Technology Review by pengxuebo

VIEWS: 4 PAGES: 27

									              Get it, Got it, Good
   (Data Acquisition, Speech Recognition, NLP
                 and Messaging)


            Part 2:
    Messaging - HL7 and XML
               Justin Starren, MD, PhD
                 Medical Informatics
                 Columbia University
5 June 1999          Get it, Got it, Good   1
                                         www.hl7.org
          Resources                     www.w3c.com
                                        www.xml.com

5 June 1999      Get it, Got it, Good                  2
                         HL7

• Messaging Standard for Inter-System
  Communication
• Health Level 7
     – ISO Open System Interconnection (OSI) level
• Bottom up development
• Major Changes Coming
     – Current version 2.3
     – Next version 3.0

5 June 1999            Get it, Got it, Good      3
               HL7 - History

1987             Founded and version 1.0
1988             Version 2.0
1990 - 1999:     Versions 2.1 to 2.3
1994             ANSI Accreditation




5 June 1999        Get it, Got it, Good    4
              Current Version

• Field delimited
• “Under specified”
• Examples
     – Blood Bank
     – Radiology




5 June 1999         Get it, Got it, Good   5
     HL7 2.3 Blood Bank Result
MSH|^~/&|HC_BB_RESULT|BLOOD_BANK|UPLAB|CICSU9|981
  2071629||ORU|/hc/results.tst/tmp/tr98120759396.
  00|P|2.2
PID|||4141414||JOYCE^JAMES||19981116|F||||||||||
  |000-00-0000|||||
PV1| ||ANUR
ORC|RE
OBR|||BB98111607002014^1|46482^CORD BLOOD, ROUTNE
  ^L^32506|||199811161331|199811161351||||||19981
  1161331||||||||199811161351||BLB|F|||||||||||||
  ||||
OBX|1|TX|46418|0|A ||||||F|||199811161351||JCN|
OBX|2|TX|46419|0|POS||||||F|||199811161351||JCN|
OBX|3|TX|46420|0|POS||||||F|||199811161351||JCN|

5 June 1999         Get it, Got it, Good      6
  Radiology
MSH!^~\&!EA_RAD_RES!DPHONE!cis.uservice!cicsu9.phis!1998
  0129170745!!ORU^R01!AWINN-TR.1!P!2.2!2!!!!
PID!!!3386531!!GAGE^LINDA!!10/25/48!!!!!!!!!!!!!!!!!
OBR!!!da971222195761^2!56162^X-RAY^^32506^^L!!!19971222!
  19971222!!!!!!!!!!!!!LETTE!!!!P!!!!!!!159!!!!!!!!!!
OBX!1!TX!40471^DOCUMENT#!0!TX!!!!!!!!!!!!!!!!
OBX!2!TX!34963^EXAMINATION!1!LEFT KNEE X-RAY
  !!!!!!!!!!
OBX!3!TX!34901^IMPRESSION!1!Unremarkable exam of left
  knee.!!!!!!!!!
OBX!4!TX!34900^DESCRIPTION!1!Four views of the left knee
  show no significant osseous, articular or soft tissue
  abnormality.!!!!!!!!!!!!!!!!!
OBX!5!TX!34900^DESCRIPTION!4!A single view of the right
  knee shows hypertrophic spurring of the tibial
  spines.!!!!!!!!!!!!!!!!!!
…

  5 June 1999          Get it, Got it, Good       7
                   Version 2.x
STRENGTHS                              WEAKINESSES
• Broad functional coverage            • Broad functional coverage
• Highly adaptable                     • Highly adaptable
   – IS environments differ               – implementations differ
   – System capabilities                  – Incompatible system
     differ                                 capabilities
• Vocabulary independent               • Vocabulary independent
• Least common                         • Least common
  denominator technology                 denominator technology




 5 June 1999            Get it, Got it, Good                 8
                  Version 3

•   “Top Down” process
•   Reference Information Model
•   Vocabulary
•   XML - only “human readable” form
•   RMI - Remote Method Invocation
     – computer-computer communication



5 June 1999          Get it, Got it, Good   9
    Reference Information Model

•   RIM
•   123 classes
•   179 associations
•   890 attributes




5 June 1999            Get it, Got it, Good   10
                     RIM0084                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           pe r t a i ns _t o ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                t a r ge t s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     c ont a i ns ( 1, m )

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Pati ent_servi ce_l ocati on_group
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Pathway
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Pathway_master                                       id                                                      i s _r e que s t e d_by ( 0, m )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             est ablis hed_dt t m                    i s _a n_i ns t a nc e _of ( 0, 1)                                                                                                                                                                  i s _i ns t a nc i a t e d_by ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             inst ance_id                                                                                                                                                                                                                                                              desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Probl em                                                                                  lif e_cycle_st at us_cd                                                                                                                                                                                                                                                  id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                c ont a i ns ( 1, m )        i s _r e que s t e d_by ( 0, m )                                                                                                       act ion_cd                            i s _t a r ge t e d_by ( 1, M ) t a r ge t s ( 0,lifM ) e_st at us_change_dt t m r e qui r e s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  e_cycl
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    i s _t a r ge t e d_by ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    act ion_dt t m                                                                                                                                                                                                                                                                                                                                                                  r e c om m ends ( 0, M )                                                                                                                                                                                                                                               Resource_request
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 I ndi vi dual _heal thcare_provi der_group                                                                                                                                         act ual_r esolut ion_dt t m                                                                                                                                                                                                                                                                                  ppoi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                A ntment_request
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Goal




