Valuables Location
Visit User Code
Expected Admit Date/ Time
Expected Discharge Date/
Time
Estimated Length of Inpatient
Stay
Actual Length of Inpatient
Stay
Visit Description
Referral Source Code
Previous Service Date
Employment Illness Related
Indicator
Purge Status Code
Purge Status Date
Special Program Code
Retention Indicator
Expected Number of
Insurance Plans
Visit Publicity Code
Visit Protection Indicator
Clinic Organization Name
Organization Name
organization Name Type
Code
ID Number
Check Digit
Check Digit Scheme
Assigning Authority
Identifier Type Code
Assigning Facility
PV2- 23.9
Name Representation Code
PV2-3.20
PV2-3.21
PV2-3.22
PV2- 4
PV2- 5
PV2- 6
PV2- 7
PV2- 8
PV2- 9
PV2- 10
PV2- 11
PV2- 12
PV2- 13
PV2- 14
PV2- 15
PV2- 16
PV2- 17
PV2- 18
PV2- 19
PV2- 20
PV2- 21
PV2- 22
PV2- 23
PV2- 23.1
PV2- 23.2
PV2- 23.10
PV2- 24
PV2- 25
PV2- 26
PV2- 36
PV2- 37
PV2- 38
Organization identifier
Patient Status Code
Visit Priority Code
Previous Treatment Date
Expected Discharge
Disposition
Signature on File Date
First Similar Illness Date
Patient Charge Adjustment
Code
Recurring Service Code
Billing Media Code
Expected Surgery Date and
Time
Military Partnership Code
Military Non- Availability
Code
Newborn Baby Indicator
Baby Detained Indicator
Mode of Arrival Code
PV2- 39
Recreational Drug Use Code
PV2- 27
PV2- 28
PV2- 29
PV2- 30
PV2- 31
PV2- 32
PV2- 33
PV2- 34
PV2- 35
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
O
O
X
X
X
X
X
X
X
X
X
X
X
X
O
CE
X
X
O
O
RE
X
X
O
O
CE
CE
O
X
X
X
X
X
X
O
X
RE
X
X
O
X
X
X
O
X
X
X
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
PV2- 41
PV2- 42
PV2- 43
PV2- 44
PV2- 45
Admission Level of Care
Code
Pracaution code
Patient Condition Code
Living Will Code
Organ Donor Code
Advance Directive Code
PV2- 46
Patient Status Effective Date
X
X
PV2- 47
Expected LOA Return Date/
Time
X
X
PV2- 40
RE
X
X
X
X
X
X
X
X
X
X
X
PV2- 48
PV2- 49
Expected Pre-admission
Testing Date/ Time
Notify Clergy Code
X
X
X
X
Common order Segment (ORC)
ORC- 1
Order Control
ORC- 2
ORC-3
R
Placer Order Number
Filler Order Number
D
CE
X
R
X
Determiner of the function of the order segment.
In the ORU^R01 this should be the literal
value:"RE". Refer to HL7 table 0119 for values.
ORC- 4
ORC-5
ORC-6
ORC-7
ORC-8
ORC-9
ORC-10
ORC-11
Placer Group Number
Order Status
Response Flag
Quantity/ Timing
Parent
Date/ Time of Transaction
Entered By
Verified By
RE
O
O
X
O
O
O
O
X
X
X
X
X
X
X
X
ORC-12
Ordering Provider
CE
D
If OBR- 16 Ordering Provider is populated, this
field will contain the same value.
Ordering Provider ID
RE
O
Ordering Provider's ID Number at Lab
Ordering Provider Last Name
RE
D
ORC-12.1
ORC-12.2
Surname
R
D
Own Surname Prefix
O
O
Own Surname
O
O
O
X
Surname from Partner/ Spouse
O
X
ORC-12.2.1
ORC-12.2.2
ORC-12.2.3
Surname Prefix from Partner/
ORC-12.2.4 Spouse
ORC-12.2.5
ORC-12.3
ORC-12.4
ORC-12.5
Given Name
RE
D
RE
D
e.g. K
Suffix (e.g., JR or III)
RE
D
e.g. JR
Prefix (e.g., DR)
e.g. Dr
RE
D
O
O
CE
RE
O
O
CE
RE
O
O
X
O
O
O
RE
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
ORC- 13
ORC- 14
Call Back Phone Number
ORC- 12.23
ORC- 14.1
ORC-14.2
ORC-14.3
ORC-14.4
ORC-14.5
ORC-14.6
ORC-14.7
ORC-14.8
ORC-14.9
ORC-14.10
ORC-14.11
ORC-14.12
e.g. Anderson
Second and Further given
Names or Initials
Degree (e.g., MD)
Source Table
Assigning Authority
Name Type Code
Identifier Check Digit
Check Digit Scheme
Identifier Type Code
Assigning Facility
Name Representation Code
Name context
Name Validity Range
Name Assembly Order
Effective Date
Expiration Date
Professional Suffix
Assigning Jurisdiction
Assigning Agency or
Department
Enterer's Location
ORC-12.6
ORC- 12.7
ORC- 12.8
ORC- 12.9
ORC- 12.10
ORC- 12.11
ORC- 12.12
ORC- 12.13
ORC- 12.14
ORC- 12.15
ORC- 12.16
ORC- 12.17
ORC- 12.18
ORC- 12.19
ORC- 12.20
ORC- 12.21
ORC- 12.22
Literal Value: 'RE'
O
X
O
X
CE
D
X
Telephone Number
X
Telecommunication Use Code
RE
X
Telecommunication Equipment
Type
RE
X
Email Address
CE
D
Country Code
CE
D
Area / City Code
CE
D
Local Number
CE
D
Extension
CE
D
Any Text
RE
O
Extension Prefix
X
X
Speed Dial Code
X
X
Unformatted Telephone
X
X
e.g. Robert
If OBR-17 Callback Phone Number is populated,
this field will contain the same value. This
should be a phone Number associated with the
original order placer.
e.g. 612
Provide phone number with 7 Digits with no
dashes.
e.g. 5554444
e.g. 21
ORC- 15
Order Effective Date/ Time
O
X
ORC- 16
Order Control Code Reason
O
X
ORC- 17
ORC- 18
ORC- 19
Entering Organization
Entering Device
Action By
Advanced Beneficiary Notice
Code
Ordering Facility Name
O
O
O
X
X
X
X
X
R
D
ORC-21.1
Organization Name
CE
D
ORC- 20
ORC- 21
ORC-21.2
Organization Name type Code
RE
O
ORC- 21.3
ORC- 21.4
ORC- 21.5
ID Number
Check Digit
Check Digit Scheme
X
O
O
X
X
X
ORC- 21.6
Assigning Authority
CE
D
RE
D
ORC-21.6.1
Namespace ID
ORC-21.6.2
Universal ID
R
X
ORC-21.6.3
Universal ID Type
R
X
CE
D
ORC-21.7
Identifier Type Code
ORC-21.8
Assigning Facility
O
X
ORC- 21.9
Name Representation Code
O
O
ORC.21.10
Organization Identifier
RE
D
ORC- 22
ORC-22.1
Ordering Facility Address
Street Address
RE
RE
D
D
ORC- 22.1.1
Street or Mailing Address
R
D
ORC- 22.1.2
ORC- 22.1.3
ORC-22.2
ORC-22.3
Street Name
Dwelling Number
Other Designation
City
O
O
RE
RE
D
O
D
D
ORC-22.4
State or Province
RE
D
ORC-22.5
ORC-22.6
Zip Code or Postal Code
Country
RE
RE
D
D
ORC-22.7
Address Type
RE
D
ORC-22.8
Other Geographic Designation
O
O
ORC-22.9
County / Parish Code
RE
O
ORC- 22.10
Census Tract
O
O
ORC- 22.11
Address Representation Code
O
O
X
O
O
X
X
X
R
D
ORC- 22.12
ORC- 22.13
ORC- 22.14
ORC-23
ORC-23.1
ORC-23.2
Address Validity Range
Effective Date
Expiration Date
Ordering Facility Phone
Number
Telephone Number
Telecommunication Use Code
ORC-23.4
ORC-23.5
ORC-23.6
Telecommunication Equipment
Type
Email Address
Country Code
Area / City Code
ORC-23.7
Local Number
ORC-23.3
ORC-23.8
ORC-23.9
ORC-23.10
ORC-23.11
ORC-23.12
ORC-24
ORC-24.1
Extension
Any Text
Extension Prefix
Speed Dial Code
Unformatted Telephone
Number
Ordering Provider Address
Street Address
X
X
RE
X
RE
X
CE
CE
CE
D
D
D
CE
D
CE
RE
X
X
D
O
X
X
X
X
RE
D
D
ORC- 24.1.1
Street or Mailing Address
R
D
ORC- 24.1.2
ORC- 24.1.3
ORC-24.2
ORC-24.3
Street Name
Dwelling Number
Other Designation
City
O
O
RE
RE
D
O
D
D
ORC-24.4
State or Province
RE
D
ORC-24.5
ORC-24.6
Zip Code or Postal Code
Country
RE
RE
D
O
Single Ordering Facility Name...Must be present
e.g University of Minnesota Medical
if there is no organization identifier in
Center Fairview
component 10. Send it if you have it.
