HL7 SegmentABS Abstract

ACC Accident

0. Segment ID = ACC1. Accident Date/Time2. Accident Code3. Accident Location4. Auto Accident State5. Accident Job Related Indicator6. Accident Death Indicator

ADD Addendum ADJ Adjustment AFF Professional Affiliation AIG Appointment Information - General Resource AIL Appointment Information - Location Resource AIP Appointment Information - Personnel Resource AIS Appointment Information

AL1 Patient Allergy Information

AL1|1||^ASPIRIN

0. Segment ID = AL11. Set ID Internal = 12. Allergy Type = -3. Allergy Descriptiona. Allergy Identifier = -b. Text = Aspirin4. Allergy Severity = -5. Allergy Reaction = -6. Identification Date = -

APR Appointment Preferences ARQ Appointment Request ARV Access Restriction AUT Authorization Information

BHS Batch Header

BHS|^~\&||ABCHS||AUSDHSV|20070101123401||||abchs20070101123401-10. Segment ID = BHS1. Batch Field Separator = |2. Batch Encoding Characters = ^~\&3. Batch Sending Application = -4. Batch Sending Facility = ABCHS5. Batch Receiving Application = -6. Batch Receiving Facility = AUSDHSV7. Batch Creation Date/Time =200701011234018. Batch Security = -9. Batch Name/ID/Type = -10. Batch Comment = -11. Batch Control ID = abchs20070101123401-112. Reference Batch Control ID = -

BLC Blood Code BLG Billing BPO Blood product order BPX Blood product dispense status

BTS Batch Trailer

BTS|10. Segment ID = BTS1. Batch Message Count = 12. Batch Comment = -3. Batch Totals = -

BTX Blood Product Transfusion/Disposition CDM Charge Description Master CER Certificate Detail CM0 Clinical Study Master CM1 Clinical Study Phase Master CM2 Clinical Study Schedule Master CNS Clear Notification CON Consent Segment CSP Clinical Study Phase CSR Clinical Study Registration CSS Clinical Study Data Schedule Segment CTD Contact Data CTI Clinical Trial Identification DB1 Disability

DG1 Diagnosis

DG1|1||786.50^CHEST PAIN, UNSPECIFIED^I9|||A

0. Segment ID = DG11. Set ID Diagnosis = 12. Diagnosis Code Method = -3. Diagnosis Codea. 786.50b. Chest Pain , Unspecifiedc. Code System = I9 = ICD94. Diagnosis Description = -5. Diagnosis Date/Time = -6. Diagnosis/DRG Type = A = Admitting7. Major diagnostic category = -8. Diagnosis related group (DRG) = -9. DRG approval indicator = -10. DRG grouper review code = -11. Outlier type = -12. Outlier days = -13. Outlier cost = -14. Grouper version and type = -No.FieldData ElemenValue

0Segment IDDG1

1Set ID Diagnosis1

2Diagnosis Code Method-

3Diagnosis CodeDiagnosa

a.-786.50

b.-Chest Pain , Unspecified

c.Code SystemI9 = ICD9

4Diagnosis Description-

5Diagnosis Date/Time-

6Diagnosis/DRG TypeA = Admitting

7Major diagnostic category-

8Diagnosis related group (DRG)-

9DRG approval indicator-

10DRG grouper review code-

11Outlier type-

12Outlier days-

13Outlier cost-

14Grouper version and type-

DMI DRG Master File Information DRG Diagnosis Related Group DSC Continuation Pointer DSP Display Data ECD Equipment Command ECR Equipment Command Response EDU Educational Detail EQP Equipment/log Service EQU Equipment Detail ERR Error

EVN Event Type

EVN||200605290901||||200605290900

0. Segment ID = EVN1. Event Type Code = -2. Recorded Date/Time = 2006052909013. Date/Time Planned Event = -4. Event Reason Code = -5. Operator ID = -6. Event Occurred = 200605290900

FAC Facility

FHS File Header

FHS|^~\&||ABCHS||AUSDHSV|20070101123401|||abchs20070101123401.hl7|0. Segment ID = FHS1. File Field Separator = |2. File Encoding Characters = ^~\&3. File Sending Application = -4. File Sending Facility = ABCHS5. File Receiving Application = -6. File Receiving Facility = AUSDHSV7. File Creation Date/Time = 200701011234018. File Security = -9. File Name/ID = -10. File Header Comment = abchs20070101123401.hl711. File Control ID = -12. Reference File Control ID = -

FT1 Financial Transaction

FTS File Trailer

FTS|1

0. Segment ID = FTS1. File Batch Count = 12. File Trailer Comment = -

GOL Goal Detail GP1 Grouping/Reimbursement - Visit GP2 Grouping/Reimbursement - Procedure Line Item