                                                                                                                                                     RIM
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           allowable_subst it ut ions_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             id                                                                                                                                                                                     classif ic at ion_cd                                                                                                                                                                                                                                                                       r e que s t s ( 0,appoint m ent _r qst _r eason_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   m)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   act ion_cd                                                                                                                                                                                                                                       conf ir m at ion_st at us_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           dur at ion_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 appoint m ent _r qst _t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   act ion_dt t m                                                                                                                                                                                                                                   est ablis hed_dt t m                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   st ar t _dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 equip_select ion_cr it er ia_pv
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   classif ic at ion_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    st ar t _of f set _qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    est im at ed_r esolut ion_dt t m                                                                                                                                                                                                                                                                             id
                                                                                                                                                                                                                                                                                                                                                                                                                                                             Fi nanci al _transacti on                                                                                                                                                                                                                                                                                                                                                                                                                                             cur r ent _r eview_st at us_cd                                                                                                                                                                                                                   f am ily _awar eness_desc                                                                           Pati ent_probl em                                                                                                                                                                                        locat ion_select ion_cr it er ia_pv          r e que s t s ( 0, m )                                                                                                                                                                                                                                              i s _r e que s t e d_by (st at us_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  alt er nat e_desc                                                                                                                                                                                                                                                                                                                                                                                                                                                cur r ent _r eview_st at us_dt t m                                                                                                                                                                                                               id                                                                                                                                                                                                                                                                                                            occur ance_id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Master_probl em                                                                                                                                                  cur r ent ly _act iv e_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Master_servi ce
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  assigned_pat ient _locat ion_cd                                                                                                                                                                                                                                                                                                                                                                                                                                  epis ode_of _car e_id                                                                                                                                                                                                                            indiv idual_awar eness_cd                                                                           id                                                                                                                                                                                                        pr ior it y_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  desc                                                                                                                                                                                                                                                                                                                                                                                                                                                             est ablis hed_dt t m                                                                                                                                                                classif ic at ion_cd                                          lif e_cycle_st at us_dt t m          i s _a ( 1, 1)                                i s _a ( 0, 1)                                                                                                                                                                                                            r epeat ing_int er val_dur at ion_qt y                                                                           allowable_pr ocessing_pr ior it y_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        nm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       desc                                                                                                                                                                                                                                                                                                                                                                                                                                                     i s _r e c om m e nde d_by ( 0,wabl) _r epor t ing_pr ior it y_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ext ended_am t                                                                                                                                                                                                                                                                                                                                                                                                                                                   evaluat ion_cd                                                                                                                                                                                                                                      lif ecycle_st at us_cd                                                                           pr ef ix _qualif ier _t xt                                                                                                                                                                                r equest ed_r i                                                                                                  allo M e
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  f ee_schedule_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                 evaluat ion_com m ent _t xt                                                                                                                                                         id                                                                m anagm ent _dis cipline_cd                                                                    sever it y_cd                                                                                                                                                        i s _r e que s t e d_by ( 1, 1) r qst _event _r eason_cd                                                                                              biling_r ef er ence_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  insur ance_am t                                                                                                                                                                                                                                                                                                                                                                                                                                                  expect ed_achievem ent _dt t m                                                                                                                                                      m anagem ent _dis cipline_cd                                      onset _desc
                                                                                                                                                                                                                                                                                                                                                                                                                                    i s _c a t e gor i z e d_by ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 suf f ix _qualif ier _t xt                                                                                                                                                                                r qst ed_dur at ion_qt y                                                                                         challenge_inf or m at ion_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   goal_lis t _pr ior it y_num                                                                                                                                                         per sis t ence_ind                                                onset _dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                   post ing_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Master_goal                                                                                                                                                                                                                                                                                                                                                                                            Servi ce_request                                     st ar t _dr                                                                                                      conf ident ialit y_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    (y
                                                                                                                                                                                                                                                                                                                                                                                                                                   i s _a s s oc i a t e d_wi t h qt 0, 1)                        pe r t a i ns _t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                       inst ance_id                                                                                                                                                                                                                                          per sis t ence_cd                                                                                                                                                                                                                                                                                        t im e_select ion_cr it er ia_pv                                                                                 ef f )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               r e f e r e nc es ( 0, Mect iv e_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      classif ic at ion_cd                                                                                                                                                                                                                                   i s _i nvol ve d_i n ( 1, M )                                                                                                                   allowable_subst it ut ions_cd                                                                                                                                                                                                                                                                                                          m a y_r e que s t ( 0, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                             t r ansact ion_bat ch_id                                                                                                                                                                                                                                                                                                                                                                                                                                               lif e_cycle_dt t m                                                                                                                                                                                  i s _i ns t a nc i a t e d_a s ( 0, M ) pr obabilit y_pct                                                                                                                                                                                                                                                                                                                                                                                                                  f act or s_t hat _m ay_af f ect _obser vat ion_desc                                                                                                                                                                                                                                                             m a y_r e que s t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       ( 0,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     i s _a n_i ns t a nc e _of ( 1, 1) i s _i ns t a nc i a t e d_by descM )                                                                                                                                                                                                                                                                                                                                                                                                dur at ion_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                             t r ansact ion_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                        lif e_cycle_st at us_cd                                                                                                                                                                                                                            pr oblem _cer t aint y_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      id                                                                                                                                                                                                                                                                                                                                                                                                     st ar t _dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   f ee_am t                                                                                                                                             Pati ent_servi ce_l ocati on_request
                                                                                                                                                                                                                                                                                                                                                                                                                                                             t r ansact ion_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                          m anagem ent _dis cipline_cd                                                                                                                                                                                                                     pr oblem _lis t _pr ior it y_num                                                                                                                                                                                                                                                                                                                                i s _r e f e r enc e d_by ( 1, 1)                         f ix ed_canned_m essage_cd                                                                                                                                                                                                                                       I ndi vi dual _heal thcare_provi der_request
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        next _r eview_dt t m                                                                          init ial_r eview_int er val_cd                                                                                                                                                                                                                                                                                                                                                                         st ar t _of f set _qt y                                                                                                                                                                                                                                                                                                     t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                             t r ansact ion_id                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ( ognosi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         i s _a n_i ns t a nc e _of pr 1, 1) s _awar eness_desc i s _t he _t ar ge t _of ( 0, M )                                                                                                                                                                                                                                                                                                                                                                  im aging_m easur em ent _m odalit y_cd                                                                                                                                                                                                                           pr act it ioner _t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                             t r ansact ion_t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                    pr evious_r eview_dt t m                                                                       m anagem ent _dis cipline_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         pr ognosis _desc                                                                                                                                                                                                                                    st at us_cd                                                                            Master_refl ex_servi ce                                                         incom pat ible_change_dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                        i s _e nt e r ed_by ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          univ er sal_ser vic e_id                                                                                                                                                                                                             i s _c ove r ed_by ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                             unit _am t                                                                                                                                                                                                                                                                                                                                                                                                                                                            r eview_int er val_cd                                                                                                                                                                                                                                 r anking_desc                                                                                                                                                                                                                                                                                                                              r ef lex_t est ing_t r igger _r ules_desc                                        inst r um ent _ident if ier _coding_syst em _nam e                                                                                                                      r e que s t s ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   r e que s t s ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                             unit _cost _am t                                                                                                                                                                                                                                                                                                                                                                                                                                                      t ar get _t xt                                                                                                                                                                                                                                        sensit iv it y_cd                                                                                                                                                                                                                                                                                                                                                                                                            inst r um ent _ident if ier _nam e
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   t ar get _t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  int er pr et at ion_consider at ions_desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         r e f e r e nc es ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      i s _a s s oc i a t e d_wi t h ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             s pe c i f i e d_i n ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                   kind_of _quant it y_obser ved_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  pe r t a i ns _t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                        Notary_publ i c                                                                                                                                                              i s _de l i ver e d_dur i ng la(st _updat e_dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        m et hod_cd                                                                                                                                                                   urabl
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     D e_medi cal _equi pment_request
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   ef f ect iv e_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                i s _a _r ol e_of ( 1, 1)                                                                                                                                                                                                               m et hod_desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   not ar y_count y_cd                                                                                                                                                                                                                                                                                                                                                                               quant it y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        nat ur e_of _ser vic e_cd                                                                                                                                                                                                                  m a y_r e que s t ( 0, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   ( 0, ent_cl i ni cal _i tem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    i s _obt a i ne d_f r om Pati 1)                                                               not ar y_st at e_cd                                                                                                                                                                                                                                                                                                                                                                               t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        obser vat ion_id_suf f ix _t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   t er m inat ion_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 assessm ent _dt t m                                                                                                                                                                                                                                                                    or der able_ser vic e_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1, pl
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            pe r t a i ns _t o ( em1) oym ent _r elat ed_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                           r e que s t s ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        pat ient _pr epar at ion_desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 id                                                                      not a r i z e s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                          i s _r e que s t e d_by ( 0, m )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        point _ver sus_int er val_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        i s _pr e s e nt _i n ( 1, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        por abl
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        i s _i nc l ude d_i n ( 0, Mt ) e_devic e_ind                                                                                                                                                                                                  urabl
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      D e_medi cal _equi pment_group
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 eal
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                H th_chart_defi ci ency                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    i s _i de nt i f i e d_by ( 1, 1)                                                                                                                                                                                                                            pr ef er r ed_or der ing_m et hod_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                assessm ent _dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         pr ef er r ed_scheduling_m et hod_t xt                                                                                                                                                                        id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                desc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    pr ocedur e_m edic at ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                level_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                r epor t _dis play_or der _t xt                                                                                                                                                                                                                     c ont a i ns ( 1, m )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               r equir ed_cr edent ials _desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             i s _a _r ol e_of ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   M
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                i nc l ude s ( 0, ser)vic e_alt er nat e_id
                                                                                                                                                                                                                                                                                                                                                      i s _t he _s our c e _of ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                i s _r e que s t e d_by ( 0, m )