Refer to the HL7 0204 table from HL7 2.5.1
Implementation Guide for values.
Value this field if component 10 (Organization
Identifier) is populated…(Sub Fields present.
HD)
Populate with "CLIA" if value in ORC 21.10 is a
a CLIA #
Populate with OID:" 2.16.840.1.113883.4.7" if
value in ORC 21.10 is a CLIA #
Constrained to the value 'ISO'
Value this field if component 10 (Organization
Identifier) is populated. Refer to the HL7 0203
table from HL7 2.5.1 Implementation Guide for
values.
Refer to the HL7 0301 table from HL7 2.5.1
Implementation Guide for values.
Prefer to be CLIA Number of Ordering Facility.
Example shows University of MN Medical Center
Fairview's CLIA #
CLIA
2.16.840.1.113883.4.7
ISO
e.g. XX
e.g. 24D0688128
e.g. 2450 Riverside Avenue
e.g. Minneapolis
Patient State or Province: Value is 2 character
FIPS standard
e.g. MN
e.g. 55454
e.g.USA
Refer to the HL7 0190 table from HL7 2.5.1
Implementation Guide for values.
e.g. B
County (complete County Names are used for
County Codes).
Refer to the HL7 0288 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0465 table from HL7 2.5.1
Implementation Guide for values.
e.g. 612
Provide phone number with 7 Digits with no
dashes.
e.g. 6667777
e.g. 32
e.g. 2450 Riverside Avenue
e.g. Minneapolis
Patient State or Province: Value is 2 character
FIPS standard
e.g. MN
e.g. 55454
e.g.USA
ORC-24.7
Address Type
RE
O
ORC-24.8
Other Geographic Designation
O
O
ORC-24.9
County / Parish Code
RE
O
Extension Prefix
ORC-24.10
Speed Dial Code
ORC-24.11
Address Validity Range
ORC-24.12
Effective Date
ORC-24.13
Time
ORC-24.13.1
Degree of Precision
ORC-24.13.2
Expiration Date
ORC-24.14
Time
ORC-24.14.1
Degree of Precision
ORC-24.14.2
ORC- 25
Order status Modifier
Advanced Beneficiary Notice
ORC- 26
Override Reason
Filler's Expected Availability
ORC- 27
Date/ Time
ORC- 28
Confidentiality Code
ORC- 29
Order Type
X
X
X
O
R
X
O
R
X
O
X
X
X
O
O
X
O
O
X
X
X
X
ORC- 30
Enterer Authorization Mode
ORC- 31
Parent Universal Service
Identifier
O
X
O
O
X
X
O
X
O
X
Refer to the HL7 0190 table from HL7 2.5.1
Implementation Guide for values.
e.g. B
County (complete County Names are used for
County Codes).
Observation Request Segment (OBR)
OBR- 1
Set ID- OBR
OBR- 2
OBR- 3
Placer Order Number
Filler Order Number
OBR-4
OBR- 5
OBR- 6
OBR- 7
OBR- 7.1
OBR- 7.2
R
R
RE
R
X
X
Universal Service Identifier
R
X
Priority- OBR
Requested Date/Time
X
X
X
X
Observation Date/ Time
R
R
R
X
R
X
Date/Time
Degree of Precision
OBR- 8
Observation End Date/ Time
CE
X
OBR- 9
OBR- 10
OBR- 11
OBR- 12
Collection Volume
Collector Identifier
Speciman Action Code
Danger Code
X
O
O
O
X
X
X
X
Relevant Clinical Information
CE
X
OBR- 13
OBR- 15
Specimen Received
Date/Time
Specimen Source
OBR- 16
Ordering Provider
OBR- 14
OBR-16.1
OBR-16.2
OBR-16.2.3
e.g. 20111212104500-0600
The end point time when the specimen was
collected. This filed must contain the same value
as the second component of SPM- 17 Specimen
Collection Date/ Time.
X
X
X
RE
D
Identifier of the provider who ordered the testing
being performed. ORC-12 Ordering Provider is
constrained to contain the same value as this
field.
Ordering Provider ID
RE
O
Ordering Provider's ID Number at Lab
Ordering Provider Last Name
RE
D
Surname
R
D
Own Surname Prefix
O
O
e.g. 1
This field must contain the same value as the
SPM- 17.1 Specimen Collection Date/ Time.
X
OBR-16.2.1
OBR-16.2.2
the set id for the first OBR segment must be "1"
and each subsequent OBR segment in the
message should increment by "1"
e.g.Anderson
Own Surname
O
O
Surname Prefix from Partner/
Spouse
O
X
Surname from Partner/ Spouse
O
X
OBR-16.3
Ordering Provider First Name
RE
D
e.g.Robert
OBR-16.4
Second and Further given
Names or Initials
RE
D
e.g. K
Suffix (e.g., JR or III)
RE
D
e.g.JR
Prefix (e.g., DR)
RE
D
e.g.DR
Degree (e.g., MD)
O
X
Source Table
O
X
Assigning Authority
Ordering Provider Name type
Code
Identifier Check Digit
Check Digit Scheme
CE
X
OBR-16.2.4
OBR-16.2.5
OBR-16.5
OBR-16.6
OBR-16.7
OBR-16.8
OBR- 16.9
OBR-16.10
OBR-16.11
OBR-16.12
RE
X
O
O
X
X
OBR-16.13
OBR 16.14
OBR- 16.15
OBR- 16.16
OBR- 16.17
OBR- 16.18
OBR- 16.19
OBR- 16.20
OBR-16.21
OBR- 16.22
OBR- 16.23
OBR- 17
OBR-17.1
OBR-17.2
OBR-17.3
OBR-17.4
OBR-17.5
OBR-17.6
OBR-17.7
Ordering Provider Identifier
Type Code
Assigning Facility
Name Representation Code
Name context
Name Validity Range
Name Assembly Order
Effective Date
Expiration Date
Ordering Provider Professional
Suffix
Assigning Jurisdiction
Assigning Agency or
Department
Order Callback Phone
Number
CE
X
RE
O
O
X
O
O
O
X
X
X
X
X
X
X
RE
X
O
X
O
X
RE
D
Telephone Number
X
X
Telecommunication Use Code
RE
X
Telecommunication Equipment
Type
RE
X
Email Address
CE
D
Country Code
CE
D
Area / City Code
CE
D
CE
D
CE
RE
X
X
X
O
O
O
O
D
O
X
X
X
X
X
O
O
OBR- 22.1
OBR- 22.2
OBR- 23
OBR- 24
OBR-25
Extension
Any Text
Extension Prefix
Speed Dial Code
Unformatted Telephone
Placer Field 1
Placer Field 2
Filler Field 1
Filler Field 2
Results Rpt/ Status Change
Date/ Time
Date/Time
Degree of Precision
Charge to Practice
Diagnostic Serv Sect ID
Result Status
OBR- 26
Parent Result
OBR-17.8
OBR-17.9
OBR-17.10
OBR-17.11
OBR- 17.12
OBR- 18
OBR- 19
OBR- 20
OBR- 21
OBR-22
OBR- 26.1
Local Number
Parent Observation Identifier
R
R
R
X
O
O
R
R
X
X
X
R
CE
D
R
D
OBR-26.1.1
Identifier
RE
D
OBR-26.1.2
Description Text
CE
D
OBR-26.1.3
Name of Coding System
CE
D
OBR-26.1.4
Alternate ID
RE
D
OBR-26.1.5
Alternate Text Description
CE
D
OBR-26.1.6
Name of Alternate Coding
System
CE
D
Coding System Version ID
Alternate coding System
Version ID
RE
D
RE
X
OBR-26.1.9
Original Text
CE
D
OBR-26.1.10
OBR-26.1.11
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
O
X
X
O
X
OBR-26.1.7
OBR-26.1.8
OBR-26.1.12
OBR-26.1.13
O
X
O
X
X
X
X
X
X
X
X
X
OBR-26.1.19 Alternate Value Set Version ID
X
X
Second Alternate Coding
System OID
X
X
OBR-26.1.14
OBR-26.1.15
OBR-26.1.16
OBR-26.1.17
OBR-26.1.18
OBR-26.1.20
ORC- 17 Call Back Phone Number is
constrained to contain the same value as this
field. AND If this field is populated, ORC-14 will
contain the same value. This should be a phone
Number associated with the original order
placer.
e.g. 612
Provide phone number with 7 Digits with no
dashes.
e.g. 5554444
e.g. 21
e.g. 20120102121500-0600
e.g. F
This field is required when linking child
sensitivities to the parent culture
This field is required when linking child
sensitivities to the parent culture
If the Identifier component is empty, then this
component must be empty.
