The patient additional demographic segment contains demographic information that is likely to change about the patient.
SEQ |
LEN |
DT |
OPT |
RP/# |
TBL# |
ITEM# |
ELEMENT NAME |
1 |
2 |
IS |
O |
Y |
0223 |
00755 |
Living Dependency |
2 |
2 |
IS |
O |
0220 |
00742 |
Living Arrangement |
|
3 |
90 |
XON |
O |
Y |
00756 |
Patient Primary Facility |
|
4 |
90 |
XCN |
O |
Y |
00757 |
Patient Primary Care Provider Name & ID No. |
|
5 |
2 |
IS |
O |
0231 |
00745 |
Student Indicator |
|
6 |
2 |
IS |
O |
0295 |
00753 |
Handicap |
|
7 |
2 |
IS |
O |
0315 |
00759 |
Living Will |
|
8 |
2 |
IS |
O |
0316 |
00760 |
Organ Donor |
|
9 |
2 |
ID |
O |
0136 |
00761 |
Separate Bill |
|
10 |
2 |
CX |
O |
Y |
00762 |
Duplicate Patient |
|
11 |
1 |
IS |
O |
0125 |
00743 |
Publicity Indicator |
|
12 |
1 |
ID |
O |
0136 |
01283 |
Protection Indicator |
Definition: This field identifies specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patients 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 for suggested values.
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 - Patient living arrangement for suggested values.
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 and identifier that specifies the primary care facility selected by the patient at the time of enrollment in an HMO Insurance Plan. Multiple facilities are allowed for the same facility. The legal name of the 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. See Chapter 2 regarding suggested values for organization name type codes.
Components: <ID number (ST)> ^ <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)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <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 provider name and ID of the managed care primary care provider. This information is usually selected by the patient at the time of enrollment in the patients managed care insurance plan. Multiple names are allowed for the same person. 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.
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 students degree level (high school, college, elementary) or the students field of study (accounting, engineering, etc.). Refer to user defined table 0231-Student status for suggested values.
Definition: This field indicates the nature of the patients 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 for suggested values.
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 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 for suggested values.
User-defined Table 0315 - Living will
Value |
Description |
Y |
Yes, patient has a living will |
F |
Yes, patient has a living will but it is not on file |
N |
No, patient does not have a living will and no information was provided |
I |
No, patient does not have a living will but information was provided |
U |
Unknown |
Definition: This field indicates whether the patient wants to donate his/her organs and whether his organ donor card is on file with the organization. Refer to user-defined table 0316 - Organ donor for suggested values.
User-defined Table 0316 - Organ donor
Value |
Description |
Y |
Yes, patient is a donor and card is on file |
F |
Yes, patient is a donor, but card is not on file |
I |
No, patient does not have a living will but information was provided |
U |
Unknown |
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 for valid values.
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 a user-defined code indicating what level of publicity is allowed (e.g., No Publicity, Family Only) for the patient. This code is conveyed at the patient level rather than the visit level visit. It is up to the application to decide processing rules for patient vs. visit level data. Refer to user-defined table 0215 - Publicity code for suggested values. Refer to PV2-21-visit publicity code for visit level code.
Definition: This field identifies the persons 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. This indicator is conveyed at the patient level rather that the visit level. It is up to the application to decide processing rules for patient vs. visit level data. Refer to Chapter 2, HL7 table 0136 - Yes/no indicator for valid values. Refer to PV2-22-visit protection indicator for visit level code.