GT1 Guarantor

GT1|0||JONES^ANN^M||756 E FANNIN ST^^LAGRANGE^TX^789450000|9799660489|||||M|||||CARE INN|457 NMAIN^^LAGRANGE^TX^78945|

0. Segment ID = GT11. Set ID - GT1 = 02. Guarantor Number = -3. Guarantor Namea. Family Name = JONESb. Given Name = ANNc. Middle Initial or Name = M4. Guarantor Spouse Name = -5. Guarantor Addressa. Street Address = 756 E FANNIN STb. 2nd Street Address Line = -c. City = LAGRANGEd. State = TXe. Zip/Postal Code = 7894500006. Guarantor Ph Num-Home = 97996604897. Guarantor Ph Num-Business = -8. Guarantor Date/Time Of Birth = -9. Guarantor Sex = -10. Guarantor Type = -11. Guarantor Relationship = M12. Guarantor SSN = -13. Guarantor Date - Begin = -14. Guarantor Date - End = -15. Guarantor Priority = -16. Guarantor Employer Name = CARE INN17. Guarantor Employer Addressa. Street Address = 457 NMAINb. 2nd Street Address Line = -c. City = LAGRANGEd. State = TXe. Zip/Postal Code = 7894518. Guarantor Employer Phone Number = -19. Guarantor Employee ID Number = -20. Guarantor Employment Status = -21. Guarantor Organization Name = NOT APPLICABLE22. Guarantor Billing Hold Flag23. Guarantor Credit Rating Code24. Guarantor Death Date And Time25. Guarantor Death Flag26. Guarantor Charge Adjustment Code27. Guarantor Household Annual Income28. Guarantor Household Size29. Guarantor Employer ID Number30. Guarantor Marital Status Code31. Guarantor Hire Effective Date32. Employment Stop Date33. Living Dependency34. Ambulatory Status35. Citizenship36. Primary Language37. Living Arrangement38. Publicity Indicator39. Protection Indicator40. Student Indicator41. Religion42. Mothers Maiden Name43. Nationality44. Ethnic Group45. Contact Person Name46. Contact Persons Telephone Number47. Contact Reason48. Contact Relationship49. Job Title50. Job Code/Class51. Guarantor Employer's Organization Name52. Handicap53. Job Status54. Guarantor Financial Class55. Guarantor RaceNoFieldData ElemenValueTechnical CommentOpt.

0Segment IDGT1GT1R

1Set ID - GT100O

2Guarantor Number-R

3Guarantor NameO

a. Family NameNama LengkapJONES

b. Given NameANN

c. Middle Initial or NameM

4Guarantor Spouse Name-O

5Guarantor AddressO

a. Street AddressAlamat Tempat Tinggal756 E FANNIN ST

b. 2nd Street Address Line-

c. CityLAGRANGE

d. StateTX

e. Zip/Postal Code789450000

6Guarantor Ph Num-Home9799660489O

7Guarantor Ph Num-Business-O

8Guarantor Date/Time Of Birth-O

9Guarantor Sex-O

10Guarantor Type-O

11Guarantor RelationshipMM = MotherO

12Guarantor SSN-O

13Guarantor Date - Begin-O

14Guarantor Date - End-O

15Guarantor Priority-O

16Guarantor Employer NameCARE INNO

17Guarantor Employer AddressO

a. Street AddressAlamat Tempat Tinggal457 NMAIN

b. 2nd Street Address Line-

c. CityLAGRANGE

d. StateTX

e. Zip/Postal Code78945

18Guarantor Employer Phone Number-O

19Guarantor Employee ID NumberO

20Guarantor Employment StatusO

21Guarantor Organization NameO

22Guarantor Billing Hold FlagO

23Guarantor Credit Rating CodeO

24Guarantor Death Date And TimeO

25Guarantor Death FlagO

26Guarantor Charge Adjustment CodeO

27Guarantor Household Annual IncomeO

28Guarantor Household SizeO

29Guarantor Employer ID NumberO

30Guarantor Marital Status CodeO

31Guarantor Hire Effective DateO

32Employment Stop DateO

33Living DependencyD = Spouse dependent

M = Medical Supervision Required

S = Small children

WU = Walk up

CB = Common BathO

34Ambulatory StatusO

35CitizenshipO

36Primary LanguageO

37Living ArrangementA = AloneF = FamilyI = InstitutionR = RelativeU = UnknownS = Spouse OnlyO

38Publicity IndicatorO

39Protection IndicatorO

40Student IndicatorF = Full-time studentP = Part-time studentN = Not a studentO

41ReligionO

42Mothers Maiden NameO

43NationalityO

44Ethnic GroupO

45Contact Person NameO

46Contact Persons Telephone NumberO

47Contact ReasonO

48Contact RelationshipO

49Job TitleO

50Job Code/ClassO

51Guarantor Employer's Organization NameO

52HandicapO

53Job StatusO

54Guarantor Financial ClassO

55Guarantor Race

IAM Patient Adverse Reaction Information IIM Inventory Item Master ILT Material Lot

IN1 Insurance

IN1|1|UNK.|MR1|MEDICARE/COMMERICAL|P.O. BOX C32086^^RICHMOND^VA^23261||-0000000000|499032980||||00001231|00001231||MC|ODONNELL^RICHARD^W^^|1|-19221027|7982 WELLINGTON DR^^WARRENTON^VA^22186^USA||||||||||||N||||-|499032980-A|||||||M||NoFieldData ElemenValueTechnical CommentOpt.