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
Value this field if an alternate identifier is
provided on component 4. Refer to the HL7
0396 table from HL7 2.5.1 Implementation
Guide for values.
e.g 34487-9
e.g. FLUAV RNA XXX Ql PCR
e.g. LN
e.g. 2700
e.g. Influenza A Virus Detection RTPCR
e.g. MDHT
e.g. 2.32
If no identifier and alternate identifier are
present, then this component is Desired.
OBR-26.1.21
OBR-26.1.22
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
X
X
X
X
OBR-26.2
Parent Observation Sub
Identifier
RE
D
Identifier of the OBX-4 Observation Sub- ID
associated with the OBX- 3 Observation ID of
the parent result. The cobination must be unique
OBR-26.3
Parent Observation Value
Descriptor
RE
D
Must be populated if parent child relationship
exists. This value is taken from the OBX-5 of
the parent result.
X
O
CE
O
R
RE
X
X
D
O
O
O
Universal ID
R
O
R
O
R
R
RE
D
D
D
OBR- 27
Quantity/ Timing
OBR- 28
Result Copies To
OBR- 29
Parent
OBR- 29.1
Placer Assigned Identifier
Entity Identifier
OBR-29.1.1
Namespace ID
OBR-29.1.2
OBR-29.1.3
OBR-29.1.4
Universal ID Type
OBR-29.2
OBR-29.2.1
OBR-29.2.2
Filler Assigned Identifier
Entity Identifier
Namespace ID
OBR-29.2.3
Universal ID
R
D
Universal ID Type
R
D
X
X
RE
D
OBR-29.2.4
OBR- 30
Transportation Mode
OBR- 31
Reason for Study
e.g. 2012300017-2700
e.g. MN OpenELIS Prod
Must be Filler's identifier assigning entity's OID
or CLIA # if one exists, otherwise can be left
blank
Refer to the HL7 0301 table from HL7 2.5.1
Implementation Guide for values.
Identifier
RE
D
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
OBR-31.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
OBR-31.4
Alternate ID
RE
D
OBR-31.5
Alternate Text Description
CE
D
OBR-31.6
Name of Alternate Coding
System
CE
D
Coding System Version ID
Alternate coding System
Version ID
RE
D
RE
X
OBR-31.9
Original Text
CE
D
OBR- 31.10
OBR- 31.11
O
O
X
X
O
X
OBR- 31.14
OBR- 31.15
OBR- 31.16
OBR- 31.17
OBR- 31.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
OBR- 31.19
Alternate Value Set Version ID
OBR- 31.12
OBR- 31.13
OBR- 31.20
OBR- 31.21
OBR- 31.22
OBR- 32
OBR- 33
OBR- 34
OBR- 35
OBR- 36
OBR- 37
OBR- 38
OBR- 39
OBR- 40
OBR- 41
OBR- 42
OBR- 43
OBR- 44
OBR- 45
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Principal Result Interpreter
Assistant Result Interpreter
Technician
Transcriptionist
Scheduled Date/ Time
Number of Sample
Containers
Transport Logistics of
Collected Samples
Collector's Comment
Transport Arrangement
Responsibility
Transport Arranged
Escort Required
Planned PatientTransport
Comment
Procedure Code
Procedure Code Modifier
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
RE
O
O
O
O
X
X
X
X
X
X
X
X
X
O
X
X
X
X
X
X
X
X
X
O
O
X
X
e.g. 2.16.840.1.114222.4.3.3.6.1.1
ISO
Use Reason For Study Value Set. ICD9 is used
currently and ICD10 will be allowed when the
US starts uing it.
OBR-31.2
OBR-31.8
e.g. Detected
Must be Placer's identifier assigning entity's OID
or CLIA # if one exists, otherwise can be left
blank
Refer to the HL7 0301 table from HL7 2.5.1
Implementation Guide for values.
OBR-31.1
OBR-31.7
e.g. 2
e.g.486
e.g.Pneumonia, organism
unspecified
e.g.I9CDX
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
Value this field if an alternate identifier is
provided on component 4. Refer to the HL7
0396 table from HL7 2.5.1 Implementation
Guide for values.
e.g. 4
If no identifier and alternate identifier are
present, then this component is Desired.
OBR- 46
OBR- 47
OBR- 48
OBR- 49
OBR- 50
Placer Supplemental Service
Information
Filler Supplemental Service
Information
Medically Necessary
Duplicate Procedure Reason
Result Handling
Parent Universal Service
Identifier
O
X
O
X
O
X
O
X
O
X
Observations Request Note/Comment (NTE)
NTE-1
Set ID- NTE
NTE-2
Source of Comment
NTE-3
Comment
NTE-4
Comment Type
R
O
RE
X
R
O
RE
X
Timing/Quantity (TQ1)
TQ1-1
TQ1-2
TQ1-3
TQ1-4
TQ1-5
TQ1-6
TQ1-7
TQ1-8
TQ1-9
TQ1-10
TQ1-11
Set ID-TQ1
Quantity
Repeat Patern
Explicit Time
Relative Time and Units
Service Duration
Start Date/Time
End Date/Time
Priority
Condition Text
Text Instruction
X
X
X
X
X
X
X
X
X
X
X
TQ1-12
TQ1-13
TQ1-14
Conjunction
Occurrence Duration
Total Occurrence's
X
X
X
TQ2-1
Set ID- TQ2
O
TQ2-2
Sequence/Results Flag
O
X
TQ2-3
Related Placer Number
C
X
TQ2-4
Related Filler Number
C
X
TQ2-5
Related Placer Group Number
C
X
TQ2-6
Sequence Condition Code
C
X
TQ2-7
Cyclic Entry/Exit Indicator
C
X
TQ2-8
Sequence Condition Time
Interval
O
X
TQ2-9
Cyclic Group Maximum
Number of Repeats
O
X
TQ2-10
Special Service Request
Relationship
C
X
Timing/Quantity Order Sequence (TQ2)
X
Contact Data [CTD]
CTD-1
CTD-2
CTD-3
CTD-4
CTD-5
Contact Role
Contact Name
Contact Address
Contact Location
Contact Communication
Information
R
O
O
O
X
X
X
X
O
X
CTD-6
Preferred Method Of Contact
O
X
CTD-7
Contact Identifiers
O
X
Observation/ Result Segment (OBX)
OBX-1
OBX-2
Value Type
OBX-3
Observation Identifier
OBX3.1
Observation ID
Sequence Number of OBX within this OBR
If OBX- 5 is populated, OBX- 2 is required. (see
table HL7 0125 for values).
Unique Identifier for the type of observation.
OBX-3 in conjunction with OBX-4 Observation
Sub ID should uniquely identify this OBX from
all other OBXs associated with this OBR
e.g.1
R
R
CE
R
R
R
RE
D
Performed Test Identifier Code as LOINC Code
e.g. 59423-4
e.g. FLUAV HA RNA XXX PCR
e.g. LN
OBX 3.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty. Performed Test Text
description as LOINC short description
OBX 3.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
Performed Test code as internal Lab code
OBX 3.4
Alternate ID
RE
D
OBX 3.5
Alternate Text Description
CE
D
OBX 3.6
Name of Alternate Coding
System
CE
D
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
Value this field if an alternate identifier is
provided on component 4. Refer to the HL7
0396 table from HL7 2.5.1 Implementation
Guide for values.
e.g. CWE
2710
Influenza A Virus Subtuping by RTPCR
MDHT
Coding System Version ID
Alternate coding System
Version ID
RE
D
RE
X
OBX 3.9
Original Text
RE
D
OBX- 3.10
OBX- 3.11
O
O
X
X
O
X
O
X
OBX- 3.14
OBX- 3.15
OBX- 3.16
OBX- 3.17
OBX- 3.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
OBX- 3.19
Alternate Value Set Version ID
X
X
X
X
X
X
X
X
OBX 3.7
OBX 3.8
OBX- 3.12
OBX- 3.13
OBX- 3.20
OBX- 3.21
OBX- 3.22
OBX 4
OBX 5
OBX-5.1
OBX-5.2
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
CE
D
Name of Coding System
R
D
OBX-5.4
Alternate ID
RE
D
OBX-5.5
Alternate Text
RE
D
OBX-5.14
OBX-5.15
OBX-5.16
OBX-5.17
OBX-5.18
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
OBX-5.19
Alternate Value Set Version ID
OBX-5.7
OBX-5.8
OBX-5.9
OBX-5.10
OBX-5.11
OBX-5.12
OBX-5.13
OBX-5.20
OBX-5.21
OBX-5.22
OBX-5.1
OBX-5.1
OBX-5.1
OBX-5.2
OBX-5.3
OBX-5.4
OBX 6
If no identifier and alternate identifier are
present, then this component is Desired.
