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ACC - Accident Segment

The ACC segment contains patient information relative to an accident in which the patient has been involved.

HL7 Attribute Table - ACC - Accident Segment
Seq# DataElement Description Must Implement Flags Cardinality Length C.LEN Vocabulary DataType
ACC
1 00527 Accident Date/Time [0..1] DTM
2 00528 Accident Code [0..1] CWE
3 00529 Accident Location # [0..1] 25 ST
4 00812 Auto Accident State B [0..1] CWE
5 00813 Accident Job Related Indicator [0..1] [1..1] ID
6 00814 Accident Death Indicator [0..1] [1..1] ID
7 00224 Entered By [0..1] XCN
8 01503 Accident Description = [0..1] 1000 ST
9 01504 Brought In By = [0..1] 80 ST
10 01505 Police Notified Indicator [0..1] [1..1] ID
11 01853 Accident Address [0..1] XAD
12 02374 Degree of patient liability # [0..1] 3 NM
13 03338 Accident Identifier [0..*] EI

ACC-1: Accident Date/Time (DTM) 00527

Definition: This field contains the date/time of the accident.

ACC-2: Accident Code (CWE) 00528

Definition: This field contains the type of accident. Refer to User-defined Table 0050 - Accident Codein Chapter 2C, Code Tables,for suggested values. ICD accident codes are recommended.

ACC-3: Accident Location (ST) 00529

Definition: This field contains the location of the accident.

ACC-4: Auto Accident State (CWE) 00812

Definition: As of Version 2.5, this field has been retained for backward compatibility only. Use ACC-11 - Accident Address instead of this field, as the state in which the accident occurred is part of the address. This field specifies the state in which the auto accident occurred. (CMS 1500 requirement in the US.) Refer to User-defined Table 0347 - State/Province in Chapter 2C, Code Tables, for suggested values.

ACC-5: Accident Job Related Indicator (ID) 00813

Definition: This field indicates if the accident was related to a job. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

ACC-6: Accident Death Indicator (ID) 00814

Definition: This field indicates whether or not a patient has died as a result of an accident. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

ACC-7: Entered By (XCN) 00224

(Definition from NTE.5 in Ch. 2)

Definition: This field contains the identity of the person who actually keyed the comment into the application. It provides an audit trail in case the comment is entered incorrectly and the ancillary department needs to clarify the comment. By local agreement, either the ID number or name component MAY be omitted.

(Definition from ORC.10 in Ch. 4)

Definition: This field was retained for backward compatibility only as of v 2.7 and the detail was withdrawn and removed from the standard as of v 2.9. The reader is referred to the PRT segment described in Chapter 7.

(Definition from ACC.7 in Ch. 6)

Definition: This field identifies the person entering the accident information.

(Definition from MFE.7 in Ch. 8)

Definition: This field contains the identity of the person who actually keyed the master file entry into the application. It provides an audit trail in case the request is entered incorrectly and the ancillary department needs to clarify the request.

(Definition from OM7.20 in Ch. 8)

Note: This field is deprecated and retained for backward compatibility as of v 2.8.

Definition: This field contains the identity of the person who actually keyed the service item into the application. It provides an audit trail in case the request is entered incorrectly and the ancillary department needs to clarify the request.

ACC-8: Accident Description (ST) 01503

Definition: Description of the accident.

ACC-9: Brought In By (ST) 01504

Definition: This field identifies the person or organization that brought in the patient.

ACC-10: Police Notified Indicator (ID) 01505

Definition: This field indicates if the police were notified. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

ACC-11: Accident Address (XAD) 01853

Definition: This field contains the address where the accident occurred.

ACC-12: Degree of patient liability (NM) 02374

Definition: This field conveys the amount to which the patient is found to be liable for an accident. The numeric value is given as a percentage value.

If the accident is totally caused by others this value is set to "0". If it is caused by the patient, it is set to "100". Any other value in between allows for a leverage of the fault between the patient and third parties.

ACC-13: Accident Identifier (EI) 03338

Definition: This field contains the identifier of the accident report assigned by a jurisdiction that is required in the insurance accident claim.