0Segment IDIN1

1Set ID - IN11R

2Insurance Plan IDUNK.R

3Insurance Company IDMR1R

4Insurance Company NameMEDICARE/COMMERICALO

5Insurance Company AddressO

a. street addressP.O. BOX C32086

b. other designation-

c. CityRICHMOND

d. state or provinceVA

e. zip or postal code23261

f. Country

g. address type

h. other geographic designation

i. county/parish code

j. census tract

6Insurance Co. Contact Person-O

7Insurance Co Phone Number-0000000000O

8Group Number499032980O

9Group Name-O

10Insureds Group Emp ID-O

11Insureds Group Emp Name-O

12Plan Effective Date00001231O

13Plan Expiration Date00001231O

14Authorization Information-O

15Plan TypeMCO

16Name Of InsuredODONNELL^RICHARD^W^^O

17Insureds Relationship To Patient1O

18Insureds Date Of Birth-19221027O

19Insureds AddressO

street address7982 WELLINGTON DR

other designation-

cityWARRENTON

state or provinceVA

zip or postal code22186

countryUSA

address type

other geographic designation

county/parish code

census tract

20Assignment Of Benefits-O

21Coordination Of Benefits-O

22Coord Of Ben. Priority-O

23Notice Of Admission Flag-O

24Notice Of Admission Date-O

25Report Of Eligibility Flag-O

26Report Of Eligibility Date-O

27Release Information Code-O

28Pre-Admit Cert (PAC)-O

29Verification Date/Time-O

30Verification By-O

31Type Of Agreement CodeNS = StandardU = UnifiedM = MaternityO

32Billing Status-O

33Lifetime Reserve Days-O

34Delay Before L.R. Day-O

35Company Plan Code-O

36Policy Number499032980-AO

37Policy Deductible-O

38Policy Limit - Amount-B

39Policy Limit - Days-O

40Room Rate - Semi-Private-B

41Room Rate - Private-B

42Insureds Employment Status-O

43Insureds SexMM = MaleF = FemaleO = OtherU = UnknownO

44Insureds Employer Address-O

45Verification Status-O

46Prior Insurance Plan IDO

47Coverage TypeO

48HandicapO

49Insureds ID NumberO

IN2 Insurance Additional Information IN3 Insurance Additional Information, Certification INV Inventory Detail IPC Imaging Procedure Control Segment IPR Invoice Processing Results ISD Interaction Status Detail ITM Material Item IVC Invoice Segment IVT Material Location LAN Language Detail LCC Location Charge Code LCH Location Characteristic LDP Location Department LOC Location Identification LRL Location Relationship MFA Master File Acknowledgment MFE Master File Entry MFI Master File Identification MRG Merge Patient Information MSA Message Acknowledgment

MSH Message Header

MSH|^~\&|MegaReg|XYZHospC|SuperOE|XYZImgCtr|20060529090131-0500||ADT^A01^ADT_A01|01052901|P|2.5

0. Segment ID = MSH1. Field Separator = |2. Encoding Characters = ^~\&3. Sending Application = MegaReg4. Sending Facility = XYZHospC5. Receiving Application = SuperOE6. Receiving Facility = XYZImgCtr7. Date/Time of Message = 20060529090131-05008. Security = -9. Message Typea. Message Type = ADT = ADT Message (Patient Admission, Discharge, Transfer, and etc.)b. Trigger Event = A01 = Admit a Patientc. Message Structure = ADT_A0110. Message Control ID = 0105290111. Processing ID = P = Production12. Version ID = 2.513. Sequence Number = -14. Continuation Pointer = -15. Accept Acknowledge Type = -16. Application Acknowledge Type = -17. Country Code = -18. Character Set = -19. Principal Language of Message = -

NCK System Clock NDS Notification Detail

NK1 Next of Kin / Associated Parties

NK1||ROE^MARIE^^^^|SPO||(216)123-4567||EC|||||||||||||||||||||||||||0. Segment ID = NK11. Set ID - NK1 = -2. Namea. Family Name = Roeb. Given Name = Mariec. Middle Initial or Name = - d. Suffix = -e. Prefix = -f. Degree = -3. Relationship = SPO = Spouse4. Address = -5. Phone Number = (216)123-45676. Business Phone Number = -7. Contact Role = EC = Emergency Contact8. Start Date = -9. End Date = -10. Next of Kin / Associated Parties Job Title = -11. Next of Kin / Associated Parties Job Code/Class = -12. Next of Kin / Associated Parties Employee Number = -13. Organization Name = -14. Marital Status = -15. Sex = -16. Date/Time of Birth = -17. Living Dependency = -18. Ambulatory Status = -19. Citizenship = -20. Primary Language = -21. Living Arrangement = -22. Publicity Indicator = -23. Protection Indicator = -24. Student Indicator = -25. Religion = -26. Mothers Maiden Name = -27. Nationality = -28. Ethnic Group = -29. Contact Reason = -30. Contact Persons Name = -31. Contact Persons Telephone Number = -32. Contact Persons Address = -33. Next of Kin/Associated Partys Identifiers = -34. Job Status = -35. Race = -36. Handicap = -37. Contact Person Social Security Number = -