Value this field if there is more than one OBX
with the same OBX- 3 Observation Identifier
associated with the same OBR.
Either OBX-5 or OBX-8 (Abnormal flags) must
be present in the message except if OBX-11 is
Observation Value
CE
D
'X', result cannot be obtained. Refer to the HL7
0125 table from HL7 2.5.1 Implementation
Guide for values.
Choice 1: Observation_Coded with exceptions (CWE) Value
Identifier
Observation Test Result Identifier
R
D
Description Text
Observation Test Result Text
RE
D
Observation Sub- ID
OBX-5.3
OBX-5.6
2.32
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
CE
X
RE
D
RE
X
RE
O
O
D
X
X
O
X
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
CE
D
e.g.
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
e.g. MDHR46
e.g. Hemagglutinin Type H1
e.g. MDHR
Choice 2: Observation String (ST) Value
Observation Value
R
D
Choice 3: Observation Xeric (NM) Value
Observation Value
R
D
Choice 4: Observation Structured Numeric (SN) Value
Comparator
RE
D
Num1
RE
D
Separator/ Suffix
RE
D
Num2
RE
D
Observation Units
e.g. 1
If the data type in OBX 2 is "NM" or "SN" and
the OBX -11 observation result status is not "X"
then this filed is Desired.
OBX 6.1
Observation Value ID
RE
D
OBX 6.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
OBX 6.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
OBX 6.4
Alternate ID
RE
D
It should be the closest match for the identifier
found in component 1.
OBX 6.5
OBX 6.6
OBX 6.7
OBX 6.8
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
D
CE
X
RE
D
RE
X
OBX 6.9
Original Text
RE
D
OBX- 6.10
OBX- 6.11
O
O
X
X
O
X
O
X
OBX- 6.14
OBX- 6.15
OBX- 6.16
OBX- 6.17
OBX- 6.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
OBX- 6.19
Alternate Value Set Version ID
X
X
X
X
X
X
OBX- 6.12
OBX- 6.13
OBX- 6.20
OBX- 6.21
OBX- 6.22
OBX 7
OBX 8
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Reference Range
Abnormal Flags
X
X
RE
D
CE
D
If the alternate identifier component is empty,
this component must be empty.
If no identifier and alternate identifier are
present, then this component is Desired.
Indicator of the normality of the result found in
OBX-5. Cardinality indicates the possible need
for multiple abnormal flags. Refer to the HL7
0078 table from HL7 2.5.1 Implementation
Guide for values.
OBX- 8.1
Identifier
RE
D
OBX- 8.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
OBX- 8.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
OBX- 8.4
Alternate ID
RE
D
OBX- 8.5
Alternate Text Description
CE
D
OBX- 8.6
OBX- 8.7
OBX- 8.8
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
X
RE
D
RE
X
OBX- 8.9
Original Text
RE
D
OBX- 8.10
OBX- 8.11
O
O
X
X
O
X
O
X
OBX- 8.14
OBX- 8.15
OBX- 8.16
OBX- 8.17
OBX- 8.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
OBX- 8.19
Alternate Value Set Version ID
X
X
X
X
X
X
X
X
O
O
X
X
OBX- 8.12
OBX- 8.13
OBX- 8.20
OBX- 8.21
OBX- 8.22
OBX 9
OBX 10
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Probability
Nature of Abnormal Test
OBX 11
Observation Result Status
R
R
OBX 12
Effective Date of Reference
Range
O
X
OBX 13
User- Defined Access Checks
O
X
OBX 14
OBX 14.1
Date/ Time of the Observation
Date/Time
CE
D
R
D
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
If no identifier and alternate identifier are
present, then this component is Desired.
Status of the observation result. Values are:
C - Record is a Correction
F - Final Results
X - Results Cannot Be Obtained
W - Post Original As Wrong, e.g transmitted for
wrong patient
(See HL7
table 0085 on Implementation Guide of HL7
2.5.1)
e.g. F
For observations related to the testing of a
specimen, OBX-14 (Date/ Time of the
Observation) shall contain specimen collection
time and will be the same value as OBR-7 and
SPM-17.1. For unknown date/time use "0000".
e.g. 20111212104500-0600
OBX 14.2
OBX- 15
Degree of Precision
Producer's Reference
X
X
O
D
OBX- 15.1
Identifier
RE
D
OBX- 15.2
Description Text
CE
D
OBX- 15.3
Name of Coding System
CE
D
OBX- 15.4
Alternate ID
RE
X
OBX- 15.5
Alternate Text Description
CE
X
OBX- 15.6
OBX- 15.7
OBX- 15.8
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
X
RE
D
RE
X
OBX- 15.9
Original Text
RE
D
OBX- 15.10
OBX- 15.11
O
O
X
X
O
X
O
X
OBX- 15.14
OBX- 15.15
OBX- 15.16
OBX- 15.17
OBX- 15.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
OBX- 15.19
Alternate Value Set Version ID
X
X
X
X
X
X
OBX- 15.12
OBX- 15.13
OBX- 16
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Responsible Observer
OBX 17
Observation Method
OBX- 15.20
OBX- 15.21
OBX- 15.22
X
X
O
X
RE
D
If populated the field must identify the same
performing organization as that identified in
OBX-23 (Performing Organization Name).
24D0651409
MINNESOTA DEPARTMENT OF
HEALTH
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
If no identifier and alternate identifier are
present, then this component is Desired
Method of testing by the laboratory. If the LOINC
code in OBX-3 is methodless, this field shall be
populated. Sometimes the method may be
extrapolated from the local test codes.
OBX 17.1
Observation Method ID
RE
D
OBX 17.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
OBX 17.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
OBX 17.4
Alternate ID
RE
X
OBX 17.5
Alternate Text Description
CE
X
OBX 17.6
OBX 17.7
OBX 17.8
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
X
RE
D
RE
X
OBX 17.9
Original Text
RE
D
OBX- 17.10
OBX- 17.11
O
O
X
X
O
X
O
X
OBX- 17.14
OBX- 17.15
OBX- 17.16
OBX- 17.17
OBX- 17.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
OBX- 17.19
Alternate Value Set Version ID
X
X
X
X
X
X
OBX- 17.12
OBX- 17.13
OBX- 17.20
OBX- 17.21
OBX- 17.22
OBX- 18
OBX 19
OBX 19.1
OBX 19.2
OBX- 20
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Equipment Instance Identifier
Date/ Time of the Analysis
Date//Time
Degree of Precision
Reserved for harmonization
with Version 2.6
X
X
O
RE
R
X
X
D
D
X
X
X
e.g. CLIA
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
If no identifier and alternate identifier are
present, then this component is Desired.
e.g. Reverse Transcriptase Polymerase
Chain Reaction
Time at which the testing was performed.
e.g. 20111213031500-0600
OBX 21
Reserved for harmonization
with Version 2.6
X
X
OBX 22
Reserved for harmonization
with Version 2.6
X
X
OBX- 23
Performing Organization
Name
R
R
Name of the laboratory that produced the test
result.
OBX- 23.1
Organization Name
CE
R
Must be present if there is no organization
identifier in component 10. Send it if you have it.
OBX- 23.2
Organization Name Type Code
RE
D
Refer to the HL7 0204 table from HL7 2.5.1
Implementation Guide for values.
