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The Material Item segment (ITM) contains information about inventory supply items (stocked or non-stocked).

HL7 Attribute Table - ITM - Material Item Segment

Seq#	DataElement	Description	Must Implement	Flags	Cardinality	Length	C.LEN	Vocabulary	DataType
ITM
1	02186	Item Identifier	SHALL		[1..1]				EI
2	02274	Item Description		#	[0..1]		999		ST
3	02187	Item Status			[0..1]			0776 Item Status	CWE
4	02188	Item Type			[0..1]			0778 Item Type	CWE
5	02189	Item Category			[0..1]				CWE
6	02190	Subject to Expiration Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
7	02191	Manufacturer Identifier		O	[0..1]				EI
8	02275	Manufacturer Name		=	[0..1]		999		ST
9	02192	Manufacturer Catalog Number		=	[0..1]		20		ST
10	02193	Manufacturer Labeler Identification Code			[0..1]				CWE
11	02070	Patient Chargeable Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
12	00361	Transaction Code			[0..1]			0132	CWE
13	00366	Transaction Amount - Unit			[0..1]				CP
14	02197	Stocked Item Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
15	02266	Supply Risk Codes			[0..1]			0871 Supply Risk Codes	CWE
16	02199	Approving Regulatory Agency			[0..*]			0790 Approving Regulatory Agency	XON
17	02200	Latex Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
18	02201	Ruling Act			[0..*]			0793 Ruling Act	CWE
19	00282	Item Natural Account Code			[0..1]			0320	CWE
20	02203	Approved To Buy Quantity		#	[0..1]		6		NM
21	02204	Approved To Buy Price			[0..1]				MO
22	02205	Taxable Item Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
23	02206	Freight Charge Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
24	02207	Item Set Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
25	02208	Item Set Identifier			[0..1]				EI
26	02209	Track Department Usage Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
27	00393	Procedure Code			[0..1]				CNE
28	01316	Procedure Code Modifier			[0..*]				CNE
29	01370	Special Handling Code			[0..1]			0376 Special Handling Code	CWE
30	03388	Hazardous Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
31	03304	Sterile Indicator			[0..1]			0532 Expanded Yes/no Indicator	CNE
32	03305	Material Data Safety Sheet Number			[0..1]				EI
33	03306	United Nations Standard Products and Services Code			[0..1]			0396 Coding System	CWE
34	02415	Contract Date			[0..1]				DR
35	02416	Manufacturer Contact Name			[0..1]				XPN
36	02417	Manufacturer Contact Information			[0..1]				XTN
37	02418	Class of Trade			[0..1]				ST
38	02419	Field Level Event Code			[0..1]			0180 Masterfile Action Code	ID

Definition: The Item Identifier is a unique code assigned to the material item by the Item Inventory Master catalog software application to identify the item.

Definition: The Item Description is a description of the material item identified in ITM-1.

Definition: The status (useful for reporting and item usage purposes) that applies to an item. Refer to User-defined Table 0776 – Item Status in Chapter 2C, Code Tables, for suggested values.

Definition: The Item Type is a classification of material items into like groups as defined and utilized within an Operating Room setting for charting procedures. An Item Type is a higher level of classification than an Item Category as described in ITM-4. Refer to User-defined Table 0778 – Item Type in Chapter 2C, Code Tables, for suggested values.

Definition: The Item Category is a classification of material items into like groups for the purpose of categorizing purchases and reporting within a materials management setting. The Item Category classification is a lower level grouping of material items than what is described in ITM-3 as Item Type. UNSPSC is the recommended coding system.

Definition: This field contains an indicator used as a reference to specify whether the item is subject to containing an expiration date. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

Definition: This field identifies the identifying code of the manufacturer of the item.

Definition: This field identifies the name of the manufacturer of the manufacturer identified in ITM-7.

Definition: This field contains the catalog assigned to the item by the manufacturer.

Definition: This field contains the Labeler Identification Code (LIC) number assigned to the manufacturer that represents the manufacturer of the item.

