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3.3.5 NK1 - next of kin / associated parties segment

The NK1 segment contains information about the patient’s other related parties. Any associated parties may be identified. Utilizing NK1-1-set ID, multiple NK1 segments can be sent to patient accounts.

Figure 3-5. NK1 attributes

SEQ

LEN

DT

OPT

RP/#

TBL#

ITEM#

ELEMENT NAME

1

4

SI

R



00190

Set ID - NK1

2

48

XPN

O

Y


00191

Name

3

60

CE

O


0063

00192

Relationship

4

106

XAD

O

Y


00193

Address

5

40

XTN

O

Y


00194

Phone Number

6

40

XTN

O

Y


00195

Business Phone Number

7

60

CE

O


0131

00196

Contact Role

8

8

DT

O



00197

Start Date

9

8

DT

O



00198

End Date

10

60

ST

O



00199

Next of Kin / Associated Parties Job Title

11

20

CM

O



00200

Next of Kin / Associated Parties Job Code/Class

12

20

CX

O



00201

Next of Kin / Associated Parties Employee Number

13

60

XON

O

Y


00202

Organization Name

14

2

IS

O


0002

00119

Marital Status

15

1

IS

O


0001

00111

Sex

16

26

TS

O



00110

Date/Time of Birth

17

2

IS

O

Y

0223

00755

Living Dependency

18

2

IS

O

Y

0009

00145

Ambulatory Status

19

4

IS

O

Y

0171

00129

Citizenship

20

60

CE

O


0296

00118

Primary Language

21

2

IS

O


0220

00742

Living Arrangement

22

1

IS

O


0215

00743

Publicity Indicator

23

1

ID

O


0136

00744

Protection Indicator

24

2

IS

O


0231

00745

Student Indicator

25

3

IS

O


0006

00120

Religion

26

48

XPN

O



00746

Mother’s Maiden Name

27

80

CE

O


0212

00739

Nationality

28

3

IS

O


0189

00125

Ethnic Group

29

80

CE

O

Y

0222

00747

Contact Reason

30

48

XPN

O

Y


00748

Contact Person’s Name

31

40

XTN

O

Y


00749

Contact Person’s Telephone Number

32

106

XAD

O

Y


00750

Contact Person’s Address

33

32

CX

O

Y


00751

Next of Kin/Associated Party’s Identifiers

34

2

IS

O


0311

00752

Job Status

35

1

IS

O


0005

00113

Race

36

2

IS

O


0295

00753

Handicap

37

16

ST

O



00754

Contact Person Social Security Number

3.3.5.0 NK1 field definitions

3.3.5.1 Set ID - next of kin / associated parties (SI) 00190

Definition: NK1-1-set ID-next of kin/associated parties contains the number that identifies this transaction. For the first occurrence of the segment, the sequence number shall be 1, for the second occurrence it shall be 2, etc.

3.3.5.2 Name (XPN) 00191

Components: <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <name type code (ID) >

Definition: This field contains the name of the next of kin or associated party. Multiple names for the same person are allowed, but the legal name must be sent in the first sequence. If the legal name is not sent, then the repeat delimiter must be sent in the first sequence. Refer to Chapter 2 for the name type code table.

3.3.5.3 Relationship (CE) 00192

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field contains the actual personal relationship that the next of kin / associated parties has to the patient. Refer to user-defined table 0063 - Relationship for suggested values. Examples might include: brother, sister, mother, father, friend, spouse, emergency contact, employer, etc.

3.3.5.4 Address (XAD) 00193

Components: <street address (ST)> ^ <other designation (ST)> ^ <city (ST)> ^ <state or province (ST)> ^ <zip or postal code(ST)> ^ <country (ID)> ^ < address type (ID)> ^ <other geographic designation (ST)>^ <county/parish code (IS)> ^ <census tract (IS)>

Definition: This field contains the address of the next of kin/associated party. Multiple addresses are allowed for the same person. The mailing address must be sent in the first sequence. If the mailing address is not sent, then the repeat delimiter must be sent in the first sequence.

3.3.5.5 Phone number (XTN) 00194

Components: [NNN] [(999)]999-9999 [X99999] [B99999] [C any text] ^ <telecommunication use code (ID)> ^ <telecommunication equipment type (ID)>^ <email address (ST)> ^ <country code (NM)> ^ <area/city code (NM)> ^ <phone number (NM)> ^ <extension (NM)> ^ <any text (ST)>

Definition: This field contains the telephone number of the next of kin/associated party. Multiple phone numbers are allowed for the same person. The primary telephone number must be sent in the first sequence. If the primary telephone number is not sent, then the repeat delimiter must be sent in the first sequence. Refer to Chapter 2 for suggested telecommunication use and equipment type codes.