ID Number
Check Digit
Check Digit Scheme
Assigning Authority
Identifier Type Code
Assigning Facility
Name Representation Code
Organization Identifier
Performing Organization
OBX- 24
Address
OBX- 24.1
Street Address
Street or Mailing Address
OBX- 24.1.1
Street Name
OBX- 24.1.2
Dwelling Number
OBX- 24.1.3
Other Designation
OBX- 24.2
City
OBX- 24.3
X
O
O
CE
CE
O
O
RE
X
X
X
X
X
X
X
D
R
D
RE
R
O
O
RE
RE
D
D
D
O
D
D
OBX- 23.3
OBX- 23.4
OBX- 23.5
OBX- 23.6
OBX- 23.7
OBX- 23.8
OBX- 23.9
OBX- 23.10
OBX- 24.4
State or Province
RE
D
OBX- 24.5
OBX- 24.6
Zip Code or Postal Code
Country
RE
RE
D
O
OBX- 24.7
Address Type
RE
O
OBX- 24.8
Other Geographic Designation
O
O
OBX- 24.9
County / Parish Code
RE
O
OBX- 24.10
Census Tract
O
X
OBX- 24.11
Address Representation Code
O
X
OBX- 24.12
OBX- 24.13
OBX- 24.14
Address Validity Range
Effective Date
Expiration Date
Performing Orgnaization
Medical Director
Performing Organization
Medical Director ID Number
Last Name
Surname
Own Surname Prefix
Own Surname
Surname Prefix from Partner/
Spouse
X
O
O
X
X
X
RE
D
RE
O
RE
R
O
O
D
D
O
O
O
X
OBX- 25
OBX-25.1
OBX-25.2
OBX- 25.2.1
OBX- 25.2.2
OBX- 25.2.3
OBX- 25.2.4
OBX- 25.2.5 Surname from Partner/ Spouse
e.g.MINNESOTA DEPARTMENT
OF HEALTH
e.g. CLIA
e.g. 24D0651409
e.g. 625 ROBERT ST N
e.g. ST PAUL
Patient State or Province: Value is 2 character
FIPS standard
e.g. MN
e.g. 55155-2531
Refer to the HL7 0190 table from HL7 2.5.1
Implementation Guide for values.
County (complete County Names are used for
County Codes).
Refer to the HL7 0288 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0465 table from HL7 2.5.1
Implementation Guide for values.
e.g. Johnson
O
X
RE
D
RE
D
e.g. J.
OBX-25.5
OBX-25.6
Given Name
Second and Further Given
Names or Initials
Suffix (e.g., JR or III)
Prefix (e.g., DR)
RE
RE
D
D
e.g. Jr.
e.g. Dr.
OBX-25.7
Degree (e.g., MD)
O
X
OBX-25.3
OBX-25.4
OBX-25.8
Source Table
O
X
OBX-25.9
OBX-25.10
OBX-25.11
OBX-25.12
OBX-25.13
OBX-25.14
OBX- 25.15
OBX- 25.16
OBX- 25.17
OBX- 25.18
OBX- 25.19
OBX- 25.20
OBX-25.21
OBX-25.22
Assigning Authority
Name Type Code
Identifier Check Digit
Check Digit Scheme
Identifier Type Code
Assigning Facility
Name Representation Code
Name context
Name Validity Range
Name Assembly Order
Effective Date
Expiration Date
Professional Suffix
Assigning Jurisdiction
Assigning Agency or
Department
CE
RE
O
O
CE
RE
O
O
X
O
O
O
RE
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
O
X
OBX-25.23
e.g. Mike
Refer to the HL7 0360 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0297 table from HL7 2.5.1
Implementation Guide for values.
OBX Related Notes/Comments (NTE)
NTE-1
Set ID- NTE
NTE-2
Source of Comment
RE
R
O
X
NTE-3
NTE-4
Comment
Comment Type
R
RE
O
X
Financial Transaction [{FT1}]
FT1-1
FT1-2
FT1-3
FT1-4
FT1-5
FT1-6
FT1-7
FT1-8
Set ID- FT1
Transaction ID
Transaction Batch ID
Transaction Date
Transaction Posting Date
Transaction Type
Transaction Code
Transaction Description
FT1-9
FT1-10
FT1-11
FT1-12
FT1-13
FT1-14
FT1-15
FT1-16
FT1-17
FT1-18
FT1-19
FT1-20
FT1-21
FT1-22
FT1-23
FT1-24
FT1-25
FT1-26
FT1-27
O
O
O
R
O
R
R
B
X
X
X
X
X
X
X
X
Transaction Description- Alt
B
X
Transaction Quantity
Transaction AmountExtended
Transaction Amount-Unit
Department Code
Insurance Plan ID
Insurance Amount
Assigned Patient Location
Fee Schedule
Patient Type
Diagnosis Code-FT1
Performed By Code
Ordered By Code
Unit Cost
Filler Order Number
Entered By Code
Procedure Code
Procedure Code Modifier
Advance Benificiary Notice
Code
O
X
O
X
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
O
X
FT1-28
Medically Necessary
duplicate Procedure Reason
O
X
FT1-29
FT1-30
NDC Code
Payment Reference ID
O
O
X
X
FT1-31
Transaction Reference Key
O
X
CTI-1
Sponsor Study ID
R
X
CTI-2
Study Phase Identifier
C
X
CT1-3
Study Scheduled Time Point
O
X
SPM-1
SPM- 2
Set ID- SPM
Specimen ID
R
R
Clinical Trial Identification [{CTI}]
Specimen Segment (SPM)
SPM- 2.1
Specimen ID- Placer
Assigned Identifier
Specimen ID- Filler Assigned
Identifier
Entity Identifier
SPM-2.2.1
SPM- 2.2
SPM-2.2.2
Namespace ID
SPM-2.2.3
Universal ID
SPM-2.2.4
Universal ID Type
SPM- 3
SPM- 3.1
SPM- 3.2
SPM- 3.3
SPM- 3.4
Specimen Parent IDs
Entity Identifier
Namespace ID
Universal ID
Universal ID Type
SPM- 4
Specimen Type
O
R
R
O
R
R
R
R
RE
D
R
D
R
D
O
R
RE
R
R
O
O
O
O
O
R
D
Literal value "1"
2012300017
The coding system for this component is locally
managed
Use OID or CLIA for your organization
Constrained to the value 'ISO' except where the
Universal ID is a CLIA #, then 'CLIA' is allowed
to the value "ISO". Refer to the HL7 0301 table
from HL7 2.5.1 Implementation Guide for values.
Specimen Type ID
RE
D
SPM-4.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
SPM-4.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
SPM-4.4
SPM-4.5
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
RE
CE
X
X
SPM-4.9
SPM- 4.10
SPM- 4.11
SPM-4.7
SPM-4.8
SPM- 4.12
CE
X
RE
X
RE
X
Original Text
CE
D
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
O
O
X
X
O
X
MN OpenELIS Prod
2.16.840.1.114222.4.3.3.6.1.1
ISO
Description of the precise nature of the entity
that is the source material for the observation
SPM-4.1
SPM-4.6
1
Unique Identifier for the specimen as
referenced by the Placer Application, the Filler
Application or both
445297001
Swab of internal nose
SCT
20090731
If no identifier is present, then this component is
Desired.
SPM- 4.14
SPM- 4.15
SPM- 4.16
SPM- 4.17
SPM- 4.18
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM- 4.19
Alternate Value Set Version ID
SPM- 4.13
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
RE
O
RE
CE
CE
RE
CE
O
O
O
O
O
SPM-5.14
SPM-5.15
SPM-5.16
SPM-5.17
SPM-5.18
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM-5.19
Alternate Value Set Version ID
SPM- 4.20
SPM- 4.21
SPM- 4.22
SPM- 5
SPM-5.1
SPM-5.2
SPM-5.3
SPM-5.4
SPM-5.5
SPM-5.6
SPM-5.7
SPM-5.8
SPM-5.9
SPM-5.10
SPM-5.11
SPM-5.12
SPM-5.13
SPM-5.20
SPM-5.21
SPM-5.22
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Specimen Type Modifier
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
CE
O
RE
O
RE
O
CE
O
O
O
X
X
O
X
O
X
O
X
X
X
X
O
X
X
X
X
X
X
X
X
X
X
X
X
RE
O
RE
CE
CE
RE
CE
O
O
O
O
O
SPM-6.14
SPM-6.15
SPM-6.16
SPM-6.17
SPM-6.18
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM-6.19
Alternate Value Set Version ID
SPM- 6
SPM-6.1
SPM-6.2
SPM-6.3
SPM-6.4
SPM-6.5
SPM-6.6
SPM-6.7
SPM-6.8
SPM-6.9
SPM-6.10
SPM-6.11
SPM-6.12
SPM-6.13
Specimen Additives
CE
O
RE
O
RE
O
CE
O
O
O
X
X
O
X
Allows sending qualifiers for a SNOMED CT
term from a single axis. Only used if SPM- 4 is
a SNOMED code.
Refer to the HL7 0371 table from HL7 2.5.1
Implementation Guide for values.