(Definition from ITM.11 in Ch. 17)

Definition: This field indicates whether the item is patient chargeable. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

(Definition from IVT.11 in Ch. 17)

Definition: This field indicates whether the item is patient chargeable at this inventory location. Refer to HL7 Table 0532 - Expanded Yes/no Indicator Table in Chapter 2C, Code Tables, for valid values.

(Definition from FT1.7 in Ch. 6)

Definition: This field contains the code assigned by the institution for the purpose of uniquely identifying the transaction based on the Transaction Type (FT1-6). For example, this field would be used to uniquely identify a procedure, supply item, or test for charges, or to identify the payment medium for payments. Refer to User-defined Table 0132 - Transaction Code in Chapter 2C, Code Tables, for suggested values. See Chapter 7 for a discussion of the universal service ID for charges.

(Definition from ITM.12 in Ch. 17)

Definition: This field contains the code assigned by the institution for the purpose of uniquely identifying a patient billing code specific for a supply item. In the context of this message, this is a code that is a cross-reference to the Item Code/Id. This field would be used to uniquely identify a procedure, supply item, or test for charges; or to identify the payment medium for payments. It can reference, for example, a CBC (a lab charge), or an Elastic Bandage 3'' (supply charge), or Chest 1 View (radiology charge). For instance the code would be 300-0001, with a description of CBC.

Refer to User-defined Table 0132 - Transaction Code in Chapter 2C, Code Tables, for suggested values. See Chapter 7 for a discussion of the universal service ID for charges.

(Definition from PCE.3 in Ch. 17)

Definition: This field contains a code that is used by a billing system to charge for the inventory supply item, the descriptive name of the patient charge for that system (as it may appear on a patient's bill or charge labels) and the name of the coding system that assigned the charge code. Refer to User-defined Table 0132 – Transaction Codes in Chapter 6, Financial Management, for suggested values.

(Definition from IVT.12 in Ch. 17)

Definition: This field contains a code that is used by a billing system to charge for the inventory supply item, the descriptive name of the patient charge for that system (as it may appear on a patient's bill or charge labels) and the name of the coding system that assigned the charge code. Refer to User-defined Table 0132 – Transaction Codes in Chapter 2C, Code Tables, for suggested values.

(Definition from FT1.12 in Ch. 6)

Definition: This field contains the unit price of a transaction. Price of a single item.

(Definition from ITM.13 in Ch. 17)

Definition: Unit price of transaction. Price of a single item. This field contains the dollar amount charged to patients for this item.

(Definition from PCE.4 in Ch. 17)

Definition: The price that a department charges to a patient for this inventory supply item when using the Patient Charge Billing code present in this segment.

(Definition from IVT.13 in Ch. 17)

Definition: This field contains the dollar amount charged to patients for this single inventory supply item.

Definition: This field contains an indicator signifying whether the item is stocked in any inventory location in the healthcare organization. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

Definition: This field contains a code that identifies any known or suspected hazard associated with this material item. Refer to User-defined Table 0871 – Supply Risk Codes in Chapter 2C, Code Tables, for suggested values.

Definition: This field contains a code indicating the regulatory agency the item has been approved by, such as the FDA or AMA.

Refer to User-defined Table 0790 – Approving Regulatory Agency in Chapter 2C, Code Tables, for suggested values.

Definition: This field contains an indicator signifying whether the item is made of or contains latex. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

Definition: This field contains a code indicating an act containing a rule that the item is legally required to be included in notification reporting. This code is often used for reporting or tracking. Refer to User-defined Table 0793 – Ruling Act in Chapter 2C, Code Tables, for suggested values.

(Definition from RQD.8 in Ch. 4)

Definition: This field contains the accounting code that identifies this item in order to charge for this item. User-Defined Table 0320 - Item Natural Account Code in Chapter 2C, Code Tables, is used as the HL7 identifier for the user-defined table of values for this field.

(Definition from ITM.19 in Ch. 17)

Definition: This field contains the expense/natural account number from the general ledger chart of accounts associated with the item. Refer to HL7 Table 0320 – Item Natural Account Code in Chapter 4, Orders, for valid values.