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       i s _a s s e s s e d_a ga i ns t ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Pati ent_i nformati on_di scl osure                                        Pati ent_i nformati on_reci pi ent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   ser vic e_alt er nat e_ident if ier _coding_syst em _nam e
                                                                                                                                                                                                                                                                                                                                Pati ent_cl i ni cal _i tem_source                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ser vic e_alt er nat e_ident if ier _nam e                                                                                                                                       urabl
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        D e_medi cal _equi pment                          be l ongs _t o ( 0, m )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           dis closur e_dt t m                                                                                                                                                                                                                                                                                                                                                                                                                            Master_speci men_requi rement
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           inf o_dis closed_desc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ser vic e_alt er nat e_nam e_use_cd                                                                                                                                             id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             c ont a i ns ( 0, M )                                                                                                                                                                                                                                                                           i s _t he _r ec i pi e nt _of ( 0, M )                                                      s pe c f i e s ( 0, m )                                                                                                                                                                                                                                          addit iv e_cd                                                                                                                                                 ser vic e_alt er nat e_nm                                                                                                                                                       slot _siz e_incr em ent _qt y
                                                                                                                                                                                                                                                                                                                                                      i s _a _r ol e_of ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      pe r t a i ns _t o ( inf o_r equest ed_desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                         cont ainer _desc                                                                                                                                              ser vic e_cont r aindic at ion_code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            r eason_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            i s _pr oduce d_by ( 0, m )                                                                                           t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 H th_chart
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  eal                                                                                                                                                                                                                       r equest ed_dt t m                                                                                                                                                     Epi sode                                                                                                                                                                                                                                                               cont ainer _pr epar at ion_desc                                                                                                                               ser vic e_desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               ha s _a n_a s s e s s m e nt _of ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  cont ainer _volum e_am t                                                                                                    i s _r e f e r enc e d_by ( 0, M )ser vic e_per f or m ance_schedule_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               healt h_char t _id                                                                                                                                                                                                           ur gency_cd                                    i s _pr ovi de d_t o ( 1, 1)                                                                                            desc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        i s s c he dul e d by ( 0, m )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          der iv ed_specim en_cd                                                                                                                                        ser vic e_pr im ar y_nm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             ha s ( 0, M )                                                 i s _hous e d_a t ( 1, 1)t h_char t _t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               heal                                                                                                                                                                                                                                                                                                                                                                                                epis ode_t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          m inim um _collect ion_volum e_am t                                                                                                                           ser vic e_r equir em ent _desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 st at us_cd                   be l ongs _t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                              id                           i s _de f i ned_by ( 0, 1)                                                        Pati ent_al l ergy                                                                                                                                      nor m al_collect ion_volum e_am t                                                                                                                             ser vic e_t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Pati ent_bi l l i ng_account                                                                                                                                                                                                                                                                                                                                                                                                                                                                              lis t _closed_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  aller gen_id                                                       Advance_di recti ve                                                                  special_handling_desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  i s _s pe c i f i e d_f or ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        st andar d_t im e_t o_per f or m _dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     out com e_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ha s ( 0, Maccount _id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     aller gy_cd                                                        com pet ence_ind                                                                     specim en_pr ior it ies_cd                                                                                                                                    t ar get _anat om ic _sit e_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     r ecur r ing_ser vic e_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          adjust m ent _cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        aller gy_r eact ion_cd                                             dir ect iv e_cd                                                                      specim en_r et ent ion_t im e_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           0, M _of
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    i s _i ns t a nt i a t e d_a s t (ar get ) _ser vic e_cd
                                                                                                                                                                                                                                                                                                                                   I denti fi er_i ssui ng_authori ty                                                                                                                                                                                                                                                                                                     aut hor iz at ion_inf or m at ion_t xt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  aller gy_r eact ion_descr ipt ion_t xt                             dis closur e_level_cd                                                                specim en_t ype_cd                                                                                                                                            univ er sal_ser vic e_id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   i s _not a r i z e d_by ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          biling_st at us_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   ha s _pa r t s ( 1, M )                                                                            aller gy_sever it y_cd                                             lif e_qualit y_desc                                                                                                                                                                                                                                univ er sal_ser vic e_ident if ier _coding_syst em _nam e
                                                                                                                                                                                                                                                                                                                                  1, ect
                                                                                                                                                                                                                                                                                                              i s _a _r ol e_of (ef f 1) iv e_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Person_bi rth_event
                                                                                                                                                                                                                                                                                                                                 t er m inat ion_dt                                                                                                                                                                                                                                                                                                                       cer t if ic at ion_r equir ed_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       aller gy_t ype_cd                                                    m or t uar y_pr ef er ence_nm                                                                                                                                                                                                                    univ er sal_ser vic e_ident if ier _nam e
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   ha s _pa ym e nt _gua r a nt e e d_by ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          cur r ent _unpaid_balance_am t                                                                                                                                                                                                                                                                                                                                                  baby_det ained_ind                                                                                                                                                                                                                                                                                           not ar iz at ion_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          delet e_dt                                                                                                                                                                                                                                                                                                                                                                      bir t h_cer t if ic at e_id                                                                                                                                                       de f i ne s ( 0, 1)
                                                                                                                                                                                                                                                                                                                                                    i s s ue s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 i
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                D agnosti c_rel ated_group                                                                                                                Pati ent_death                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Pati ent_appoi ntment_request
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          delet ed_account _r eason_cd                                                                                                                                                                                                                                                                                                                                                    bir t h_cit y_nm                                                                                                                                                                                                                                                                                                                     ha s _a s _a _wi t ne s s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          deat h_cer t if ic at e_id                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     r e que s t s ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          expect ed_insur ance_plan_qt y                                                        base_r at e_am t                                                                                                                                                                                                                                                                          bir t h_count r y_cd                                                                                                                                                        Pati ent_di agnosi s
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         eal
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        H thcare_document_authenti cator                                                                                                                  expect ed_paym ent _sour ce_cd                                                                                                                                                                                                  deat h_cer t if ic at e_r ecor ded_dt
                                                                                                                                                                                                                                                                                                                                                    i s _i s s ue d_by ( 1, 1)                                                                                                                                                                                                                                                          i s _t he _pr i or _a c c ount _f or ( 0, 1)                                                                            capit al_r eim bur sem ent _am t                                                                                                                                                                                                                                                          bir t h_m et hod_cd                                                                                                                                                         at t est at ion_dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          not ic e_of _adm is sion_dt                                                                                                                                                                                                     deat h_classif ic at ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                cost _weight _am t                                                                                                                                                                                                                                                                        bir t h_or der _nbr                                                                                                                                                         classif ic at ion_t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          not ic e_of _adm is sion_ind                                                                                                                                                                                                    deat h_dt t m                                                                                                                                   1, h_r
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     pe r t a i ns _t o ( bir t1) ecor ded_count y_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Resource_sl ot