O
X
O
X
X
X
X
O
X
X
X
X
X
X
X
X
X
X
X
X
Specimen Collection Method
RE
D
SPM-7.1
Specimen Collection Method ID
RE
D
SPM-7.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
SPM-7.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
SPM-7.4
Alternate ID
RE
X
SPM-6.20
SPM-6.21
SPM-6.22
SPM- 7
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Method used to collect the specimen
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
SPM-7.9
SPM- 7.10
SPM- 7.11
SPM-7.5
SPM-7.6
X
CE
X
RE
X
RE
X
Original Text
RE
D
O
O
X
X
O
X
O
X
SPM- 7.14
SPM- 7.15
SPM- 7.16
SPM- 7.17
SPM- 7.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
SPM- 7.19
Alternate Value Set Version ID
X
X
X
X
X
X
X
X
SPM-7.7
SPM-7.8
SPM- 7.12
SPM- 7.13
SPM- 7.20
SPM- 7.21
SPM- 7.22
SPM- 8
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
RE
D
SPM-8.1
Specimen Source Site ID
RE
D
SPM-8.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
SPM-8.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
SPM-8.4
SPM-8.5
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
RE
CE
X
X
RE
X
SPM-8.9
Original Text
RE
D
SPM- 8.10
SPM- 8.11
O
O
X
X
O
X
O
X
SPM- 8.14
SPM- 8.15
SPM- 8.16
SPM- 8.17
SPM- 8.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
SPM- 8.19
Alternate Value Set Version ID
X
X
X
X
X
X
X
X
RE
O
RE
CE
CE
RE
CE
O
O
O
O
O
SPM-9.14
SPM-9.15
SPM-9.16
SPM-9.17
SPM-9.18
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM-9.19
Alternate Value Set Version ID
SPM-8.6
SPM-8.7
SPM-8.8
SPM- 8.12
SPM- 8.13
SPM- 8.20
SPM- 8.21
SPM- 8.22
SPM- 9
SPM-9.1
SPM-9.2
SPM-9.3
SPM-9.4
SPM-9.5
SPM-9.6
SPM-9.7
SPM-9.8
SPM-9.9
SPM-9.10
SPM-9.11
SPM-9.12
SPM-9.13
Specimen Source Site
If no identifier then this component is Desired
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Specimen Source Site
Modifier
CE
X
RE
X
CE
O
RE
O
RE
O
CE
O
O
O
X
X
O
X
O
X
O
X
X
X
X
O
X
X
X
X
X
X
Source from which the specimen was obtained
If no identifier then this component is Desired.
Modifier or qualifier for the specimen source
site (SPM-8). Only used if SPM-8 is a
SNOWMED code.
SPM-10.14
SPM-10.15
SPM-10.16
SPM-10.17
SPM-10.18
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Specimen Collection Site
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM-10.19
Alternate Value Set Version ID
SPM-9.20
SPM-9.21
SPM-9.22
SPM- 10
SPM-10.1
SPM-10.2
SPM-10.3
SPM-10.4
SPM-10.5
SPM-10.6
SPM-10.7
SPM-10.8
SPM-10.9
SPM-10.10
SPM-10.11
SPM-10.12
SPM-10.13
SPM-10.20
SPM-10.21
SPM-10.22
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
X
X
X
X
X
X
O
RE
CE
CE
RE
CE
O
O
O
O
O
O
CE
O
RE
O
RE
O
CE
O
O
O
X
X
O
X
O
X
O
X
X
X
X
O
X
X
X
X
X
X
X
X
X
X
X
X
RE
O
RE
CE
CE
RE
CE
O
O
O
O
O
SPM-11.14
SPM-11.15
SPM-11.16
SPM-11.17
SPM-11.18
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM-11.19
Alternate Value Set Version ID
SPM- 11
SPM-11.1
SPM-11.2
SPM-11.3
SPM-11.4
SPM-11.5
SPM-11.6
SPM-11.7
SPM-11.8
SPM-11.9
SPM-11.10
SPM-11.11
SPM-11.12
SPM-11.13
SPM-11.20
SPM-11.21
SPM-11.22
SPM- 12
Specimen Role
CE
O
RE
O
RE
O
CE
O
O
O
X
X
O
X
O
X
O
X
X
X
X
O
X
X
X
X
X
X
X
X
X
X
X
X
Specimen Collection Amount
RE
D
Quantity
Units
D
D
X
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Identifier
R
RE
RE
SPM-12.2.2
Description Text
CE
D
SPM-12.2.3
SPM-12.2.4
SPM-12.2.5
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
RE
CE
X
X
X
RE
X
SPM-12.2.9
Original Text
RE
D
SPM-12.2.10
SPM-12.2.11
Second Alternate Identifier
Second Alternate Text
Second Name of Coding
System
O
O
X
X
O
X
SPM-12.1
SPM-12.2
SPM-12.2.1
SPM-12.2.6
SPM-12.2.7
SPM-12.2.8
SPM-12.2.12
CE
X
RE
X
Refer to HL7 Table 0543 for values.
Refer to the HL7 0369 table from HL7 2.5.1
Implementation Guide for values.
Amount of sample collected. Can be reported as
a volume or a weight/ mass. Unified Code for
Units of Measure (UCUM)
1
If the Identifier component is empty, then this
component must be empty.
If no identifier present, then this component is
Desired
SPM-12.2.13
SPM-12.2.14
SPM-12.2.15
SPM-12.2.16
SPM-12.2.17
SPM-12.2.18
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM-12.2.19 Alternate Value Set Version ID
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Second Alternate Coding
System OID
Second Alternate Value Set
SPM-12.2.21
OID
Second Alternate Value Set
SPM-12.2.22
Version ID
SPM-13
Grouped Specimen Count
SPM-14
Specimen Description
X
X
O
O
O
O
SPM-15
Specimen Handling Code
O
X
SPM-16
Specimen Risk Code
O
X
SPM- 17
Specimen CollectionDate/
Time
R
R
RE
R
Date/Time
R
R
Degree of Precision
X
X
RE
X
SPM-12.2.20
SPM-17.1
Range Start Date Time
SPM-17.1.1
SPM-17.1.2
SPM-17.2
SPM-18
SPM-18.1
SPM-18.2
SPM- 19
SPM- 19.1
SPM- 19.2
Range End Date Time
Specimen Received Date/
Time
Date/Time
Degree of Precision
Specimen Expiration Date/
Time
Date/Time
Degree of Precision
R
R
R
X
R
X
O
O
O
Refer to the HL7 0136 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0490 table from HL7 2.5.1
Implementation Guide for values.
Specimen Reject Reason
RE
D
SPM-21.1
SPM-21.2
Specimen Reason ID
Description Text
RE
CE
D
X
SPM-21.3
Name of Coding System
CE
D
SPM-21.4
SPM-21.5
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
RE
CE
X
X
RE
X
SPM-21.9
Original Text
RE
D
SPM- 21.10
SPM- 21.11
O
O
X
X
O
X
SPM- 21.14
SPM- 21.15
SPM- 21.16
SPM- 21.17
SPM- 21.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM- 21.19
Alternate Value Set Version ID
SPM- 21.12
SPM- 21.13
SPM- 21.20
SPM- 21.21
SPM- 21.22
SPM- 22
SPM-22.1
SPM-22.2
SPM-22.3
SPM-22.4
SPM-22.5
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Specimen Quality
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
e.g. 20111213071500-0600
O
X
SPM- 21
SPM-21.8
SPM- 17.2 must match OBR- 8 Observation End
Date/ Time
Time the specimen was received at the
diagnostic services
R
X
Specimen Availability
SPM-21.7
e.g. 20111212104500-0600
O
SPM- 20
SPM-21.6
Refer to the HL7 0376 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0489 table from HL7 2.5.1
Implementation Guide for values.
For OBXs reporting observations based on this
specimen, OBX-14 should contain the same
value as component 1 of this field.
For unknown collection date/time use "0000".
This field must contain the same value as OBR
7.1 Observation Date/ Time.
CE
X
RE
D
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
O
O
RE
CE
CE
RE
CE
O
O
O
O
O
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
If no identifier present, then this component is
Desired
Refer to the HL7 0491 table from HL7 2.5.1
Implementation Guide for values.