3.3.5.6 Business phone number (XTN) 00195

Components: [NNN] [(999)]999-9999 [X99999] [B99999] [C any text] ^ <telecommunication use code (ID)> ^ <telecommunication equipment type (ID)>^ <email address (ST)> ^ <country code (NM)> ^ <area/city code (NM)> ^ <phone number (NM)> ^ <extension (NM)> ^ <any text (ST)>

Definition: This field contains the business telephone number of the next of kin/associated party. Multiple phone numbers are allowed for the same person. The primary business telephone number must be sent in the first sequence. If the primary business telephone number is not sent, then the repeat delimiter must be sent in the first sequence. Refer to Chapter 2 for suggested telecommunication use and equipment type codes.

3.3.5.7 Contact role (CE) 00196

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field indicates the specific relationship role (next of kin, employer, emergency contact, etc.). Refer to user-defined table 0131 - Contact role for suggested values. This field specifies the role that the next of kin / associated parties plays with regard to the patient. Examples might include an employer, emergency contact, next of kin, insurance company, state agency, federal agency, etc.

3.3.5.8 Start date (DT) 00197

Definition: This field contains the start of the contact role.

3.3.5.9 End date (DT) 00198

Definition: This field contains the end of the contact role.

3.3.5.10 Next of kin / associated parties job title (ST) 00199

Definition: This field contains the title of the next of kin / associated parties at their place of employment. However, if the contact role is the patient’s employer, this field contains the title of the patient at their place of employment.

3.3.5.11 Next of kin / associated parties job code/class (CM) 00200

Components: <job code (IS)> ^ <employee classification (IS)>

Definition: This field contains the employer’s job code and the employee classification used for the next of kin / associated parties at their place of employment. However, if the contact role is the patient’s employer, this field contains the job code/class of the patient at their place of employment. Refer to user-defined tables 0327 - job code and 0328 - employee classification for suggested values.

3.3.5.12 Next of kin / associated parties employee number (CX) 00201

Components: <ID (ST)> ^ <check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <assigning authority (HD)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>

Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)>

Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)>

Definition: For backward compatibility, the ST data type can be sent, however HL7 recommends that the CX data type be used for new implementations. This field contains the number that the employer assigns to the employee that is acting as Next of kin / associated parties. However, if the contact role is the patient’s employer, this field contains the employee number of the patient at their place of employment.

3.3.5.13 Organization name (XON) 00202

Components: <organization name (ST)> ^ <organization name type code (ID)> ^ <ID number (ID)> ^ <check digit (NM)> ^ < check digit scheme (ID)> ^ <assigning authority (HD)> ^ <identifier type code (ID)> ^ <assigning facility (HD)>

Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)>

Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)>

Definition: This field contains the name of the organization that serves as an next of kin/associated party or as the next of kin of the patient. This field may also be used to communicate the name of the organization at which the associated party works. Multiple names for the same organization may be sent. If multiple names are sent, the legal name must be sent in the first sequence. If the legal name is not sent, then a repeat delimiter must be sent in the first sequence.

3.3.5.14 Marital status (IS) 00119

Definition: This field contains the next of kin/associated party’s marital status. Refer to user-defined table 0002 - Marital status for suggested values.

3.3.5.15 Sex code (IS) 00111

Definition: This field contains the next of kin/associated party’s sex. Refer to user-defined table 0001 - Sex for suggested values.

3.3.5.16 Date/time of birth (TS) 00110

Definition: This field contains the next of kin/associated party’s birth date and time.

3.3.5.17 Living dependency (IS) 00755

Definition: This field identifies the specific living conditions of the next of kin/associated party. Refer to user-defined table 0223-Living dependency code for suggested values.

3.3.5.18 Ambulatory status (IS) 00145

Definition: This field identifies the transient rate of mobility for the next of kin/associated party. Refer to user-defined table 0009 - Ambulatory status for suggested values.

3.3.5.19 Citizenship (IS) 00129

Definition: This field contains the code to identify the next of kin/associated party’s citizenship. HL7 recommends using ISO 3166 as the suggested values in user-defined table 0171 - Country code.