NPU Bed Status Update NSC Application Status Change NST Application control level statistics NTE Notes and Comments OBR Observation Request

OBX Observation/Result

OBX|1|NM|^Body Height||1.80|m^Meter^ISO+|||||F

0. Segment ID = OBX1. Set ID OBX = 12. Value Type = NM = Numeric3. Observation Identifiera. Identifier = -b. Text = Body Height4. Observation Sub-ID = -5. Observation Value = 1.806. Unitsa. Identifier = mb. Text = Meterc. Code System = ISO+7. Reference Range = -8. Abnormal Flags = -9. Probability = -10. Nature of Abnormal Test = -11. Result Status = F = Final Results; Order is Complete and Verified12. Date of Last Normal Values = -13. User Defined Access Checks = -14. Date/Time of the Observation = -15. Producer's ID = -16. Responsible Observer = -17. Observation Method = -

No.FieldData ElemenValue

0Segment IDOBX

1Set ID OBX1

2Value TypeNM = Numeric

3Observation Identifier Tinggi Badan

a. Identifier-

b. TextBody Height

4Observation Sub-ID-

5Observation Value1.80

6Units

a. Identifierm

b. TextMeter

c. Code SystemISO+

7Reference Range-

8Abnormal Flags-

9Probability-

10Nature of Abnormal Test-

11Result StatusF = Final Results; Order is Complete and Verified

12Date of Last Normal Values-

13User Defined Access Checks-

14Date/Time of the Observation-

15Producer's ID-

16Responsible Observer-

17Observation Method-

ODS Dietary Orders, Supplements, and Preferences ODT Diet Tray Instructions OM1 General Segment OM2 Numeric Observation OM3 Categorical Service/Test/Observation OM4 Observations that Require Specimens OM5 Observation Batteries (Sets) OM6 Observations that are Calculated from Other Observations OM7 Additional Basic Attributes

ORC Common Order

ORC|NW|RX12345^ABC|||||1^^INDEF^201108250200^^RTN||20110825012431

0. Segment ID = ORC1. Order Control = NW = New Order2. Placer Order Numbera. Order Number = RX12345b. Application ID = ABC3. Filler Order Number = -4. Placer Group Number = -5. Order Status = -6. Response Flag = -7. Quantity/Timinga. Quantity = 1b. Interval = -c. Duration = INDEFd. Start date/time (TS) = 201108250200e. End date/time (TS) = -f. Priority (ID) = RTNg. Condition (ST) = -h. Text (TX) = -i. Conjunction (ID) = -j. Order sequencing = -8. Parent = -9. Date/Time of Transaction = 2011082501243110. Entered By = -11. Verified By = -12. Ordering Provider = -13. Enterer's Location = -14. Call Back Phone Number = -15. Order Effective Date/Time = -16. Order Control Code Reason = -17. Entering Organization = -18. Entering Device = -19. Action By = -

ORG Practitioner Organization Unit OVR Override Segment PCE Patient Charge Cost Center Exceptions PCR Possible Causal Relationship PD1 Patient Additional Demographic PDA Patient Death and Autopsy PDC Product Detail Country PEO Product Experience Observation PES Product Experience Sender

PID Patient Identification

PID|||56782445^^^UAReg^PI||KLEINSAMPLE^BARRY^Q^JR||19620910|M||2028-9^^HL70005^RA99113^^XYZ|260 GOODWIN CREST DRIVE^^BIRMINGHAM^AL^35209^^M~NICKELLS PICKLES^10000 W 100TH AVE^BIRMINGHAM^AL^35200^^O|||||||0105I30001^^^99DEF^AN