SPM-22.14
SPM-22.15
SPM-22.16
SPM-22.17
SPM-22.18
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM-22.19
Alternate Value Set Version ID
SPM-22.6
SPM-22.7
SPM-22.8
SPM-22.9
SPM-22.10
SPM-22.11
SPM-22.12
SPM-22.13
SPM-22.20
SPM-22.21
SPM-22.22
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
SPM- 23
Specimen Appropriateness
SPM- 24
Specimen Condition
CE
O
RE
O
RE
O
CE
O
O
O
X
X
O
X
O
X
O
X
X
X
X
O
X
X
X
X
X
X
X
X
X
X
X
X
O
X
O
O
RE
CE
CE
RE
CE
O
O
O
O
O
SPM-24.14
SPM-24.15
SPM-24.16
SPM-24.17
SPM-24.18
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM-24.19
Alternate Value Set Version ID
SPM-24.1
SPM-24.2
SPM-24.3
SPM-24.4
SPM-24.5
SPM-24.6
SPM-24.7
SPM-24.8
SPM-24.9
SPM-24.10
SPM-24.11
SPM-24.12
SPM-24.13
SPM-24.20
SPM-24.21
SPM-24.22
SPM- 25
SPM- 25.1
SPM- 25.2
SPM- 25.2.1
SPM- 25.2.2
SPM- 25.2.3
SPM- 25.2.4
SPM- 25.2.5
SPM- 25.2.6
SPM- 25.2.7
SPM- 25.2.8
SPM- 25.2.9
SPM- 25.2.10
SPM- 25.2.11
SPM- 25.2.12
SPM- 25.2.13
SPM- 25.2.14
SPM- 25.2.15
SPM- 25.2.16
SPM- 25.2.17
SPM- 25.2.18
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Specimen Current Quantity
Quantity
Units
Identifier
Description Text
Name of Coding System
Alternate ID
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
SPM- 25.2.19 Alternate Value Set Version ID
SPM- 25.2.20
SPM- 25.2.21
Second Alternate Coding
System OID
Second Alternate Value Set
OID
CE
O
RE
O
RE
O
CE
O
O
O
X
X
O
X
O
X
O
X
X
X
X
O
X
X
X
X
X
X
X
X
X
X
X
X
O
R
RE
RE
CE
CE
RE
CE
O
O
O
O
O
O
O
O
CE
O
RE
O
RE
O
CE
O
O
O
O
O
O
O
O
O
O
X
X
X
X
O
X
X
X
X
X
X
X
X
X
X
Refer to the HL7 0492 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0493 table from HL7 2.5.1
Implementation Guide for values.
SPM- 27
Second Alternate Value Set
Version ID
Number of Specimen
Containers
Container Type
SPM- 28
Container Condition
SPM- 29
Specimen Child Role
SPM- 25.2.22
SPM- 26
X
X
O
X
O
X
O
X
O
X
Refer to the HL7 0544 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0494 table from HL7 2.5.1
Implementation Guide for values.
Observation Related to Specimen [{OBX}]
OBX-1
OBX-2
Value Type
OBX-3
Observation Identifier
OBX3.1
Observation ID
Sequence Number of OBX within this OBR
If OBX- 5 is populated, OBX- 2 is required. (see
table HL7 0125 for values).
Unique Identifier for the type of observation.
OBX-3 in conjunction with OBX-4 Observation
Sub ID should uniquely identify this OBX from
all other OBXs associated with this OBR
R
R
R
R
RE
D
Performed Test Identifier Code as LOINC Code
e.g. 21612-7
e.g. Age Time Patient Reported
e.g. LN
OBX 3.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty. Performed Test Text
description as LOINC short description
OBX 3.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
Performed Test code as internal Lab code
OBX 3.4
Alternate ID
RE
D
OBX 3.5
Alternate Text Description
CE
D
OBX 3.6
Name of Alternate Coding
System
CE
D
Coding System Version ID
Alternate coding System
Version ID
RE
D
RE
X
OBX 3.9
Original Text
RE
D
OBX- 3.10
OBX- 3.11
O
O
X
X
O
X
O
X
OBX- 3.14
OBX- 3.15
OBX- 3.16
OBX- 3.17
OBX- 3.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
OBX- 3.19
Alternate Value Set Version ID
X
X
X
X
X
X
X
X
OBX 3.7
OBX 3.8
OBX- 3.12
OBX- 3.13
OBX- 3.20
OBX- 3.21
OBX- 3.22
OBX 4
OBX 5
OBX-5.1
OBX-5.2
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
CE
D
OBX-5.3
Name of Coding System
R
D
OBX-5.4
Alternate ID
RE
D
Alternate Text
RE
D
OBX-5.5
OBX-5.6
OBX-5.7
OBX-5.8
OBX-5.9
OBX-5.10
OBX-5.11
OBX-5.12
OBX-5.13
OBX-5.14
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
Original Text
Second Alternate Identifier
Second Alternate Text
Second Name of alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
CE
X
RE
D
RE
X
RE
O
O
D
X
X
O
X
O
X
O
X
e.g. SN
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
Value this field if an alternate identifier is
provided on component 4. Refer to the HL7
0396 table from HL7 2.5.1 Implementation
Guide for values.
e.g 2.32
If no identifier and alternate identifier are
present, then this component is Desired.
Value this field if there is more than one OBX
with the same OBX- 3 Observation Identifier
associated with the same OBR.
Either OBX-5 or OBX-8 (Abnormal flags) must
be present in the message except if OBX-11 is
Observation Value
CE
D
'X', result cannot be obtained. Refer to the HL7
0125 table from HL7 2.5.1 Implementation
Guide for values.
Choice 1: Observation_Coded with exceptions (CWE) Value
Identifier
Observation Test Result Identifier
R
D
Description Text
Observation Test Result Text
RE
D
Observation Sub- ID
e.g.1
R
CE
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
OBX-5.15
OBX-5.16
OBX-5.17
OBX-5.18
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
X
X
X
X
X
X
X
X
OBX-5.19
Alternate Value Set Version ID
X
X
X
X
X
X
X
X
OBX-5.20
OBX-5.21
OBX-5.22
OBX-5.1
OBX-5.1
OBX-5.1
OBX-5.2
OBX-5.3
OBX-5.4
OBX 6
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Choice 2: Observation String (ST) Value
Observation Value
R
D
Choice 3: Observation Xeric (NM) Value
Observation Value
R
D
Choice 4: Observation Structured Numeric (SN) Value
Comparator
RE
D
Num1
RE
D
Separator/ Suffix
RE
D
Num2
RE
D
Observation Units
CE
D
e.g. 19
If the data type in OBX 2 is "NM" or "SN" and
the OBX -11 observation result status is not "X"
then this filed is Desired.
OBX 6.1
Observation Value ID
RE
D
OBX 6.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
e.g. YEAR
OBX 6.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
e.g. UCUM
OBX 6.4
Alternate ID
RE
D
OBX 6.5
Alternate Text Description
CE
D
OBX 6.6
OBX 6.7
OBX 6.8
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
X
RE
D
RE
X
OBX 6.9
Original Text
RE
D
OBX- 6.10
OBX- 6.11
O
O
X
X
O
X
O
X
OBX- 6.14
OBX- 6.15
OBX- 6.16
OBX- 6.17
OBX- 6.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
OBX- 6.19
Alternate Value Set Version ID
X
X
X
X
X
X
OBX- 6.12
OBX- 6.13
OBX- 6.20
OBX- 6.21
OBX- 6.22
OBX 7
OBX 8
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Reference Range
Abnormal Flags
X
X
RE
D
CE
D
e.g. a
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
e.g. 1.8.2
If no identifier and alternate identifier are
present, then this component is Desired.
Indicator of the normality of the result found in
OBX-5. Cardinality indicates the possible need
for multiple abnormal flags. Refer to the HL7
0078 table from HL7 2.5.1 Implementation
Guide for values.
OBX- 8.1
Identifier
RE
D
OBX- 8.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
OBX- 8.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
OBX- 8.4
Alternate ID
RE
D
OBX- 8.5
Alternate Text Description
CE
D
OBX- 8.6
OBX- 8.7
OBX- 8.8
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
X
RE
D
RE
X
OBX- 8.9
Original Text
RE
D
OBX- 8.10
OBX- 8.11
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
O
O
X
X
O
X
OBX- 8.12
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
If no identifier and alternate identifier are
present, then this component is Desired.