                                                                                                                                                                                                                                                                                                                                        Stakehol der_i denti fi er                                                                                                                                                        i s _r e l a t ed_t o ( 0, m )                       i s _a ( 1, 1)                                                                                                                                                                   id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          deat h_locat ion_nm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      conf ident ial_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               ( ie 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         ha s _a s _a _pr i or _a c c ountpat 0,nt _f inancial_class_cd                                                         m ajor _diagnost ic _cat egor y_cd                                                                                                                                                                                                                                                        bir t h_r ecor ded_dt                                                                                                                                                       desc                                                                                                                                                                                                                                                                                                                                                                                               ha s _a s _bas i s ( 0, M )                                                                                                                             i s _r e s e r ve d_by ( of fmset _qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          0, )
                                                                                                                                                                                                                                                                                                                                        ef f ect iv e_dt                                                                                                                                                                                                                                                                                                                  pr ic e_schedule_id                                                                                                                                                                                                             deat h_not if ic at ion_sour ce_nm                               Preauthori zati on
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                oper at ing_r eim bur sem ent _am t                                                                                                                                                                                                                                                       bir t h_st at e_cd                                                                                                                                                          det er m inat ion_dt t m                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            quant it y
                                                                                                                                                                                                                                                                                                                                        ident if ic at ion_t xt                                                               pe r t a i ns _t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                  deat h_ver if ic at ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          pur ge_st at us_cd                                                                    r eim bur sem ent _am t                                                                                                                                                                                    aut hor iz ed_encount er s_am t                                                deliv er y_dt                                                                                                                                                               diagnosis _cd                                                                                                                                                                                                                                                                                                                                                   Master_observati on_servi ce                                                                                                                                                                                        r esour ce_t ype_cd
                                                                                                                                                                                                                                                                                                                                         ident if ier _assigning_f acilit y_nam e                                                                                                                                                                                                                                                                                         pur ge_st at us_dt                                                                                                                                                                                                              deat h_ver if ic at ion_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Master_treatment_servi ce
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                st andar d_day_qt y                                                                                                                                                                                        aut hor iz ed_per iod_begin_dt                                                 m ult iple_bir t h_ind                                                                                                                                                      diagnosis _onset _dt t m                                                                                                                                                                                                                                                                                                                                                                                         i s _ba s i s _f or ( 0, M )                                                                                                                                       slot _st at e_cd
                                                                                                                                                                                                                                                                                                                                          ident if ier _assigning_f acilit y_UI D_t xt                             B l l i ng_i nformati on_i tem
                                                                                                                                                                                                                                                                                                                                                                                                                    i                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     deat h_ver if ic at ion_nm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                inst r um ent _id                                                                                                                                                                            i s _m a na ge d_by ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          r epor t _of _eligibilt y_dt                                                          st andar d_t ot al_char ge_am t                                                                                                                                                                            aut hor iz ed_per iod_end_dt                                                   newbor n_days_qt y                                                                                                                                                          diagnosis _phase_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Reported_pati ent_acci dent                                                                                                                dea_level_cd                                                                                                                                                                                                                                                                                                                                           st ar t _dt t m
                                                                                                                                                                                                                                                                                                                                           ident if ier _assigning_f acilit y_uid_t ype_t xt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         i s _di s pe ns e d_dur i ng ( 0, m )                                                                                                                           per m it t ed_dat a_t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                   condit ion_cd                                                                                                                                                                                                                                          r et ent ion_ind                                                                      t r im _high_day_qt y                                                                                                                                                                                      id                                                                             st ilbor n_ind                                                                                                                                                              ident if ic at ion_cd                                                             accident _deat h_ind                                                                                                                       dr ug_cat egor y_cd                                                                                                   ha s ( 0, Mpr ocessing_t im e_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      )
                                                                                                                                                                                                                                                                                                                                            ident if ier _check_digit _t xt                                                                                                                                                                                                                                                                                               signat ur e_on_f ile_dt                                                                                                                                                                                                                 pe r t a i ns _t o ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                   occur r ence_cd                                                                                                                                                                                                               ha s _c ha r ge s _f or ( 0, M )                                                                               t r im _low_day_qt y                                                                                                                                                                                       is sued_dt t m                                                                                                                                                                                                                                              r elat iv e_pr ior it y_nbr                                                      accident _desc                                                                                                                             f or m ular y_st at us_cd                                                                                                          specim en_r equir ed_ind
                                                                                                                                                                                                                                                                                                                                             ident if ier _check_digit _t ype_cd                                                                                                                                                                                                                                                                                          special_pr ogr am _cd
                                                                                                                                                                                                                                                                                                                                                                                                                   occur r ence_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          r equest ed_dt t m                                                                             i s _pa r t _of ( 1, 1)                                                                                                                                     r ule_out _dt t m                                                                accident _dt t m                                                                                                                           m edic at ion_f or m _cd                     i s _or de r ed_on ( 0, m )                                                                                                            i s _obs e r ve d_by ( 0, M )
                                                                                                                                                                                                                                                                                                                                              ident if ier _coding_syst em _nam e                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     t ypic al_t ur nar ound_t im e_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                   occur r ence_span_cd                                                                                                                                                                                                                                   st oploss_lim it _ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    phar m aceut ic al_class_cd
                                                                                                                                                                                                                                                                                                                                               ident if ier _sour ce_t able                                                                                                                                               i s _r e l a t ed_t o ( 1, 1)                                                                                                                                                                                                                      i s _a s s i gne d_a s ( 0, M )                                                                                                                                                                r est r ic t ion_desc                                                                                                                                                                                                                                      r uled_out _r eason_t xt                                                         accident _locat ion_desc
                                                                                                                                                                                                                                                                                                                                                                                                                   occur r ence_span_f r om _dt                                                                                                                                                                                                                           suspend_char ges_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        0, e_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      i s _de l i ver e d_dur i ng r(out m )
                                                                                                                                                                                                                                                                                                                                                ident if ier _t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      st at us_cd                                                                                                                                                                                                                                                sever it y_cd                                                                    accident _st at e_cd
                                                                                                                                                                                                                                                                                                                                                                                                                   occur r ence_span_t hr u_dt                                                                                                                                                                                                                            t ot al_adjust m ent _am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               t her apeut ic _class_cd