0. Segment ID = PID1. Set ID Patient ID = -2. Patient ID (External ID)a. IDb. check digitc. check digit schemed. Assigning Authorityi. namespace IDii. universal IDiii. universal ID typee. identifier type f. Assigning Facilityi. namespace IDii. universal IDiii. universal ID type3. Patient ID (Internal ID) a. ID = 56782445b. Check Digit = c. Check Digit Scheme = d. Assigning Authorityi. namespace ID = UARegii. universal IDiii. universal ID typee. Identifier Type Code = PI = Patient Internal Identifierf. Assigning Facility = -i. namespace IDii. universal IDiii. universal ID type4. Alternate Patient ID PID = -a. IDb. check digitc. check digit schemed. Assigning Authorityi. namespace IDii. universal IDiii. universal ID typee. identifier type f. Assigning Facilityi. namespace IDii. universal IDiii. universal ID type5. Patient Namea. Family Name = Kleinsampleb. Given Name = Barryc. Middle Initial or Name = Qd. Suffix = Jre. Prefix = -f. Degree = -g. Name Type Code = -6. Mothers Maiden Name = -a. Family Name = -b. Given Name = -c. Middle Initial or Name = -d. Suffix = -e. Prefix = -f. Degree = -g. Name Type Code = -7. Date/Time of Birth = 196209108. Sex = M = Male9. Patient Aliasa. Family Name = -b. Given Name = -c. Middle Initial or Name = -d. Suffix = -e. Prefix = -f. Degree = -g. Name Type Code = -10. Racea. Identifier = 2028-9 = Asianb. Text = c. Code System = HL70005 = Race table numberd. Alternate Identifier = RA99113e. Alternate Text = f. Alternate Code System = XYZ11. Patient Addressa. Street Address = 260 Goodwin Crest Driveb. 2nd Street Address Line = -c. City = Birminghamd. State = Alabamae. Zip/Postal Code = 35209f. Country = -g. Address Type = M = Mailingh. Street Address = NICKELLS PICKLESi. 2nd Street Address Line = 10000 W 100TH AVEj. City = BIRMINGHAMk. State = ALl. Zip/Postal Code = 35200m. Country = -n. Address Type = O = Officeo. other geographic designation = -p. county/parish code = -q. census tract = -12. Country Code = -13. Phone Number Home = -14. Phone Number Business = -15. Primary Languagea. identifier b. textc. name of coding systemd. alternate identifiere. alternate textf. name of alternate coding system16. Marital Status = -17. Religion = -18. Patient Account Numbera. Account Number = 0105I30001b. c. d. Assigning Authorityi. namespace ID = 99DEFii. universal ID iii. universal ID typee. Identifier Type Code = AN = Account Numberf. Assigning Facilityi. namespace IDii. universal IDiii. universal ID type19. SSN Number Patient = -20. Driver's License Number Patienta. license numberb. issuing state, province, country c. expiration date21. Mother's Identifiera. ID b. check digit c. check digit schemed. assigning authorityi. namespace IDii. universal IDiii. universal ID typee. identifier type codef. assigning facilityi. namespace IDii. universal IDiii. universal ID type22. Ethnic Group = -23. Birth Place = -24. Multiple Birth Indicator = -25. Birth Order = -26. Citizenship = -27. Veterans Military Statusa. Identifierb. Textc. name of coding systemd. alternate identifiere. alternate textf. name of alternate coding system28. Nationalitya. identifier b. text c. name of coding system d. alternate identifiere. alternate text f. name of alternate coding system29. Patient Death Date and Time = -30. Patient Death Indicator = -No.FieldData ElemenValue

0Segment IDPID

1Set ID Patient ID-

2Patient ID (External ID)-

3Patient ID (Internal ID)