OBX- 8.14
OBX- 8.15
OBX- 8.16
OBX- 8.17
OBX- 8.18
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
OBX- 8.19
Alternate Value Set Version ID
OBX- 8.13
OBX- 8.20
OBX- 8.21
OBX- 8.22
OBX 9
OBX 10
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Probability
Nature of Abnormal Test
O
X
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
O
O
X
X
OBX 11
Observation Result Status
R
R
OBX 12
Effective Date of Reference
Range
O
X
OBX 13
User- Defined Access Checks
O
X
OBX 14
OBX 14.1
OBX 14.2
OBX- 15
Date/ Time of the Observation
Date/Time
Degree of Precision
Producer's Reference
CE
D
R
X
D
X
O
D
OBX- 15.1
Identifier
RE
D
OBX- 15.2
Description Text
CE
D
OBX- 15.3
Name of Coding System
CE
D
OBX- 15.4
Alternate ID
RE
X
OBX- 15.5
Alternate Text Description
CE
X
OBX- 15.6
OBX- 15.7
OBX- 15.8
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
X
RE
D
RE
X
OBX- 15.9
Original Text
RE
D
OBX- 15.10
OBX- 15.11
O
O
X
X
O
X
O
X
OBX- 15.14
OBX- 15.15
OBX- 15.16
OBX- 15.17
OBX- 15.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
OBX- 15.19
Alternate Value Set Version ID
X
X
X
X
X
X
OBX- 15.12
OBX- 15.13
OBX- 16
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Responsible Observer
OBX 17
Observation Method
OBX- 15.20
OBX- 15.21
OBX- 15.22
X
X
O
X
RE
D
Status of the observation result. Values are:
C - Record is a Correction
F - Final Results
X - Results Cannot Be Obtained
W - Post Original As Wrong, e.g transmitted for
wrong patient
(See HL7
table 0085 on Implementation Guide of HL7
2.5.1)
e.g. F
For observations related to the testing of a
specimen, OBX-14 (Date/ Time of the
Observation) shall contain specimen collection
time and will be the same value as OBR-7 and
SPM-17.1. For unknown date/time use "0000".
e.g. 20111212104500-0600
If populated the field must identify the same
performing organization as that identified in
OBX-23 (Performing Organization Name).
24D0651409
e.g.MINNESOTA DEPARTMENT
OF HEALTH
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
It should be the closest match for the identifier
found in component 1.
If the alternate identifier component is empty,
this component must be empty.
If no identifier and alternate identifier are
present, then this component is Desired
Method of testing by the laboratory. If the LOINC
code in OBX-3 is methodless, this field shall be
populated. Sometimes the method may be
extrapolated from the local test codes.
OBX 17.1
Observation Method ID
RE
D
OBX 17.2
Description Text
CE
D
If the Identifier component is empty, then this
component must be empty.
OBX 17.3
Name of Coding System
CE
D
Value this field if an identifier is provided in
component 1. Refer to the HL7 0396 table from
HL7 2.5.1 Implementation Guide for values.
OBX 17.4
Alternate ID
RE
X
It should be the closest match for the identifier
found in component 1.
e.g. CLIA
OBX 17.5
OBX 17.6
OBX 17.7
OBX 17.8
Alternate Text Description
Name of Alternate Coding
System
Coding System Version ID
Alternate coding System
Version ID
CE
X
CE
X
RE
D
RE
X
OBX 17.9
Original Text
RE
D
OBX- 17.10
OBX- 17.11
O
O
X
X
O
X
O
X
OBX- 17.14
OBX- 17.15
OBX- 17.16
OBX- 17.17
OBX- 17.18
Second Alternate Identifier
Second Alternate Text
Second Name of Alternate
Coding System
Second Alternate Coding
System Version ID
Coding System OID
Value Set OID
Value Set Version ID
Alternate Coding System OID
Alternate Value Set OID
O
X
X
X
X
X
X
X
X
X
OBX- 17.19
Alternate Value Set Version ID
X
X
X
X
X
X
X
X
OBX- 17.12
OBX- 17.13
OBX- 17.20
OBX- 17.21
OBX- 17.22
OBX- 18
OBX 19
OBX 19.1
OBX 19.2
Second Alternate Coding
System OID
Second Alternate Value Set
OID
Second Alternate Value Set
Version ID
Equipment Instance Identifier
Date/ Time of the Analysis
Date/Time
Degree of Precision
O
X
RE
D
R
X
D
X
If the alternate identifier component is empty,
this component must be empty.
If no identifier and alternate identifier are
present, then this component is Desired
Time at which the testing was performed. The
time the testing was performed will be carried in
OBX-19 and OBX 14.
e.g. 20111213031500-0600
OBX- 20
Reserved for harmonization
with Version 2.6
X
X
OBX 21
Reserved for harmonization
with Version 2.6
X
X
OBX 22
Reserved for harmonization
with Version 2.6
X
X
OBX- 23
Performing Organization
Name
R
R
Name of the laboratory that produced the test
result.
OBX- 23.1
Organization Name
CE
R
Must be present if there is no organization
identifier in component 10. Send it if you have it.
OBX- 23.2
Organization Name Type Code
RE
D
Refer to the HL7 0204 table from HL7 2.5.1
Implementation Guide for values.
ID Number
Check Digit
Check Digit Scheme
Assigning Authority
Identifier Type Code
Assigning Facility
Name Representation Code
Organization Identifier
Performing Organization
OBX- 24
Address
OBX- 24.1
Street Address
Street or Mailing Address
OBX- 24.1.1
Street Name
OBX- 24.1.2
Dwelling Number
OBX- 24.1.3
Other Designation
OBX- 24.2
City
OBX- 24.3
X
O
O
CE
CE
O
O
RE
X
X
X
X
X
X
X
D
R
D
RE
R
O
O
RE
RE
D
D
D
O
D
D
OBX- 23.3
OBX- 23.4
OBX- 23.5
OBX- 23.6
OBX- 23.7
OBX- 23.8
OBX- 23.9
OBX- 23.10
OBX- 24.4
State or Province
RE
D
OBX- 24.5
OBX- 24.6
Zip Code or Postal Code
Country
RE
RE
D
O
OBX- 24.7
Address Type
RE
O
OBX- 24.8
Other Geographic Designation
O
O
OBX- 24.9
County / Parish Code
RE
O
OBX- 24.10
Census Tract
O
X
OBX- 24.11
Address Representation Code
O
X
X
O
O
X
X
X
RE
D
RE
O
RE
R
O
D
D
O
Address Validity Range
Effective Date
Expiration Date
Performing Orgnaization
OBX- 25
Medical Director
Performing Organization
OBX-25.1
Medical Director ID Number
OBX-25.2
Last Name
Surname
OBX- 25.2.1
Own Surname Prefix
OBX- 25.2.2
OBX- 24.12
OBX- 24.13
OBX- 24.14
e.g.MINNESOTA DEPARTMENT
OF HEALTH
e.g. CLIA
e.g. 24D0651409
e.g. 625 ROBERT ST N
e.g. ST PAUL
Patient State or Province: Value is 2 character
FIPS standard
e.g. MN
e.g. 55155-2531
Refer to the HL7 0190 table from HL7 2.5.1
Implementation Guide for values.
County (complete County Names are used for
County Codes).
Refer to the HL7 0288 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0465 table from HL7 2.5.1
Implementation Guide for values.
e.g. Johnson
OBX- 25.2.3
OBX- 25.2.4
Own Surname
Surname Prefix from Partner/
Spouse
OBX- 25.2.5 Surname from Partner/ Spouse
O
O
O
X
O
X
RE
D
RE
D
e.g. J.
OBX-25.5
OBX-25.6
Given Name
Second and Further Given
Names or Initials
Suffix (e.g., JR or III)
Prefix (e.g., DR)
RE
RE
D
D
e.g. Jr.
e.g. Dr.
OBX-25.7
Degree (e.g., MD)
O
X
OBX-25.3
OBX-25.4
OBX-25.8
Source Table
O
X
OBX-25.9
OBX-25.10
OBX-25.11
OBX-25.12
OBX-25.13
OBX-25.14
OBX- 25.15
OBX- 25.16
OBX- 25.17
OBX- 25.18
OBX- 25.19
OBX- 25.20
OBX-25.21
OBX-25.22
Assigning Authority
Name Type Code
Identifier Check Digit
Check Digit Scheme
Identifier Type Code
Assigning Facility
Name Representation Code
Name context
Name Validity Range
Name Assembly Order
Effective Date
Expiration Date
Professional Suffix
Assigning Jurisdiction
Assigning Agency or
Department
CE
RE
O
O
CE
RE
O
O
X
O
O
O
RE
O
X
X
X
X
X
X
X
X
X
X
X
X
X
X
OBX-25.23
O
e.g. Mike
Refer to the HL7 0360 table from HL7 2.5.1
Implementation Guide for values.
Refer to the HL7 0297 table from HL7 2.5.1
Implementation Guide for values.
X
Batch Trailer Segment (BTS)
BTS- 1
Batch Message Count
R
D
BTS- 2
BTS- 3
Batch Comment
Batch Totals
X
X
X
X
This is the total Number of messages contained
in the batch.
e.g. 1
File Trailer Segment (FTS)
FTS- 1
File Batch Count
O
O
FTS- 2
File Trailer Comment
X
X
The Number of batches contained in this file.
Since this interface is constrained to one batch
per file, this Number should always be '1'
e.g.1