                                                                                                                                                                                                                                                                                                                                                 is sued_dt                                                                                                                                               Authenti cati on                                                                                                                                                t 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       be l ongs _t o ( 1, ot al_char ge_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            st at us_change_dt t m                                                                                                                                                                                                                                     t ype_cd                                                                         accident _t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                   quant it y_am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      job_r elat ed_accident _ind
                                                                                                                                                                                                                                                                                                                                                  qualif ying_inf or m at ion_t xt                                                                                                                        aut hent ic at ion_dt                                                                                                                                           t ot al_paym ent _am t
                                                                                                                                                                                                                                                                                                                                                                                                                   quant it y_t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         i s _i s s ue d_by ( 1, 1) a ut hor i z es ( 1, M )
                                                                                                                                                                                                                                                                                                                                                  sour ce_t able                                                                                                                                          t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  i s _a s s i gne d_t o ( 1, 1)                                                                                                             i s _wi t ne s s _f or ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                   value_am t
                                                                                                                                                                                                                                                                                                                                                  t er m inat ion_dt
                                                                                                                                                                                                                                                                                                                                                                                                                   value_cd                                                                                                                                                                                                                                                                             i s _bi l l e d_f r om ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Advance_di recti ve_wi tness                                                                                                                                                                                                                                                                                                                                    Pati ent_sl ot
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      i s _r e l a t ed_t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             i s a s c hedul e a bl e uni t f or ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                          i s _a s s i gne d_t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      i s _a _r ol e_of ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ha s ( 0, M )ha s ( 1, M ha s ( 0, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Master_conti nuous_observati on
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         der iv at ion_r ule_desc                                                                                                                                Master_cal cul ated_observati on
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ha s _a s _a _c ont a c t ( Pati ent
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          0, M )                     ha s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 absolut e_r ange_num er ic _condit ion_desc
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      am bulat or y_st at us_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         ha s ( 0, Mbir t h_or der _num ber ha s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     absolut e_r ange_num er ic _high_age_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            pa r t i c i pat e s _i n cla0, 1)ic at ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ( ssif                    i s _r e que s t e d_by ( 0, m )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            absolut e_r ange_num er ic _high_gest at ion_age_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      liv ing_ar r angem ent _cd ha s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   absolut e_r ange_num er ic _high_value_nm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         ha s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           absolut e_r ange_num er ic _low_age_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          i s _gove r ne d_by ( 0, 1) s _a s _c ar e _r e c i pi e nt ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ha                                                                                                                                                                                                                                                                                                                                                                  liv ing_dependency_cd        i s s c he dul e d by ( 0, m )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       i s a s c hedul e a bl e uni t f or ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            i s _s our c e_f or ( m ult iple_bir t h_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 absolut e_r ange_num er ic _low_gest at ion_age_am t
                                                                                                                                                          i s _a _r ol e_of ( 1, 1)                                                                                                                                                                                                                                                                                        Pri mary_care_provi der_assi gnment                                                                                                                                                                                                                                                                                                                                                           ha s ( 0, Mnewbor n_baby_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           )                         i s _s ubj e ct _of ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                absolut e_r ange_num er ic _low_value_nm                                                                                                                                                                                           urabl
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   D e_medi cal _equi pment_sl ot
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 absolut e_r ange_num er ic _r ace_subspecies_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               i s _a _r ol e_of (or gan_donor _ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           1, 1)                                                                                                                                                                           ha s _pa r t s ( 0, M )                                                                                                                                       i
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        R sk_management_i nci dent
                                                                                                                                eal
                                                                                                                               H th_benefi t_pl an_purchaser                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              pr ef er r ed_phar m acy_id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     i s _i nvol ve d_i n ( 1, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               absolut e_r ange_num er ic _sex_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         ha s _a s _c ar e _pr ovi de r ( 1, 1)                                                                                                                                                                                                                                                         pe r t a i ns _t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                      incident _cd                                                                                                                                                                                                                                                                                                                                             absolut e_r ange_num er ic _species_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ( 0, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ha s _a s _pr i m a r y_f a c i l ittryiage_classif ic at ion_cd m a y_be _t he _s ubj e c t _of ( 0, M )                                                                                 i s _a ut hor i z e d_by Pati ent_encounter
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     ( 0, 1)                                   ha s ( 0, M )                                                                                                             incident _dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Master_categori cal _observati on                                                                                      cor r esponding_SI _unit _of _m easur e_cd
                                                                                                                                                 i s _t he _pur c ha s e r _of ( ha s _a s _a _c ont a c t ( 0, M )
                                                                                                                                                                                 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              i
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    D sabi l i ty                                                                                                                                                                                                                                                                       adm inis t r at iv e_out com e_t xt                                                                                                                               incident _sever it y_cd                                                                                                                                                                                                                                                                                                                                cr it ic al_r ange_num er ic _condit ion_desc
                                                                                                                                                                                                                                                                                                                                         t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   ha s _a _pr i m a r y_pr ovi de r ( 0, 1)                                                                                                                    cancellat ion_r eason_cd                                                                                                                                           incident _t ype_cd                                                                                                                                                                                                             abnor m al_r esult _cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ef f ect iv e_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             cr it ic al_r ange_num er ic _high_age_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        desc                                                                                                                                                                                                                                                                                                                                                                                              allowed_value_t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    r et ur n_t o_wor k_aut h_dt                                                                                                                                                                                                                                                                                               ha s _a s s i gne d_t o_i t ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                              cr it ic al_r ange_num er ic _high_gest at ion_age_am t
                                                                                                                                                                                                                                                                                                             t a ke s _on_r ol e _of Stakehol der
                                                                                                                                                                                                                                                                                                                                       ( 0, 1)                i s _a s s i gne d ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                           t er m inat ion_dt                                                                                                                                                                                                                                               i nvol ve s ( 1,encount er _classif ic at ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1)                                                                                                                                                                                  pe r t a i ns _t o ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          cr it ic al_r esult _cd                                                                                                cr it ic al_r ange_num er ic _high_value_nm
                                                                                                                                                                                                                                                                                                             t a ke s _on_r ol e _of addr1)                   t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           end_dt t m                                                                                                                                                                                                                                                                                                                                                                                        nor m al_r esult _cd
                                                                                                                                                                                                                                                                                                                                       ( 0,                                                                                                                                                                                                                                                                                                       Bad_debt_bi l l i ng_account                                                                                                      unable_t o_wor k_ef f ect iv e_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            cr it ic al_r ange_num er ic _low_age_am t
                                                                                                                                                                                                                                                                                               pa r t i c i pat e s _a s _pr i m a r y_i n (t 0, M )ing_cd
