The patient additional demographic segment contains demographic information that is likely to change about the patient.
| Seq# | DataElement | Description | Must Implement | Flags | Cardinality | Length | C.LEN | Vocabulary | DataType |
|---|---|---|---|---|---|---|---|---|---|
PD1
|
|||||||||
1
|
00755 | Living Dependency | [0..*] | CWE | |||||
|
2
|
00742 | Living Arrangement | [0..1] | CWE | |||||
|
3
|
00756 | Patient Primary Facility | [0..*] | XON | |||||
|
4
|
00757 | Patient Primary Care Provider Name & ID No. | SHALL NOT | W | [0..0] | ||||
|
5
|
00745 | Student Indicator | [0..1] | CWE | |||||
|
6
|
00753 | Handicap | [0..1] | CWE | |||||
|
7
|
00759 | Living Will Code | [0..1] | CWE | |||||
|
8
|
00760 | Organ Donor Code | [0..1] | CWE | |||||
|
9
|
00761 | Separate Bill | [0..1] | [1..1] | ID | ||||
|
10
|
00762 | Duplicate Patient | [0..*] | CX | |||||
|
11
|
00743 | Publicity Code | [0..1] | CWE | |||||
|
12
|
00744 | Protection Indicator | B | [0..1] | [1..1] | ID | |||
|
13
|
01566 | Protection Indicator Effective Date | B | [0..1] | DT | ||||
|
14
|
01567 | Place of Worship | [0..*] | XON | |||||
15
|
01548 | Advance Directive Code |
MAY
True:
False:
|
C |
[1..1] [0..1] |
CWE | |||
|
16
|
01569 | Immunization Registry Status | [0..1] | CWE | |||||
|
17
|
01570 | Immunization Registry Status Effective Date | [0..1] | DT | |||||
|
18
|
01571 | Publicity Code Effective Date | [0..1] | DT | |||||
|
19
|
01572 | Military Branch | [0..1] | CWE | |||||
|
20
|
00486 | Military Rank/Grade | [0..1] | CWE | |||||
|
21
|
01573 | Military Status | [0..1] | CWE | |||||
|
22
|
02141 | Advance Directive Last Verified Date | [0..1] | DT | |||||
|
23
|
03511 | Retirement Date | [0..1] | DT | |||||
(Definition from NK1.17 in Ch. 3)
Definition: This field identifies specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patient's healthcare needs. This information can be used for discharge planning. Examples might include Spouse Dependent, Medical Supervision Required, Small Children Dependent. This field repeats because, for example, "spouse dependent" and "medical supervision required" can apply at the same time. Refer to User-defined Table 0223 - Living Dependency in Chapter 2C, Code Tables, for suggested values.
(Definition from PD1.1 in Ch. 3)
Definition: This field identifies specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patient's healthcare needs. This information can be used for discharge planning. This field repeats because, for example, "spouse dependent" and "medical supervision required" can apply at the same time. Refer to User-defined Table 0223 - Living Dependency in Chapter 2C, Code Tables, for suggested values.
(Definition from GT1.33 in Ch. 6)
Definition: Identifies the specific living conditions of the guarantor. Refer to User-defined Table 0223 - Living Dependency in Chapter 2C, Code Tables, for suggested values.
(Definition from IN2.31 in Ch. 6)
Definition: This field identifies the specific living conditions for the insured. Refer to User-defined Table 0223 - Living Dependency in Chapter 2C, Code Tables, for suggested values.
(Definition from NK1.21 in Ch. 3)
Definition: This field identifies the situation that the associated party lives in at his/her residential address. Refer to User-defined Table 0220 - Living Arrangement in Chapter 2C, Code Tables, for suggested values.
(Definition from PD1.2 in Ch. 3)
Definition: This field identifies the situation in which the patient lives at his residential address. Examples might include Alone, Family, Relatives, Institution, etc. Refer to User-defined Table 0220 - Living Arrangement in Chapter 2C, Code Tables, for suggested values.
(Definition from GT1.37 in Ch. 6)
Definition: This field identifies the situation in which the person lives at his residential address. Refer to User-defined Table 0220 - Living Arrangement in Chapter 2C, Code Tables, for suggested values.
(Definition from IN2.35 in Ch. 6)
Definition: This field indicates the situation in which the insured person lives at his primary residence. Refer to User-defined Table 0220 - Living Arrangement in Chapter 2C, Code Tables, for suggested values.
Definition: This field contains the name and identifier that specifies the "primary care" healthcare facility selected by the patient at the time of enrolment in an HMO Insurance Plan. Multiple names and identifiers are allowed for the same facility. The legal name of the healthcare facility must be sent in the first sequence. If the legal name of the facility is not sent, then the repeat delimiter must be sent in the first sequence. Refer to User-defined Table 0204 - Organizational Name Type in Chapter 2C, Code Tables, for suggested values.