Definition: This field contains the quantity of this item that can be purchased within a user-defined time frame (e.g., one year) at the order unit of measure.

Definition: This field contains the dollar limit of this item that you can purchase within a user-defined time frame (e.g., one year).

Definition: This field contains an indicator signifying whether the item is taxable when purchasing the item or issuing the item to patients. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

Definition: This field contains an indicator signifying whether freight is an allowable charge to be allocated to the line of an invoice containing the item. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

Definition: This field contains an indicator signifying whether the item is an 'item set' rather than an individual item. An item set is a set of surgical supplies. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

Definition: The Item Set Identifier is a unique code assigned to the material item by the Item Inventory Master catalog software application to identify the item set.

Definition: This field contains an indicator signifying whether the usage figures are tracked for this item by department. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

(Definition from OBR.44 in Ch. 4)

Definition: This field contains a unique identifier assigned to the procedure, if any, associated with the charge. Refer to Externally-defined table 0088 – Procedure code in Chapter 2C, Code Tables, for suggested values. This field is a coded data type for compatibility with clinical and ancillary systems.

As of version 2.6, applicable external coding systems include those in the referenced table. If the code set used is in the referenced table, then the coding scheme designation in the table shall be used.

(Definition from FT1.25 in Ch. 6)

Definition: This field contains a unique identifier assigned to the procedure, if any, associated with the charge. Refer to Externally-defined Table 0088 - Procedure Code in Chapter 2C, Code Tables, for suggested values. This field is a coded data type for compatibility with clinical and ancillary systems.

As of v 2.6, the known applicable external coding systems include those in the table below. If the code set you are using is in this table, then you must use that designation.

Procedure Code Coding Systems (from HL7 Table 0396)

Code	Description	Comment / Source
C4	CPT-4	American Medical Association, P.O. Box 10946, Chicago IL 60610.
C5	CPT-5	(under development – same contact as above)
HCPCS	CMS (formerly HCFA) Common Procedure Coding System	HCPCS: contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.
HPC	CMS (formerly HCFA )Procedure Codes (HCPCS)	Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.
I10P	ICD-10 Procedure Codes	Procedure Coding System (ICD-10-PCS.) See http://www/hcfa.gov/stats/icd10.icd10.htm for more information.

(Definition from PR1.3 in Ch. 6)

Definition: This field contains a unique identifier assigned to the procedure. Refer to Externally-defined Table 0088 - Procedure Code in Chapter 2C, Code Tables, for suggested values. This field is a CNE data type for compatibility with clinical and ancillary systems.

(Definition from OBR.44 in Ch. 7)

Definition: This field contains a unique identifier assigned to the procedure, if any, associated with the charge. Refer to Externally-defined table 0088 – Procedure code in Chapter 2C, Code Tables, for suggested values. This field is a coded data type for compatibility with clinical and ancillary systems.

As of version 2.6, applicable external coding systems include those in the referenced table. If the code set used is in the referenced table, then the coding scheme designation in the table shall be used.

(Definition from CDM.7 in Ch. 8)

Definition: This field contains the procedure code for procedure, if any, associated with this charge description. Repeating field allows for different procedure coding systems such as CPT4, ICD9. Coded entry made up of code plus coding schema. Refer to Externally-defined Table 0088 - Procedure Code in Chapter 2C, Code Tables, for suggested values.

(Definition from IIM.14 in Ch. 17)

Definition: This field contains a unique identifier assigned to the service item, if any, associated with the charge. In the United States this is often the HCPCS code. Refer to Externally Defined Table 0088 - Procedure Code in Chapter 2C, Code Tables, for suggested values. This field is a CNE data type for compatibility with clinical and ancillary systems.

As of v2.6, the known applicable external coding systems include those in the table below. If the code set you are using is in this table, then you must use that designation.