                                                                                                                                                                                                                                                                                                                                      cr edi _r at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      expect ed_insur ance_plan_qt y         i s _pa r t _of ( 1, 1)                                                                                                                                                                                                                                                                                                                                    pr ef er r ed_coding_syst em _cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 cr it ic al_r ange_num er ic _low_gest at ion_age_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  bad_debt _r ecover y_am t                                                                                                                                                                                                                                                                                                                                                                                             f ir st _sim ilar _ilness_dt                                                                                                                                                                                                                                                                                                                                                                      valid_answer _cd
                                                                                                                                                                                                 ha s _a s _pr i m a r y_pa r t i c i pa nt ( 1, 1)                                                          t a ke s _on_r ol e _of em ail_addr ess_t xt t a ke s _on_r ol e _of ( 0, 1)
                                                                                                                                                                                                                                                                                                                                       ( 0, 1)                                                                                                                                                                                                                                                                                                    bad_debt _t r ansf er _am t                                                                                                                                                                                                                                                                                                                                                                              ha s ( 1, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         cr it ic al_r ange_num er ic _low_value_nm
                                                                                                                                                                                                                                                                                                                                      phon                    t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           f ollow_up_t ype_cd                    ha s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                     cr it ic al_r ange_num er ic _r ace_subspecies_t xt
                                                                                                                                                                                                                                                                                                             t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                      t r ansf er _t o_bad_debt _dt                                                                                                                                                                                                                                                                                                                                                                                         id
                                                                                                                                                                                                                                                                                                                                      t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   cr it ic al_r ange_num er ic _sex_t xt
                                                                                                                                                                                      Stakehol der_affi l i ati on                                                                                                                                            c ol l e c t s ( 0, M )                                                                                                                                                                                                                                                             t r ansf er _t o_bad_debt _r eason_cd                                                                                                                                                                                                                                                                                                                                                       i s _pr e c e de d_by ( 0, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        pat ient _classif ic at ion_cd
                                                                                                                                                                                                                                                                                                             t a ke s _on_r ol e _of ( 0, 1)                  r e f e r s _t o_pe r s on_by ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ha s _pa r t s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                           cr it ic al_r ange_num er ic _species_t xt
                                                                                                                                                                                      af f ilat ion_t ype_cd                                                                                                                                                                                                                     i s _us e d_by ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                pr ior it y_cd
                                                                                                                                                                                                                                                                                                                                         m a y_a c t _a s _a ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  pr e c e de s ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      cust om ar y_unit _of _m easur e
                                                                                                                                                                                      desc                                                                                                                                                                                                                                                                                                                                                                                                                                                               i s _a s s i gne d_t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                 pur pose_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              delt a_check_num er ic _change_com put at ion_m et hod_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                    Person_al ternate_name                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            f ol l ows ( 0, M )                                      i nvol ve s ( 0, M )
                   m a y_be _cont a i ne d_i n ( 0, 1)                                                                                                                                ef f ect iv e_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Pati ent_arri val                                                            r ecor d_signing_dt t m                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  delt a_check_num er ic _change_t hr eshold_nm
                                                                                                                                                                                      t er m inat ion_dt                                                                                                                                                                                                            ef f ect iv e_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      pr e c e de s ( 0,special_cour t esies_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 delt a_check_num er ic _high_value_nm
C i ni cal _document_header
 l                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         acuit y_level_cd
                                                                                                                                                                                                                                                                                                                                                                                                                    nam e_r epr esent at ion_code                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       st ar t _dt t m                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          delt a_check_num er ic _low_value_nm
                                           i s _r e l a t ed_t o ( 0, m )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ar r iv al_dt t m                                                                                                   i s _s c he dul e d_by ( 0, M )
                 i
aut hent ic at on_dt                                                                                                                                                                        ha s _a s _s ec onda r y_pa r t i c i pant ( 1, 1)                                                                                                                                                                      pr snm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              st at us_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              delt a_check_num er ic _r et ent ion_days_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ar r iv al_t ype_cd                                                          t r anspor t _r equir em ent _cd
availabilit y_st at us_cd                                                                                                                                                                                                                                                                                                                                                                                           r eason_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   lengt h_and_decim al_pr ecis ion_nm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           m edic al_ser vic e_id
change_r eason_cd                                                                                                                                                                                                                                                                                                                                                                                                   t er m inat ion_dt                                                                                                                                                                                                                                                                                                                                       i s _a n_a s s i gnm e nt _of ( 1, 1)                                                                                                                                                                                                                                                      ur gency_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               m inim um _m eaningf ul_incr em ent _nm
                                                                                                                                                                                                                                                                                                                           i s _a ( 1, 1)                                                                                                                                                                                                                                                                                                                i s _a s s i gne d ( 0, M )                                                                                                                                                                                                                                                                                                       sour ce_of _ar r iv al_cd
com plet ion_st at us_cd                   ha s _a s _a _pa r e nt _doc um e nt ( 0, 1)                                                                                                                                                                                                                                                                                                                             t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      r ef er ence_r ange_num er ic _condit ion_desc
                                                                                                                                                                                            pa r t i c i pat e s _a s _s e c onda r y_i n ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         t r anspor t _m ode_cd
conf ident ialit y_st at us_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Encounter_drg                                                                                                                                                                                                                                                                                                                   ha s _a s _par t i c i pa nt ( 1, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                r ef er ence_r ange_num er ic _high_age_am t
                                           i s _pa r e nt _doc um e nt _f or ( 0, M )                                                                                                                                                                                                                      Document_reci pi ent                                                                                                                                                                                                                                                                                                                 Bad_debt_col l ecti on_agency
cont ent _pr esent at ion_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 appr oval_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        r ef er ence_r ange_num er ic _high_gest at ion_age_am t
                                                                                                                                                                                     Stakehol der_affi l i ate                                                                                                                                                                                                              i s _f or ( 1, 1)
docum ent _header _cr eat ion_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             assigned_dt t m                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     ppoi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                A ntment                                                                                             Schedul e                                                                                                                                                                                    r ef er ence_r ange_num er ic _high_value_nm
                                                                                                                                                                                     f am ily _r elat ionship_cd            i s _a _r ol e_of ( 1, 1)
f ile_nm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             i s _a _r ol e_of ( 1, 1)                                                                               conf ident ial_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   r ef er ence_r ange_num er ic _low_age_am t
                                                                                                                                                                                                                                                                                                                           of ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Pati ent_departure                                                                                                                          Encounter_practi ti oner
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                appoint m ent _dis posit ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  a r e _booked_i n ( 1, m )                        c ont a i ns ( 0, id )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       m                                                                                                                                                                                          r ef er ence_r ange_num er ic _low_gest at ion_age_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 I ndi vi dual _heal thcare_provi der_sl ot
id                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           cost _out lier _am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               appoint m ent _dur at ion_qt y
l
ast _edit _dt                                                                                                                                                                                                                                                                                                                                                                                  i s _a ( 1, 1)                                                                                                                                                                                                                                                                                                                                                desc                                                                                                                                                                                                                   dis char ge_dis posit ion_cd                                                                                     i s _a s s oc i a t e d_wi t h par t 1) at ion_t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     ( 1, ic ip                                                                                                                                                                                                                                                                                                                                                                                                                                                   r ef er ence_r ange_num er ic _low_value_nm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             i s _a s s i gne d_t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                     appoint m ent _r eason_cd
