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The PV2 segment is a continuation of information contained on the PV1 segment.

HL7 Attribute Table - PV2 - Patient Visit - Additional Information Segment

Seq#	DataElement	Description	Must Implement	Flags	Cardinality	Length	C.LEN	Vocabulary	DataType
PV2
1	00181	Prior Pending Location	MAY True: False:	C	[1..1] [0..1]				PL
2	00182	Accommodation Code			[0..1]			0129	CWE
3	00183	Admit Reason			[0..1]				CWE
4	00184	Transfer Reason			[0..1]				CWE
5	00185	Patient Valuables		=	[0..*]		25		ST
6	00186	Patient Valuables Location		=	[0..1]		25		ST
7	00187	Visit User Code			[0..*]			0130 Visit User Code	CWE
8	00188	Expected Admit Date/Time			[0..1]				DTM
9	00189	Expected Discharge Date/Time			[0..1]				DTM
10	00711	Estimated Length of Inpatient Stay		=	[0..1]		3		NM
11	00712	Actual Length of Inpatient Stay		=	[0..1]		3		NM
12	00713	Visit Description		#	[0..1]		50		ST
13	00714	Referral Source Code			[0..*]				XCN
14	00715	Previous Service Date			[0..1]				DT
15	00716	Employment Illness Related Indicator			[0..1]	[1..1]		0136 Yes/no Indicator	ID
16	00717	Purge Status Code			[0..1]			0213 Purge Status Code	CWE
17	00718	Purge Status Date			[0..1]				DT
18	00719	Special Program Code			[0..1]			0214 Special Program Code	CWE
19	00720	Retention Indicator			[0..1]	[1..1]		0136 Yes/no Indicator	ID
20	00721	Expected Number of Insurance Plans		=	[0..1]		1		NM
21	00722	Visit Publicity Code			[0..1]			0215 Publicity Code	CWE
22	00723	Visit Protection Indicator		B	[0..1]	[1..1]		0136 Yes/no Indicator	ID
23	00724	Clinic Organization Name			[0..*]				XON
24	00725	Patient Status Code			[0..1]			0216 Patient Status Code	CWE
25	00726	Visit Priority Code			[0..1]			0217 Visit Priority Code	CWE
26	00727	Previous Treatment Date			[0..1]				DT
27	00728	Expected Discharge Disposition			[0..1]			0112	CWE
28	00729	Signature on File Date			[0..1]				DT
29	00730	First Similar Illness Date			[0..1]				DT
30	00731	Patient Charge Adjustment Code			[0..1]			0218	CWE
31	00732	Recurring Service Code			[0..1]			0219	CWE
32	00733	Billing Media Code			[0..1]	[1..1]		0136 Yes/no Indicator	ID
33	00734	Expected Surgery Date and Time			[0..1]				DTM
34	00735	Military Partnership Code			[0..1]	[1..1]		0136 Yes/no Indicator	ID
35	00736	Military Non-Availability Code			[0..1]	[1..1]		0136 Yes/no Indicator	ID
36	00737	Newborn Baby Indicator			[0..1]	[1..1]		0136 Yes/no Indicator	ID
37	00738	Baby Detained Indicator			[0..1]	[1..1]		0136 Yes/no Indicator	ID
38	01543	Mode of Arrival Code			[0..1]			0430 Mode of Arrival Code	CWE
39	01544	Recreational Drug Use Code			[0..*]			0431 Recreational Drug Use Code	CWE
40	01545	Admission Level of Care Code			[0..1]			0432 Admission Level of Care Code	CWE
41	01546	Precaution Code			[0..*]			0433 Precaution Code	CWE
42	01547	Patient Condition Code			[0..1]			0434 Patient Condition Code	CWE
43	00759	Living Will Code			[0..1]			0315 Living Will Code	CWE
44	00760	Organ Donor Code			[0..1]			0316 Organ Donor Code	CWE
45	01548	Advance Directive Code	MAY True: False:	C	[1..1] [0..1]			0435 Advance Directive Code	CWE
46	01549	Patient Status Effective Date			[0..1]				DT
47	01550	Expected LOA Return Date/Time	MAY True: False:	C	[1..1] [0..1]				DTM
48	01841	Expected Pre-admission Testing Date/Time			[0..1]				DTM
49	01842	Notify Clergy Code			[0..*]			0534 Notify Clergy Code	CWE
50	02141	Advance Directive Last Verified Date			[0..1]				DT

Definition: This field is required for cancel pending transfer (A26) messages. In all other events it is optional.

Definition: This field indicates the specific patient accommodations for this visit. Refer to User-defined Table 0129 - Accommodation Code in Chapter 2C, Code Tables, for suggested values.

Definition: This field contains the short description of the reason for patient admission.

Definition: This field contains the short description of the reason for a patient location change.

Definition: This field contains the short description of patient valuables checked in during admission.

Definition: This field indicates the location of the patient's valuables.

Definition: This field further categorizes a patient's visit with respect to an individual institution's needs, and is expected to be site-specific. Refer to User-defined Table 0130 - Visit User Code in Chapter 2C, Code Tables, for suggested values.

Definition: This field contains the date and time that the patient is expected to be admitted. This field is also used to reflect the date/time of an outpatient/emergency patient registration.

Definition: This field contains the date and time that the patient is expected to be discharged. This is a non-event related date used by ancillaries to determine more accurately the projected workloads. This field is also used to reflect the anticipated discharge date/time of an outpatient/emergency patient, or an inpatient.

Definition: This field specifies the estimated days of inpatient stays.