Procedure Code Coding Systems

Coding System	Description	Comment
C4	CPT-4	American Medical Association, P.O. Box 10946, Chicago IL 60610.
C5	CPT-5	(under development – same contact as above)
HCPCS	CMS (formerly HCFA) Common Procedure Coding System	HCPCS: contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.
HPC	CMS (formerly HCFA) Procedure Codes (HCPCS)	Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.

(Definition from ITM.27 in Ch. 17)

Definition: This field contains a unique identifier assigned to the service item, if any, associated with the charge. In the United States this is often the HCPCS code. Refer to Externally defined Table 0088 - Procedure code for suggested values. This field is a CNE data type for compatibility with clinical and ancillary systems. Refer to HL7 Table 0088 – Procedure Coding Systems in Chapter 2C, Code Tables, for valid values.

As of v2.6, the known applicable external coding systems include those in the table below. If the code set you are using is in this table, then you must use that designation.

(Definition from SCD.32 in Ch. 17)

Definition: The unique identifier indicating the type of procedure performed on the patient with the supplies being sterilized.

Refer to HL7 Table 0088 – Procedure Code in Chapter 2C, Code Tables, for suggested values.

As of v2.6, the known applicable external coding systems include those in the referenced table. If the code set you are using is in this table, then you must use that designation.

(Definition from OBR.45 in Ch. 4)

Definition: This field contains the procedure code modifier to the procedure code reported in OBR-44-procedure code, when applicable. Procedure code modifiers are defined by regulatory agencies such as CMS and the AMA. Multiple modifiers may be reported. The modifiers are sequenced in priority according to user entry. In the USA, this is a requirement of the UB and the 1500 claim forms. Multiple modifiers are allowed and the order placed on the form affects reimbursement. Refer to Externally- defined table 0340 – Procedure code modifier in Chapter 2C, Code Tables, for suggested values.

Usage Rule: This field can only be used if OBR-44 – procedure code contains certain procedure codes that require a modifier in order to be billed or performed. For example, HCPCS codes that require a modifier to be precise.

As of version 2.6, applicable external coding systems include those in the referenced table. If the code set used is in the referenced table, then the coding scheme designation in the table shall be used.

(Definition from FT1.26 in Ch. 6)

Definition: This field contains the procedure code modifier to the procedure code reported in FT1-25 - Procedure Code, when applicable. Procedure code modifiers are defined by regulatory agencies such as CMS and the AMA. Multiple modifiers may be reported. The modifiers are sequenced in priority according to user entry. This is a requirement of the UB and the 1500 claim forms. Multiple modifiers are allowed and the order placed on the form affects reimbursement. Refer to Externally-defined Table 0340 - Procedure Code Modifier in Chapter 2C, Code Tables, for suggested values.

Usage Rule: This field can only be used if FT1-25 - Procedure Code contains certain procedure codes that require a modifier in order to be billed or performed. For example, HCPCS codes that require a modifier to be precise.

As of v 2.6, the known applicable external coding systems include those in the table below. If the code set you are using is in this table, then you must use that designation.

Procedure Code Modifier Coding Systems (From HL7 Table 0396)

Code	Description	Comment / Source
CPTM	CPT Modifier Code	Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).
HPC	CMS (formerly HCFA )Procedure Codes (HCPCS)	Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.
I10P	ICD-10 Procedure Codes	Procedure Coding System (ICD-10-PCS.) See http://www/hcfa.gov/stats/icd10.icd10.htm for more information.
I9C	ICD-9CM	Commission on Professional and Hospital Activities, 1968 Green Road, Ann Arbor, MI 48105 (includes all procedures and diagnostic tests).
ICD10AM	ICD-10 Australian modification
ICD10CA	ICD-10 Canada

(Definition from PR1.16 in Ch. 6)

Definition: This field contains the procedure code modifier to the procedure code reported in field 3, when applicable. Procedure code modifiers are defined by regulatory agencies such as CMS and the AMA. Multiple modifiers may be reported. Refer to Externally-defined Table 0340 - Procedure Code Modifier in Chapter 2C, Code Tables, for suggested values.