or iginat ion_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             gr ouper _r eview_cd                                                                                                                                                                                                   dis char ge_dt t m                                                                                                                                                                                                                                                                                                                                                                                                       c ont a i ns ( 0, m )                                                                                                                                                                r ef er ence_r ange_num er ic _r ace_subspecies_t xt                                                                                                                                                                        i s a s c hedul e a bl e uni t f or ( 1, 1)
                                           ha s _be e n_r e c e i ve d_by ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               appoint m ent _r equest _r eason_cd
r epor t ing_pr ior it y_code                                                                                                                                                                                                                                                                                                                                               Ori gi nator                                                                                                                                                                                                                                                                                                                                                                     gr ouper _ver sion_id                                                                                                                                                                                                  dis char ge_locat ion_id                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      r ef er ence_r ange_num er ic _sex_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            i s _pa r t i ci pa nt _f or ( 1, 1)                                                                                                                appoint m ent _t im ing_t q
r esult s_r epor t _dt t m                 ha s _be e n_or i gi na t e d_by ( 0, 1)                                                                                                                                                                                                                                                                             of ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                  out lier _days_qt y                                                                                                                                                                                                    expect ed_dis char ge_dis p_cd                                                  I npati ent_encounter                                                                                                                                                                                                       appoint m ent _t ype_cd                                                                                                                                                                                                                                                                           r ef er ence_r ange_num er ic _species_t xt
st or age_st at us_cd                      i s _t r a ns cr i be d_by ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                out lier _r eim bur sem ent _am t                                                                                                                                                                                                                                                                                                           i s _pr e c e de d_by ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                            si_conver sion_f act or _t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                cancellat ion_dt t m
t r anscr ipt ion_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         out lier _t ype_cd                                                                                                                                                                                                                                                           i s _t e r m i na t e d_by act ual_days_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ( 0, 1)
                                           doc um e nt s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   t e r m i na t e s ( 1, 1)                                       est im at ed_days_qt y                                                                                                                                                                                                     cancellat ion_r eason_cd
t ype_cd
                                                                                                                                                                                                                                                                                                                  t a ke s _on_r ol e _of Organi zati on
                                                                                                                                                                                                                                                                                                                                          ( 0, 1)                        c a t e gor i ze s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            est im at ed_dur at ion_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  r e s e r ve s ( 0, m )
                                                                                                                                                                                                                                                                                                                                          or ganiz at ion_nam e_t ype_cd t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                      i s _a s s i gne d_by ( 1, 1)                                                                                                                                                                                                                                                                         i s _a s s i gne d ( 0, M )                                                                                                                                                                                 event _r eason_code
                                0, 1)
        i s _r e l a t ed_t o ( m a y_r e f er _t o ( 0, M )                                                                                                                                  Empl oyer                                                                                                    ha s _a s _a _s ubdi vi s i on or ganiz at ion_nm
                                                                                                                                                                                                                                                                                                                                          ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              expect ed_end_dt t m
                                                                                                                                                                                                                   i s _a _r ol e_of ( 1, 1)                                                                                                                             a s s i gns ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    M)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            s c he dul e s ( 1, expect ed_ser vic e_desc
                                                                                                                                                                                              ef f ect iv e_dt                                                                                                                            st andar d_indust r y_class_cd
                                                                                                                                                                                                                                                                                                              i s _a _s ubdi vi s i on_of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               expect ed_st ar t _dt t m
                                                                                                                                                                                              t er m inat ion_dt                                                                                                                                                         t a ke s _on_r ol e _of ( 0, 1)
                                                                                                                                                                                                                   i s _e m pl oye r _of ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               id
                                                                                                                                                                                                                                                                                                                                                             t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   i _r
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             i s _pa r t _of ( 1,s1) e qui r e d_by ( 0, M )
                                                                                                                                                                                                   ha s _a s _a _c ont a c t ( 0, M )                                                                                                                                                                                                                                                                                                          Person                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           occur ance_id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                over book_ind                                                                                                                                                                                                                                                                                                                                                                                                                                      Pati ent_servi ce_l ocati on_sl ot
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             bir t h_dt t m                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Pati ent_servi ce_event                                                                                                                                                                                                                                                                                                                                                                                                                                                                        i s a s c hedul e a bl e uni t f or ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ha s ( 0, Mbir t hplace_nm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 scheduling_begin_dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        i s _c ha r ged_t o ( at t1) at ion_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   0, est                                                                       scheduling_com plet ed_dt t m
                                                                                                                                                                                                   i s _a _c ont a c t _f or ( 0, 1)                                                                                                                                                                                                                                                                                                          cit iz enship_count r y_cd
                                                                                                              t r a ns c r i be s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            at t est at ion_due_dt                                                    scheduling_st at us_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              conf ident ialit y_const r aint _cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      begin_dt t m                                                              st at us_cd
                                                                                                                                                                                      Contact_person                i s _a _c ont a c t _f or ( 0, 1)                                                                                                                                                                                                                                                                                         deceased_dt t m                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                de l i ve r s ( 1, 1)
                                                                                                         Transcri pti oni st                                                                                                                                                                                                                                                                                                                                                                                                  e nt e r s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              deceased_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ( 0, ge_t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       i s _a s s oc i a t e d_wi t h charM ) o_pr act ic e_am t                                                ur gency_cd
                                                                                                                                                                                          ( 0, act
                                                                                                                                                               i s _a _c ont a c t _f or cont 1) _r eason_cd i s _a _r ol e_of ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          vis it _t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   t a ke s _on_r ol e _of dis abilit y_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                char ge_t o_pr act ic e_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           wait _lis t _pr ior it y_nbr
                                                                                                                                                                                                                    i s _a _c ont a c t _f or ( 0, 1)                                                                                                                                                                                                                                                                                         educat ion_level_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     conf ident ial_ind
                                                                                                                    i s _i de nt i f i e d_a s ( 1, 1)
                                                                                                                                                                                                             pa i i
                                                                                                                                                                                      i s _a _c ont a c t _f or r(t 0,c1)pat e s _i n ( 0, m )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           us e s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      consent _code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              et hnic _gr oup_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Pati ent_servi ce_order
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              gender _cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              declined_ind                                                                                        i nvol ve s ( 0, m )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              language_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             desc                                                                                                                                                                                                                            t a r ge t s ( 0,char ge_t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        M)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             m a y_a c t _i n_r he _r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 clar if ic at ion_phone
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               m ar it al_st at us_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   ha s _a s _par t i c i pa nt end_dt)t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       ( 1, M
                                                                                                                                                                                                                                                                  ha s _a s _a _c ont a c t ( 0, M )i s _a _r ol e_of ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               m ilt ar y_br anch_of _ser vic e_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    f iler _id                                                                                                                                                                                                                  i s _c hi l d_of ( end_condit ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       0, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      f iler _or der _st at us_cd                                                                                                                                                                                                                      ent er ing_devic e_code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               m ilt ar y_r ank_nm