a. IDNomor Rekam Medis56782445

b. Check Digit-

c. Check Digit Scheme-

d. Assigning AuthorityUAReg

e. Identifier Type CodePI = Patient Internal Identifier

f. Assigning Facility-

4Alternate Patient ID PID-

5Patient NameNama Lengkap

a. Family NameKleinsample

b. Given NameBarry

c. Middle Initial or NameQ

d. SuffixJr

6Mothers Maiden Name-

7Date/Time of BirthTanggal Lahir19620910

8SexJenis KelaminM = MaleF = FemaleO = OtherU = Unknown

9Patient Alias-

10Race

a. Identifier2028-9 = Asian

b. Text-

c. Code SystemHL70005 = Race table number

d. Alternate IdentifierRA99113

e. Alternate Text-

f. Alternate Code SystemXYZ

11Patient Address

a. Street AddressAlamat Tempat Tinggal260 Goodwin Crest Drive

b. 2nd Street Address Line-

c. CityKabupaten/Kotamadya Tempat TinggalBirmingham

d. StateAlabama

e. Zip/Postal CodeKode Pos35209

f. Country-

g. Address TypeM = Mailing

h. Street AddressNICKELLS PICKLES

i. 2nd Street Address Line10000 W 100TH AVE

j. CityKabupaten/Kotamadya Tempat TinggalBIRMINGHAM

k. StateAL

l. Zip/Postal CodeKode Pos35200

m. Country-

n. Address TypeO = Office

12Country Code-

13Phone Number Home-

14Phone Number Business-

15Primary Language-

16Marital StatusStatus NikahValueDescription

ASeparated

DDivorced

MMarried

SSingle

WWidowed

17ReligionAgama-

18Patient Account Number

a. Account Number0105I30001

b. -

c. -

d. Assigning Authority99DEF

e. Identifier Type CodeAN = Account Number

19SSN Number Patient-

20Driver's License Number Patient-

21Mother's Identifier-

22Ethnic Group-

23Birth Place-

24Multiple Birth Indicator-

25Birth Order-

26Citizenship-

27Veterans Military Status-

28Nationality-

29Patient Death Date and Time-

30Patient Death Indicator-

PKG Item Packaging PMT Payment Information

PR1 Procedures

PR1|1||1||20060705|10. Segment ID = PR11. Set ID - PR1 = 12. Procedure Coding Method = -3. Procedure Code = 14. Procedure Description = -5. Procedure Date/Time = 200607056. Procedure Functional Type = 17. Procedure Minutes8. Anesthesiologist9. Anesthesia Code10. Anesthesia Minutes11. Surgeon12. Procedure Practitioner13. Consent Code14. Procedure Priority15. Associated Diagnosis Code

PRA Practitioner Detail

PRB Problem Details

PRB|AD|20060705|2111|2111^107|2111^100

0. Segment ID = PRB1. Action Code = AD2. Action Date/Time = 200607053. Problem ID = 21114. Problem Instance IDa. Entity Identifier = 2111b. Assigning Authority = 1075. Episode of Care IDa. Entity Identifier = 2111b. Assigning Authority = 1006. Master Problem List Number7. Problem Established Date/Time8. Anticipated Problem Resolution Date/Time9. Actual Problem Resolution Date/Time10. Problem Classification11. Problem Management Discipline12. Problem Persistence13. Problem Confirmation Status14. Problem Life Cycle Status15. Problem Life Cycle Status Date/Time16. Problem Date of Onset17. Problem Onset Text18. Problem Ranking19. Certainty of Problem20. Probability of Problem (0-1)21. Individual Awareness of Problem22. Problem Prognosis23. Individual Awareness of Prognosis24. Family/Significant Other Awareness of Problem/Prognosis25. Security/Sensitivity

PRC Pricing

PRD Provider Data

PRD|RP^^^1

0. Segment ID = PRD1. Rolea. Identifier = RP = Referring Providerb. Text = -c. Name of Coding System = -d. Alternate Identifier = 1e. Alternate Text = -f. Name of Alternate Coding System = -2. Provider Name3. Provider Address4. Provider Location5. Provider Communication Information6. Preferred Method of Contact7. Provider Identifiers8. Effective Start Date of Role9. Effective End Date of Role

PSG Product/Service Group PSH Product Summary Header PSL Product/Service Line Item PSS Product/Service Section

PTH Pathway

PTH|AD|1|2111^107|20060705

0. Segment ID = PTH1. Action Code = AD2. Pathway ID = 13. Pathway Instance IDa. Entity Identifier = 2111b. Assigning Authority = 1074. Pathway Established Date Time = 20060705

PV1 Patient Visit

PV1||I|W^389^1^UABH^^^^3||||12345^MORGAN^REX^J^^^MD^0010^UAMC^L||67890^GRAINGER^LUCY^X^^^MD^0010^UAMC^L|MED|||||A0||13579^POTTER^SHERMAN^T^^^MD^0010^UAMC^L|||||||||||||||||||||||||||200605290900

0. Segment ID = PV11. Set ID PV1 = -2. Patient Class = I = Inpatient3. Assigned Patient Locationa. Point of Care = Wb. Room = 389c. Bed = 1d. Facility = UABHe. Location Status = f. Person Location Type = g. Building = h. Floor = 3i. Location Description = -4. Admission Type = -5. Pre-Admit Number = -6. Prior Patient Location = -7. Attending Doctora. ID Number = 12345b. Family Name = Morganc. Given Name = Rexd. Middle Initial = Je. Suffix = f. Prefix = g. Degree = MD = Doctor of Medicineh. Source Table = 0010i. Assigning Authority = UAMCj. Name Type Code = L = Legal Name8. Referring Doctor = -9. Consulting Doctora. ID Number = 67890b. Family Name = Graingerc. Given Name = Lucyd. Middle Initial = Xe. Suffix = f. Prefix = g. Degree = MD = Doctor of Medicineh. Source Table = 0010i. Assigning Authority = UAMCj. Name Type Code = L = Legal Name10. Hospital Service = Med = Medical Service11. Temporary Location = -12. Pre-Admit Test Indicator = -13. Readmission Indicator = -14. Admit Source = -15. Ambulatory Status = A0 = No Functional Limitations16. VIP Indicator = -17. Admitting Doctora. ID Number = 13579b. Family Name = Potterc. Given Name = Shermand. Middle Initial = Te. Suffix = f. Prefix = g. Degree = MD = Doctor of Medicineh. Source Table = 0010i. Assigning Authority = UAMCj. Name Type Code = L = Legal Name18. Patient Type =-19. Visit Number =-20. Financial Class = -21. Charge Price Indicator = -22. Courtesy Code = -23. Credit Rating = -24. Contract Code = -25. Contract Effective Date = -26. Contract Amount = -27. Contract Period = -28. Interest Code = -29. Transfer to Bad Debt Code = -30. Transfer to Bad Debt Date = -31. Bad Debt Agency Code = -32. Bad Debt Transfer Amt. = -33. Bad Debt Recovery Amt. = -34. Delete Account Indicator = -35. Delete Account Date = -36. Discharge Disposition = -37. Discharged to Location = -38. Diet Type = -39. Servicing Facility = -40. Bed Status = -41. Account Status = -42. Pending Location = -43. Prior Temporary Location = -44. Admit Date/Time = 20060529090045. Discharge Date/Time = -46. Current Patient Balance = -47. Total Charges = -48. Total Adjustments = -49. Total Payments = -50. Alternate Visit ID = -51. Visit Indicator = -52. Other Healthcare Provider = -No.FieldData ElemenValue

