2 N/A 00105 Patient ID(external ID) Not used at this time forOperative ReportMessage(s) 3 20 CM R [1..*] Patient ID (Internal ID) Composite This includes the provider patient identification number and/or the attachment control number (see 3.5). 3.1 ST R ID Number The ID number for the 3.5 qualifier. 3.2 N/A 3.3 N/A 3.4 R Assigning Authority Refers to the source organization or enterprise 3.4.1 R Namespace ID Identifier to be defined by trading partner 3.4.2 O Universal ID 3.4.3 O Universal ID Type 3.5 R Identifier Type Code Provider patient identification number(s) values are limited to at least one identifier arerequired. “MR” – Medical Record Number. “NI” – National unique individual identifier “NNxxx” – National person identifier “PI” – Patient internal identifier “PN” – Person number;OR “PT” – Patient external identifier”. If used as a “Unsolicited Claim Attachment”, theClaim AttachmentIdentifier Type is also required. The following value isalso required if sending this message as aunsolicted attachmentto a payer: “ACN” – Attachment Control Number (The in the X12 837 or 278 transaction). 3.6 R Assigning facility Refers to the facility within the organization or enterprise (only needed if ID is facility specific).
For column table heading definitions, see Appendix A – Basic Definitions Example: PV1| | | | | | | | | | | | | | | | | | |123456| | | | | | | | | | | | | | | | |01| | | | | | | |200602041820|200602060510| | | | | | | | Position (Sequence within the segment)- Ordinal position of the data field within the segment. This number is used to refer to the data field in the text comments that follow the segment definition table. In the segment attribute tables this information is provided in the column labeled SEQ. SEQ LEN DT OPT RP# TBL# ITEM# Element Name Comments and Examples 1 4 SI O 00131 Set ID – PV1 2 1 ID O 00132 Patient Class See table 11 3 80 PL O 00133 Assigned Patient Location 4 2 IS O 0007 Admission Type Recommend use, if available 5 thru 6 N/A Not used at this time forOperative ReportMessage(s) 7 60 CN C Attending Doctor Required if there is an attending doctor 7.1 R ID Number If PV1-8 is populated, this element is required. The ID number for the 7.13 qualifier. Note: The ID number is the NPI 7.2 FN R Family Name If PV1-8 is populated, this element is required 7.3 ST R Given Name If PV1-8 is populated, this element is required 7.4 ST O Second and further given names or initials thereof Recommend use, if available 7.5 ST O Suffix Recommend use, if available 7.6 ST O Prefix
17.4 ST O Second and further names or initials thereof Recommend use, if available 17.5 ST O Suffix Recommend use, if available 17.6 ST O Prefix 17.7 thru 17.12 N/A 17.13 ID C Identifier Type Code If PV1-17.1 is populated, this element is required is limited to: “NPI”(National Provider Identifier) 18 O Patient Type 19 15 NM R 00149 Visit Number This can also be the encounter # 20 thru 35 N/A Not used at this time for Operative Report Message(s) 36 3 ID O 0112 00166 Discharge Disposition See table 14 37 thru 43 N/A Not used at this time for Operative Report Message(s) 44 26 TS O 00174 Date/Time Use “CCYYMMDDHHMM” 45 26 TS O 00174 Discharge Date/Time Use “CCYYMMDDHHMM” 46 thru 52 N/A Not used at this time for Operative Report Message(s) Table 5 – HL7 – TXA – Transcription Document Header Segment
22 60 CM C [0..*] 00934 Authentication Person, Time Stamp Required when is equal to “AU” or “LA “ Required if there is an Authentication Person 22.1 C ID Number The ID number for the 22.13 qualifier. NOTE: The ID number is the NPI. 22.2 FN R Family Name 22.3 ST R Given Name 22.4 ST O Second and further given names or initials thereof Recommend use, if available 22.5 ST O Suffix Recommend use, if available 22.6 ST O Prefix 22.8 thru 22.12 N/A 22.13 ID C Identifier Type Code Value is “NPI” NOTE: Value is limited to: “NPI”(National Provider Identifier) 23 60 XCN O [0..*] 00935 Distributed Copies (Code and name of Recipients) Table 6 – HL7 – OBX – Observation/Result Segment For column table heading definitions, see Appendix A – Basic Definitions Example: OBX|1|TX|^OP Preoperative Diagnoises^LN| | Major depressive disorder| | | | | |F| | |200602040510| | | For free-text and discrete operative report example(s) see Appendix D. SEQ LEN DT OPT RP# TBL# ITEM# Element Name Comments and Examples 1 4 SI R 00569 Set ID – OBX sequence number