Definition: This field contains the actual days of inpatient stays. The actual length of the inpatient stay may not be calculated from the admission and discharge dates because of possible leaves of absence.

Definition: This field contains a brief user-defined description of the visit.

Definition: This field contains the name and the identification numbers of the person or organization that made the referral. This person/organization is not the same as the referring doctor. For example, Adam Everyman referred me to the Clinic (or to Dr. Everywoman at the Clinic).

Definition: This field contains the date of previous service for the same recurring condition. This may be a required field for billing certain illnesses (e.g., accident related) to a third party.

Definition: This field specifies whether a patient's illness was job-related. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the patient's illness was job-related

• N    the patient's illness was not job-related

Definition: This field contains the purge status code for the account. It is used by the application program to determine purge processing. Refer to User-defined Table 0213 - Purge Status Code in Chapter 2C, Code Tables, for suggested values.

Definition: This field contains the date on which the data will be purged from the system.

Definition: This field designates the specific health insurance program for a visit required for healthcare reimbursement. Refer to User-defined Table 0214 - Special Program Codes in Chapter 2C, Code Tables, for suggested values.

Definition: This field allows the user to control the financial and demographic purge processes at the visit. It is used to preserve demographic and financial data on specific, high priority visits. Refer to HL7 Table 0136 - Yes/No Indicator for valid values.

• Y    retain data

• N    normal purge processing

Definition: This field contains the number of insurance plans that may provide coverage for this visit.

Definition: This field contains a user-defined code indicating what level of publicity is allowed for a specific visit. Refer to User-defined Table 0215 - Publicity Code in Chapter 2C, Code Tables, for suggested values. Refer to PD1-11 - Publicity Code for the patient level publicity code.

Definition: From v 2.6 onward, this field has been retained for backwards compatibility only. Use the ARV segment instead. This field identifies the person'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 a specific visit. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    protect access to patient information

• N    normal access

Refer to PD1-12 - Protection Indicator for the patient level protection indicator.

Definition: This field contains the organization name or sub-unit and identifier that is associated with the (visit) episode of care. For example, the Allergy or Oncology Clinic within the healthcare facility might be named.

Definition: This field indicates the status of the episode of care. Refer to User-defined Table 0216 - Patient Status in Chapter 2C, Code Tables, for suggested values.

Definition: This field contains the priority of the visit. Refer to User-defined Table 0217 - Visit Priority Code in Chapter 2C, Code Tables, for suggested values.

Definition: This field contains the date that the patient last had treatment for any condition prior to this visit. In the case of a prior hospital visit, it is likely to be the previous discharge date.

Definition: This field describes what the patient's disposition is expected to be at the end of the visit. Refer to User-defined Table 0112 - Discharge Disposition in Chapter 2C, Code Tables, for suggested values.

Definition: This field contains the date on which a signature was obtained for insurance billing purposes.

Definition: This field is used to determine if the patient has a pre-existing condition.

Definition: This field contains a user-defined code that indicates which adjustments should be made to this patient's charges. Refer to User-defined Table 0218 - Patient Charge Adjustment in in chapter 2C, for suggested values. This field is the same as GT1-26 - Guarantor Charge Adjustment Code.

Definition: This field indicates whether the treatment is continuous. Refer to User-defined Table 0219 - Recurring Service in Chapter 2C, Code Tables, for suggested values.

Definition: This field indicates if the account is to be rejected from tape billing. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    reject account from tape billing

• N    normal processing

Definition: This field contains the date and time on which the surgery is expected to occur.

Definition: This field indicates that a military healthcare facility has contracted with a non-military healthcare facility for the use of its services. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    contract(s) exist

• N    no contract(s) exist

Definition: This field indicates whether a patient has permission to use a non-military healthcare facility for treatment. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the patient has permission to use a non-military healthcare facility

• N    the patient does not have permissions to use a non-military healthcare facility

Definition: This field indicates whether the patient is a baby. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the patient is a baby

• N    the patient is not a baby

Definition: This field indicates if the baby is detained after the mother's discharge. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the baby was detained

• N    normal discharge of mother and baby

Definition: Identifies how the patient was brought to the healthcare facility. Refer to User-defined Table 0430 - Mode of Arrival Code in Chapter 2C, Code Tables, for suggested values.

Definition: This field indicates what recreational drugs the patient uses. It is used for the purpose of room assignment. Refer to User-defined Table 0431 - Recreational Drug Use Code in Chapter 2C, Code Tables, for suggested values.

Definition: This field indicates the acuity level assigned to the patient at the time of admission. Refer to User-defined Table 0432 - Admission Level of Care Code in Chapter 2C, Code Tables, for suggested values.

Definition: This field indicates non-clinical precautions that need to be taken with the patient. Refer to User-defined Table 0433 - Precaution Code in Chapter 2C, Code Tables, for suggested values.

Definition: This field indicates the patient's current medical condition for the purpose of communicating to non-medical outside parties, e.g., family, employer, religious minister, media, etc. Refer to User-defined Table 0434 - Patient Condition Code 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 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 indicates the effective date for PV2-24 - Patient Status.

Definition: This field is conditionally required for A21 - Patient goes on LOA. It may be populated in A22 - Patient returns from LOA as well as in the A53 - Cancel LOA for a patient and the A54 - Cancel patient returns from LOA triggers. This field contains the date/time that the patient is expected to return from LOA.

Definition: This field contains the date/time that the patient is expected for pre-admission testing.

Definition: This field allows the user to indicate whether the clergy should be notified. Refer to User-defined Table 0534 - Notify Clergy Code 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.