(Definition from OBR.45 in Ch. 7)

Definition: This field contains the procedure code modifier to the procedure code reported in OBR-44-procedure code, when applicable. Procedure code modifiers are defined by regulatory agencies such as CMS and the AMA. Multiple modifiers may be reported. The modifiers are sequenced in priority according to user entry. In the USA, this is a requirement of the UB and the 1500 claim forms. Multiple modifiers are allowed and the order placed on the form affects reimbursement. Refer to Externally- defined table 0340 – Procedure code modifier in Chapter 2C, Code Tables, for suggested values.

Usage Rule: This field can only be used if OBR-44 – procedure code contains certain procedure codes that require a modifier in order to be billed or performed. For example, HCPCS codes that require a modifier to be precise.

As of version 2.6, applicable external coding systems include those in the referenced table. If the code set used is in the referenced table, then the coding scheme designation in the table shall be used.

(Definition from IIM.15 in Ch. 17)

Definition: This field contains the procedure code modifier to the procedure code reported in IIM-14 Procedure Code, when applicable. Procedure code modifiers are defined by USA regulatory agencies such as CMS and the AMA. Multiple modifiers may be reported. Refer to Externally defined Table 0340 - Procedure Code Modifier in Chapter 2C, Code Tables, for suggested values.

As of v2.6, the known applicable external coding systems include those in the table below. If the code set you are using is in this table, then you must use that designation.

(Definition from ITM.28 in Ch. 17)

Definition: This field contains the procedure code modifier to the procedure code reported in ITM-27, Procedure Code, when applicable. Procedure code modifiers are defined by USA regulatory agencies such as CMS and the AMA. Multiple modifiers may be reported. Refer to Externally-defined Table 0340 - Procedure Code Modifier in Chapter 2C, Code Tables, for suggested values.

(Definition from SAC.43 in Ch. 13)

Definition: This field describes any special handling considerations that are associated with the specimen in the specific container (e.g., centrifugation). This describes how the specimen needs to be stored during collection, in transit, and upon receipt. Refer to User-defined Table 0376 – Special Handling Code in Chapter 2C, Code Tables, for valid values. 'The value set can be extended with user specific values.

(Definition from ITM.29 in Ch. 17)

Definition: This field contains a special handling code to describe special handling considerations for this item. Refer to User-defined Table 0376 – Special Handling Code in Chapter 2C, Code Tables, for suggested values. The value set can be extended with user specific values.

Definition: This field contains an indicator signifying whether the item contains hazardous material or not. Refer to HL7 Table 0532 - Expanded yes/no indicator table in Chapter 2, Code Tables, for valid values.

Definition: This field contains an indicator signifying whether the item is sterile or not. Refer to HL7 Table 0532 - Expanded yes/no indicator table in Chapter 2, Code Tables, for valid values.

Definition: The Material Safety Data Sheet Number is the manufacturer's identification number for the Material Saftey Data Sheet (if one exists for the item). A Material Safety Data Sheet contains the characteristics, protected measures, and regulations to follow when handling the item. It is relevant for dangerous substances. Field3 3 and 4 of the EI data type may be blank for communicating MSDS number; Manufacturer is already identified in this message via ITM-7, Manufacturer Identifier, and ITM-8, Manufacturer Name.

Definition: The United Nations Standard Products and Services Code is the category code assigned by the UNSPSC organization to the item. Please refer to the code "UNSPSC" as indicated for the United Nations Standards Products and Services Code as referenced in HL7 Table 0396 - Coding System in Chapter 2C, Code Tables.

Definition: The date that the contract becomes effective (Range Start Date/Time) and when it expires (Range End Date/Time) for the item specified in ITM-1. The effective date is the date that the contract becomes available to purchase this item. The expiration date is the date that the contract becomes unavailable to purchase this item.

Definition: This field contains the name of the contact person associated to the manufacturer of this item.

Definition: This field contains the contact information of the contact person associated to the manufacturer of this item.

Definition: This field contains the class of trade if identified at the item level.

Definition: The event code related to the item in ITM.1. Refer to HL7 Table 0180 – Master File Action Code table in Chapter 2, Code Tables, for valid values.