Draft Website - For Review Purposes Only

This segment was created to communicate patient abstract information used for billing and reimbursement purposes. "Abstract" is a condensed form of medical history created for analysis, care planning, etc.

HL7 Attribute Table - ABS - Abstract Segment

Seq#	DataElement	Description	Must Implement	Flags	Cardinality	Length	C.LEN	Vocabulary	DataType
ABS
1	01514	Discharge Care Provider			[0..1]			0010	XCN
2	01515	Transfer Medical Service Code			[0..1]			0069 Hospital Service	CWE
3	01516	Severity of Illness Code			[0..1]			0421 Severity of Illness Code	CWE
4	01517	Date/Time of Attestation			[0..1]				DTM
5	01518	Attested By			[0..1]				XCN
6	01519	Triage Code			[0..1]			0422 Triage Code	CWE
7	01520	Abstract Completion Date/Time			[0..1]				DTM
8	01521	Abstracted By			[0..1]				XCN
9	01522	Case Category Code			[0..1]			0423 Case Category Code	CWE
10	01523	Caesarian Section Indicator			[0..1]	[1..1]		0136 Yes/no Indicator	ID
11	01524	Gestation Category Code			[0..1]			0424 Gestation Category Code	CWE
12	01525	Gestation Period - Weeks		=	[0..1]		3		NM
13	01526	Newborn Code			[0..1]			0425 Newborn Code	CWE
14	01527	Stillborn Indicator			[0..1]	[1..1]		0136 Yes/no Indicator	ID

Definition: Identification number of the provider responsible for the discharge of the patient from his/her care. Refer to User-defined Table 0010 - Physician ID in Chapter 2C, Code Tables, for suggested values.

Definition: Medical code representing the patient's medical services when they are transferred. Refer to User-defined Table 0069 - Hospital Service in Chapter 2C, Code Tables, for suggested values.

Definition: Code representing the ranking of a patient's illness. Refer to User-defined Table 0421 - Severity of Illness Code in Chapter 2C, Code Tables, for suggested values.

Definition: Date/time that the medical record was reviewed and accepted.

Definition: Identification number of the person (usually a provider) who reviewed and accepted the abstract of the medical record.

Definition: Code representing a patient's prioritization within the context of this abstract. Refer to User-defined Table 0422 - Triage Code in Chapter 2C, Code Tables, for suggested values.

Definition: Date/time the abstraction was completed.

Definition: Identification number of the person completing the Abstract.

Definition: Code indicating the reason a non-urgent patient presents to the Emergency Room for treatment instead of a clinic or physician office. Refer to User-defined Table 0423 - Case Category Code in Chapter 2C, Code Tables, for suggested values.

Definition: Indicates if the delivery was by Caesarian Section. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

• Y    Delivery was by Caesarian Section.

• N    Delivery was not by Caesarian Section.

Definition: The gestation category code is used to indicate the status of the birth in relation to the gestation. Refer to User-defined Table 0424 - Gestation Category Code in Chapter 2C, Code Tables, for suggested values.

Definition: Newborn's gestation period expressed as a number of weeks.

Definition: The newborn code is used to indicate whether the baby was born in or out of the facility. Refer to User-defined Table 0425 - Newborn Code in Chapter 2C, Code Tables, for suggested values.

Definition: Indicates whether or not a newborn was stillborn. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

• Y    Stillborn.

• N    Not stillborn.