0Segment IDPV1

1Set ID PV1-

2Patient ClassJenis RawatI = Inpatient

3Assigned Patient Location

a.Point of CareW

b.Room389

c.Bed1

d.FacilityUABH

e.Location Status-

f.Person Location Type-

g.Building-

h.Floor3

i.Location Description-

4Admission Type-

5Pre-Admit Number-

6Prior Patient Location-

7Attending Doctor

a.ID Number12345

b.Family NameNama LengkapMorgan

c.Given Name Rex

d.Middle InitialJ

e.Suffix-

f.Prefix-

g.DegreeMD = Doctor of Medicine

h.Source Table0010

i.Assigning AuthorityUAMC

j.Name Type CodeL = Legal Name

8Referring Doctor-

9Consulting Doctor

a.ID Number67890

b.Family NameNama LengkapGrainger

c.Given NameLucy

d.Middle InitialX

e.Suffix-

f.Prefix-

g.DegreeMD = Doctor of Medicine

h.Source Table0010

i.Assigning AuthorityUAMC

j.Name Type CodeL = Legal Name

10Hospital ServiceMed = Medical Service

11Temporary Location-

12Pre-Admit Test Indicator-

13Readmission Indicator-

14Admit Source-

15Ambulatory StatusA0 = No Functional Limitations

16VIP Indicator-

17Admitting Doctor

a.ID Number13579

b.Family NameNama LengkapPotter

c.Given NameSherman

d.Middle InitialT

e.Suffix-

f.Prefix-

g.DegreeMD = Doctor of Medicine

h.Source Table0010

i.Assigning AuthorityUAMC

j.Name Type CodeL = Legal Name

18Patient Type-

19Visit Number-

20Financial Class-

21Charge Price Indicator-

22Courtesy Code-

23Credit Rating-

24Contract Code-

25Contract Effective Date-

26Contract Amount-

27Contract Period-

28Interest Code-

29Transfer to Bad Debt Code-

30Transfer to Bad Debt Date-

31Bad Debt Agency Code-

32Bad Debt Transfer Amt.-

33Bad Debt Recovery Amt.-

34Delete Account Indicator-

35Delete Account Date-

36Discharge Disposition-

37Discharged to Location-

38Diet Type-

39Servicing Facility-

40Bed Status-

41Account Status-

42Pending Location-

43Prior Temporary Location-

44Admit Date/Time200605290900

45Discharge Date/Time-

46Current Patient Balance-

47Total Charges-

48Total Adjustments-

49Total Payments-

50Alternate Visit ID-

51Visit Indicator-

52Other Healthcare Provider-

PV2 Patient Visit - Additional Information

PV2|||||||1||||||||||||||||^^^^^^^^^103

0. Segment ID = PV21. Prior Pending Location = -2. Accommodation Code = -3. Admit Reason = -4. Transfer Reason = -5. Patient Valuables = -6. Patient Valuables Location = -7. Visit User Code = 18. Expected Admit Date = -9. Expected Discharge Date = -10. Estimated Length of Inpatient Stay = -11. Actual Length of Inpatient Stay = -12. Visit Description = -13. Referral Source Code = -14. Previous Service Date = -15. Employment Illness Related Indicator = -16. Purge Status Code = -17. Purge Status Date = -18. Special Program Code = -19. Retention Indicator = -20. Expected Number of Insurance Plans = -21. Visit Publicity Code = -22. Visit Protection Indicator = -23. Clinic Organization Namea. Organization Name = -b. Organization Name Type Code = -c. ID Number = -d. Check Digit = -e. Check Digit Scheme = -f. Assigning Authority = -g. Identifier Type Code = -h. Assigning Facility = -i. j. 10324. Patient Status Code25. Visit Priority Code26. Previous Treatment Date27. Expected Discharge Disposition28. Signature on File Date29. First Similar Illness Date30. Patient Charge Adjustment Code31. Recurring Service Code32. Billing Media Code33. Expected Surgery Date & Time34. Military Partnership Code35. Military Non-Availability Code36. Newborn Baby Indicator37. Baby Detained Indicator