3.3.5.20 Primary language (CE) 00118

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field identifies the next of kin/associated party’s primary speaking language. HL7 recommends using ISO 639 as the suggested values in user-defined table 0296 - Language.

3.3.5.21 Living arrangement (IS) 00742

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 for suggested values. Examples of living arrangements might include Alone, Family, Institution, etc.

3.3.5.22 Publicity indicator (IS) 00743

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 for suggested values.

3.3.5.23 Protection indicator (ID) 00744

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 Chapter 2, HL7 table 0136 - Yes/no indicator for valid values.

3.3.5.24 Student indicator (IS) 00745

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 for suggested values. ERISA has a published list of ethnic classifications that may be used by local agreement at a site.

3.3.5.25 Religion (IS) 00120

Definition: This field indicates the type of religion practiced by the next of kin/associated party. Refer to user-defined table 0006 - Religion for suggested values.

3.3.5.26 Mother’s maiden name (XPN) 00746

Components: <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <name type code (ID) >

Definition: This field indicates the maiden name of the next of kin/associated party’s mother.

3.3.5.27 Nationality (CE) 00739

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field identifies the nation or national group to which the next of kin/associated party belongs. This information may be different than the person’s citizenship in countries in which multiple nationalities are recognized (e.g., Spain: Basque, Catalan, etc.).

3.3.5.28 Ethnic group (IS) 00125

Definition: This field contains the next of kin/associated party’s ethnic group. Refer to user-defined table 0189 - Ethnic group for suggested values.

3.3.5.29 Contact reason (CE) 00747

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field identifies how the contact should be used (e.g., contact my employer if patient is unable to work).

3.3.5.30 Contact person’s name (XPN) 00748

Components: <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <name type code (ID) >

Definition: This field contains the names of the people to contact, depending on the value of the relationship defined in NK1-3-relationship. This field is typically needed when the NK1 is an organization. The legal name should be sent first in the sequence. Refer to HL7 table 0200 - Name type for valid values.

3.3.5.31 Contact person’s telephone number (XTN) 00749

Components: [NNN] [(999)]999-9999 [X99999] [B99999] [C any text] ^<telecommunication use code (ID)> ^ <telecommunication equipment type (ID)>^ <email address (ST)> ^ <country code (NM)> ^ <area/city code (NM)> ^ <phone number (NM)> ^ <extension (NM)> ^ <any text (ST)>

Definition: This field contains the telephone numbers of the contact person depending on the value of the relationship defined in NK1-3-relationship. This field is typically needed when the NK1 is an organization. The primary telephone number must be sent in the first sequence. If the primary telephone number is not sent, then a repeat delimiter must be sent in the first sequence. Refer to HL7 tables 0201 -Telecommunication use code and 0202 - Telecommunication equipment type for valid values.

3.3.5.32 Contact person address (XAD) 00750

Components: <street address (ST)> ^ <other designation (ST)> ^ <city (ST)> ^ <state or province (ST)> ^ <zip or postal code(ST)> ^ <country (ID)> ^ < address type (ID)> ^ <other geographic designation (ST)> ^ <county/parish code (IS)> ^ <census tract (IS)>

Definition: This field contains the addresses of the contact person depending on the value of the relationship defined in NK1-3-relationship. This field is typically used when the NK1 is an organization. When multiple addresses are sent, the mailing address must be sent first in the sequence.

3.3.5.33 Next of kin/associated party identifiers (CX) 00751

Components: <ID (ST)> ^ <check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <assigning authority (HD)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>

Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)>

Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)>

Definition: This field contains the identifiers for the next of kin/associated party, for example, Social Security Number, drivers license, etc.

3.3.5.34 Job status (IS) 00752

Definition: This field identifies the next of kin/associated party’s job status (full time, part time, permanent, etc.). Refer to user-defined table 0311 - Job status for suggested values.

3.3.5.35 Race (IS) 00113

Definition: This field identifies the race of the next of kin/associated party. ERISA has published a list of ethnic classifications that may be used by local agreement at a site. Refer to user-defined table 0005 - Race for suggested values.

3.3.5.36 Handicap (IS) 00753

Definition: This filed contains the code that describes an Associated Party’s disability. Refer to user-defined table 0295 - Handicap for suggested values.

3.3.5.37 Contact person social security number (ST) 00754

Definition: This field contains the contact person’s social security number. This number may also be an RR retirement number. It is the number for the person identified in NK1-2-name. For the Social Security number of the associated party, see NK1-33-next of kin/associated party’s identifiers.

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