Definition: The PD1-4 field was retained for backward compatibility only as of v 2.4 and withdrawn as of v 2.7. The reader is advised that the PRT segment is now used to convey more complete information about the primary care provider.
(Definition from NK1.24 in Ch. 3)
Definition: This field identifies whether the next of kin/associated party is currently a student or not, and whether the next of kin/associated party is a full- or a part-time student. This field does not indicate the degree (high school, college) of the student or the field of study. Refer to User-defined Table 0231 - Student Status in chapter 2C, for suggested values.
(Definition from PD1.5 in Ch. 3)
Definition: This field indicates if the patient is currently a student or not, and whether the patient is a full-time or a part-time student. This field does not indicate the student's degree level (high school, college, elementary) or the student's field of study (accounting, engineering, etc.). Refer to User-defined Table 0231 - Student Status in chapter 2C, for suggested values.
(Definition from GT1.40 in Ch. 6)
Definition: This field indicates whether the guarantor is currently a student, and whether the guarantor is a full-time or part-time student. This field does not indicate the degree level (high school, college) of the student, or his/her field of study (accounting, engineering, etc.). Refer to User-defined Table 0231- Student Status in Chapter 2C, Code Tables, for suggested values.
(Definition from IN2.38 in Ch. 6)
Definition: This field identifies whether the insured is currently a student or not, and whether the insured is a full-time or a part-time student. This field does not indicate the degree level (high school, college) of student, or his/her field of study (accounting, engineering, etc.). Refer to User-defined Table 0231 - Student Status in Chapter 2C, Code Tables, for suggested values.
(Definition from NK1.36 in Ch. 3)
Definition: This field contains the code that describes an associated party's disability. Refer to User-defined Table 0295 - Handicap in Chapter 2C, Code Tables, for suggested values.
(Definition from PD1.6 in Ch. 3)
Definition: This field indicates the nature of the patient's permanent handicapped condition (e.g., deaf, blind). A handicapped condition is defined as a physical or mental disability that is permanent. Transient handicapped conditions should be sent in the ambulatory status. Refer to User-defined Table 0295 - Handicap in Chapter 2C, Code Tables, for suggested values.
(Definition from GT1.52 in Ch. 6)
Definition: This field contains a code to describe the guarantor's disability. Refer to User-defined Table 0295 - Handicap in Chapter 2C, Code Tables, for suggested values.
(Definition from IN1.48 in Ch. 6)
Definition: This field contains a code to describe the insured's disability. Refer to User-defined Table 0295 - Handicap in Chapter 2C, Code Tables, for suggested values.
(Definition from PV2.43 in Ch. 3)
Definition: This field indicates whether or not the patient has a living will and, if so, whether a copy of the living will is on file at the healthcare facility. If the patient does not have a living will, the value of this field indicates whether the patient was provided information on living wills. Refer to User-defined Table 0315 - Living Will Code in Chapter 2C, Code Tables, for suggested values. See also PD1-7 - Living Will.
(Definition from PD1.7 in Ch. 3)
Definition: This field indicates whether or not the patient has a living will and, if so, whether a copy of the living will is on file at the healthcare facility. If the patient does not have a living will, the value of this field indicates whether the patient was provided information on living wills. Refer to User-defined Table 0315 - Living Will Code in Chapter 2C, Code Tables, for suggested values. See also PV2-43 - Living Will Code.
(Definition from PV2.44 in Ch. 3)
Definition: This field indicates whether the patient wants to donate his/her organs and whether an organ donor card or similar documentation is on file with the healthcare organization. Refer to User-defined Table 0316 - Organ Donor Code in Chapter 2C, Code Tables, for suggested values. See also PD1-8 - Organ Donor.
(Definition from PD1.8 in Ch. 3)
Definition: This field indicates whether the patient wants to donate his/her organs and whether an organ donor card or similar documentation is on file with the healthcare organization. Refer to User-defined Table 0316 - Organ Donor Code in Chapter 2C, Code Tables, for suggested values. See also PV2-44 - Organ donor Code.
Definition: This field specifies that charges for this patient are to be billed separately from other patient bills with the same guarantor. (This bill is now a patient bill rather than a guarantor bill.) Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.
Y Bill separately
N normal processing
Definition: This field indicates that a patient is the same as, or a duplicate of, another patient found on the sending system. The intent is to be informational only and no action is required by the receiver. Include the patient identifier if the sender knows an identifier for the patient. The assigning authority and identifier type code are strongly recommended for all CX data types.
(Definition from NK1.22 in Ch. 3)
Definition: This field indicates what level of publicity is allowed (e.g., No Publicity, Family Only) for the next of kin/associated party. Refer to User-defined Table 0215 - Publicity Code in Chapter 2C, Code Tables, for suggested values.