PYE Payee Information QAK Query Acknowledgment QID Query Identification

QPD Query Parameter Definition

QPD|Q42^Tabular Dispense History^HL7nnn|Q0010|555444222111^^^MPI^MR||19980531|19990531|

0. Segment ID = QPD1. Message Query Namea. Identifier = Q42b. Text = Tabular Dispense Historyc. Name of Coding System = HL7nnn2. Query Tag = Q00103. Submitting Organizationa. Organization Name = 555444222111b. Organization Name Type Code = -c. ID Number = -d. Check Digit = MPIe. Code Identifying the Check Digit Scheme = MRf. Assigning Authorityg. Assigning Facility4. Provider Organization = -5. Payor Organization = 199805316. Patient Identifier List = 199905317. Patient Name = -8. Date/Time of Birth9. Accident Date/Time10. Insurance Plan ID11. Group Number12. Patient Member Number13. Plan Type14. Service Effective Date15. Service Expiration Date16. Coverage Inquiry Code17. Role Person18. Provider Type

QRD Original-Style Query Definition QRF Original style query filter QRI Query Response Instance RCP Response Control Parameter RDF Table Row Definition RDT Table Row Data REL Clinical Relationship Segment

RF1 Referral Information

RF1||||||8094|20060705||20060705||8094

0. Segment ID = RF11. Referral Status = -2. Referral Priority = -3. Referral Type = -4. Referral Disposition = -5. Referral Category = -6. Originating Referral Identifier = 80947. Effective Date = 200607058. Expiration Date = -9. Process Date = 2006070510. Referral Reason = -11. 8094

RFI Request for Information RGS Resource Group RMI Risk Management Incident

ROL Role

ROL|1|AD|SAHCP|XXXXXXXXXX^^^^^^S|||||6|1

0. Segment ID = ROL1. Role Instance ID = 12. Action Code = AD3. Role = SAHCP4. Role Persona. ID Number = XXXXXXXXXXb. Family Name = -c. Given Name = -d. Middle Initial or Name = -e. Suffix = -f. Prefix = -g. Degree = S5. Role Begin Date/Time = -6. Role End Date/Time = -7. Role Duration = -8. Role Action Reason = -9. - = 610. - = 1

RQ1 Requisition Detail-1 RQD Requisition Detail RXA Pharmacy/Treatment Administration RXC Pharmacy/Treatment Component Order RXD Pharmacy/Treatment Dispense RXE Pharmacy/Treatment Encoded Order RXG Pharmacy/Treatment Give RXO Pharmacy/Treatment Order RXR Pharmacy/Treatment Route SAC Specimen Container detail SCD Anti-Microbial Cycle Data SCH Scheduling Activity Information SCP Sterilizer Configuration Notification (Anti-Microbial Devices) SDD Sterilization Device Data SFT Software Segment SID Substance Identifier SLT Sterilization Lot SPM Specimen STF Staff Identification STZ Sterilization Parameter TCC Test Code Configuration TCD Test Code Detail TQ1 Timing/Quantity TQ2 Timing/Quantity Relationship TXA Transcription Document Header UAC User Authentication Credential Segment UB1 UB82 UB2 UB92 Data URD Results/update Definition URS Unsolicited Selection VAR Variance VND Purchasing Vendor

Daftar Pustaka

http://ranger.uta.edu/~zikos/courses/5339-4392_content_repository/presentations/WEEK4THEORY8-The%20Health%20Level%207.pdf

http://www.dicom4india.com/OtherStd.htm

http://www.corepointhealth.com/resource-center/hl7-resources/hl7-adt

http://www.hosinc.com/products/interfaces/interface_documentation.htm#MSH

http://jwenet.net/notebook/1777/1800.html

http://amisha.pragmaticdata.com/~gunther/oldhtml/tables.html

http://www.dt7.com/neodata/docs.html

https://www.hl7.org/special/committees/vocab/V26_Appendix_A.pdf

http://www.cdc.gov/vaccines/programs/iis/technical-guidance/downloads/hl7-clarification-R4.pdf

http://www.cdc.gov/vaccines/programs/iis/technical-guidance/downloads/hl7guide-1-4-2012-08.pdf

http://www.li.mahidol.ac.th/e-resource/ebook/HL7_Messaging/swf/ebook_docs.swf

http://gudanglinux.info/docs/pdf/gcos/Workshops/W-141/Standar%20Informatika%20Kesehatan%20gcos.pdfhttp://msdn.microsoft.com/en-us/library/ee409288.aspx

http://www.mcir.org/forms/MCIR_HL7_Spec_Guide_with_MNF_CVX%20attach.pdf

http://www.mexi.be/documents/hl7/ch300056.htm

http://www.hl7.org/documentcenter/public_temp_A6A4723B-1C23-BA17-0C1D4DE174BA70E8/wg/xml/drafts/v2xmlmb1.pdf