(Definition from PD1.11 in Ch. 3)
Definition: This field contains a user-defined code indicating what level of publicity is allowed (e.g., No Publicity, Family Only) for the patient. Refer to User-defined Table 0215 - Publicity Code in Chapter 2C, Code Tables, for suggested values. Refer to PV2-21 - Visit Publicity Code for visit level code.
(Definition from GT1.38 in Ch. 6)
Definition: This field contains a user-defined code indicating what level of publicity is allowed (e.g., No Publicity, Family Only) for a guarantor. Refer to User-defined Table 0215 - Publicity Code in Chapter 2C, Code Tables, for suggested values.
(Definition from IN2.36 in Ch. 6)
Definition: This field contains a user-defined code indicating what level of publicity is allowed (e.g., No Publicity, Family Only) for the insured. Refer to User-defined Table 0215 - Publicity Code in Chapter 2C, Code Tables, for suggested values.
(Definition from NK1.23 in Ch. 3)
Definition: This field identifies that next of kin/associated party's protection that determines, in turn, whether access to information about this person should be kept from users who do not have adequate authority. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.
Y protect access to next-of-kin information
N normal access
(Definition from PD1.12 in Ch. 3)
Definition: From V2.6 onward, this field has been retained for backward compatibility only. Use the ARV segment instead. This field identifies the patient's protection that determines, in turn, whether access to information about this person should be kept from users who do not have adequate authority for the patient. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.
Y protect access to information
N normal access
Refer to PV2-22 - Visit Protection Indicator for visit level code.
(Definition from GT1.39 in Ch. 6)
Definition: This field identifies the guarantor's protection, which determines whether or not access to information about this enrollee should be restricted from users who do not have adequate authority. Refer to HL7 Table 0136 - Yes/no Indicator for valid values.
Y restrict access
N do not restrict access
(Definition from IN2.37 in Ch. 6)
Definition: This field identifies the insured's protection, which determines whether or not access to information about this enrollee should be restricted from users who do not have adequate authority. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.
Y Restrict access
N Do not restrict access
Definition: From v 2.6 onward, this field has been retained for backward compatibility only. Use the ARV segment instead. This field indicates the effective date for PD1-12 - Protection Indicator.
Definition: The patient's place of worship. For example, the patient attends the First Baptist Church of Atlanta.
(Definition from PV2.45 in Ch. 3)
Definition: This field indicates the patient's instructions to the healthcare facility. Refer to User-defined Table 0435 - Advance Directive Code in Chapter 2C, Code Tables, for suggested values. See also PD1-15 - Advance Directive Code. This field is required if PV2-50 - Advance Directive Last Verified Date is valued.
Note: for details about specific consent refer to the Consent (CON) segment in chapter 9.
(Definition from PD1.15 in Ch. 3)
Definition: This field indicates the patient's instructions to the healthcare facility. Refer to User-defined Table 0435 - Advance Directive Code in Chapter 2C, Code Tables, for suggested values. See also PV2-45 - Advance Directive Code. When PD1-22 - Advanced Directive Last Verified Date is valued, this field is required.
Definition: This field identifies the immunization registry status of the patient. Refer to User-defined Table 0441 - Immunization Registry Status in Chapter 2C, Code Tables, for suggested values.
Definition: This field indicates the effective date for the immunization registry status reported in PD1-16 - Immunization Registry Status.
Definition: This is the effective date for PD1-11 - Publicity Code.
Definition: This field is defined by CMS or other regulatory agencies. Refer to User-defined Table 0140 - Military Service in Chapter 2C, Code Tables, for suggested values.
(Definition from PD1.20 in Ch. 3)
Definition: This user-defined field identifies the military rank/grade of the patient. Refer to User-defined Table 0141 - Military Rank/Grade in Chapter 2C, Code Tables, for suggested values.
(Definition from IN2.15 in Ch. 6)
Definition: This user-defined field identifies the military rank/grade of the insured. Refer to User-defined Table 0141 - Military Rank/Grade in Chapter 2C, Code Tables, for suggested values.
Definition: This field is defined by CMS or other regulatory agencies. Refer to User-defined Table 0142 - Military Status in Chapter 2C, Code Tables, for suggested values.
(Definition from PV2.50 in Ch. 3)
Definition: This field indicates the date that all the advance directives held in PV2-45 - Advance Directive Code were last verified. When this field is valued, the field PV2-45 - Advance Directive Code is required.
(Definition from PD1.22 in Ch. 3)
Definition: This field indicates the date that all the advance directives held in PD1-15 - Advance Directive Code were last validated. When this field is valued, the field PD1-15 - Advance Directive Code is required.
Definition: This field asserts a self-identified date that an individual considers themselves to have ‘retired’.
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