                                                                                                                                                                                                                                                             Guarantor                                                                                                                                                                                                                                                                                                                ha s ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                   Pati ent_admi ssi on                                                                                                                                                             f iler _or der _st at us_dt t m                                                                                                                                                                                                                  escor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               i s _pa r e nt _of ( 0, M ) t _r equir ed_indic at or
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               m ilt ar y_st at us_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        f ul f i l l s ( 0, 1)
                                                                                                                                                                                                                                                             f inancial_class_cd                                                                                                                                                                                                                                                               nat ionalit y_cd                                                                                                                                                                                                                                                                                                     i s _pa r t i ci pa nt _f or ( 1, 1)                                                                                                                             adm is sion_dt t m                                                                                                                                                                   ecur r
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            i s _pe r f or m e d_a t r ( 0, 1) ing_ser vic e_cd                                                                                                                                                                                                                        expect ed_per f or m ance_t im e_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    r esult s_st at us_cd                                                                                                                                                                                                                            f iler _or der _id
                                                                                                                                                                                                                                                             household_annual_incom e_am t                                                                                                                                                                                                                                                     pr im ar y_nam e_r epr esent at ion_code                                                                                                                                                                                                                                                                                                                                                                                                                                              adm is sion_r eason_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      t a ke s _on_r ol e _of ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  f iler _t xt
                                                                                                                                                                                                                                                             household_siz e_qt y                                                                                                                                                                                                                                                              pr im ar y_nam e_t ype_code                                                                                                                                                                                                                                                                      Servi ce_event_provi der                                                                                                                                                             adm is sion_r ef er r al_cd                                                                                                                             m a y_r e s ul t _i n ( scheduled_st ar t _dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               pr im ar y_pr snm                                                                                                                                                                                                                                                                                                                                                                                                                                                                     adm is sion_sour ce_cd                                                                                                                                                           ser vic e_event _desc                                                                                                                                                                                                                            ( der )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            i s _f ul f i l l e d_by or0, M _cont r ol_code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                par t ic ipat ion_t ype_cd                                                                                                                                                                                           pr e c e de d ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                             or der _cont r ol_r eason_code
                                                                                                                                                                                                                                                                                  gua r a nt e es _pa ym e nt _unde r ( 1, M )                                                                                                                                                                                                                 r ace_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                              adm is sion_t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     pat ient _valuables_desc                                                                                                                                                                i s _doc um e nt _by ( 0, M )                                                                                         Order_heal thcare_practi ti oner                                                                                    or der _ef f ect iv e_dat et im e
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               r eligious_af f ilat ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                i nc l ude s _t he _pa r t i c i pa t i on_of ( 1, 1)                                                                                                                                pr e_adm it _t est _ind                                                                                                                                                                                                                                                                                                                                                                                                           or der _gr oup_id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               st udent _ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       par t ic ipat ion_t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     r eadm is sion_ind                                                                                                                                                                                                                                                                                                                                                                                                                or der _id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               ver y_im por t ant _per son_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          i s _f or ( 1, 1)                                 ha s ( 1, M )
                                                                                                                                                     I nsurer            ha s _a s _a _c ont a c t ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          valuables_locat ion_desc                                                                                                                                                                                                                                                                                                                                                                                                          or der _placed_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             i nc l ude s _t he _pa r t i c i pa t i on_of ( 1, 1)                                     or der _quant it yt im ing_qt                    i s _a n_i ns t a nc e _of ( 1, 1)
                                                                                                                                                     ef f ect iv e_dt i s _a _r ol e_of ( 1, 1)                                                                                                                                                                                                                                                                                                                                                       t a ke s _on_r ol e _of ( 0, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       placer _or der _id
                                                                                                                                                     t er m inat ion_dt i s s ue s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            placer _t xt
                                                                                                                                                                                                                                                                                                                                       ha s _a s _e m pl oye r ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          i s _bi l l e d_t o ( 0, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                be l ongs _t o ( 0, M ) hous e s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              planned_pat ient _t r anspor t _code
                                                                                                                                                                      of
                                                                                                                                                      i s s ue s ( 0, M )f e r s ( 0, M )                                                                                                                                                                                                                                    i s _a _r ol e_of ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       ha s _a s _s ubj e c t (r0, 1) t _r esult s_t o_phone
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           epor
                                                                                                                                                                                                                                                                                                                      Person_empl oyment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Pati ent_servi ce_l ocati on              i s _e nt r y_l oc a t i on_f or ( 0, m )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              r esponse_r equest ed_cd
                                                                                                                                                                                                                                                                                                                      addr                                                                                            Empl oyee                               pr ovi de s _pa ym e nt _gua r a nt ee _f or ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ser vic e_body_sit e_code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         pr ovi de s _s e r vi c e s _on_be ha l f _of ( 1, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    addr                                        i s _l oc a t i on_f or ( 0, M )
                                                                                                                                                                                                                                                                                                                      ef f ect iv e_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Procedure                                                                                                                                                                                                                                                                             ser vic e_body_sit e_m odif ier _code
                                                                                                                                                                                                                                                                                                                      hazar d_exposur e_t xt                                                                                                                                                                                                                                                                                                                                                                            closing_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                         Guarantor_contract
                                                                                                                                                                                                                                                                                                                                                                                                                             i s _e m pl oye e _i n ( 0, M )                                                                                                                                                                                                                                                            descr ipt ion                                                                                                                                                                                                                                                                                                                                                                                                                                            anaest hesia_cd                                                                                                                                                                                                                                                                       ser vic e_body_sour ce_code
                                                                                                                                                                                                                                                                                                                      job_class_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     t ar get _of _ser vic e_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                         biling_hold_ind                                                                                                                                                                                                                                                   f i d_on 0,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               r e c e i ve s _m e di c a t i on_de l i ve r y_s pe c i emeail_addr(ess1)                                                                                                                                                                                                                                                                                                                                                                                                                                        anest hesia_m inut es_qt y                                                                                                                                                                                                                                    i s _e nt e r ed_a t ( 1, 1)
                                                                                                                                                                                                                                                                                                                       job_t it le_nm                                                                                                                                                                                                                                                                                                                                                                                                                           i s _pr i m ar y_f a c i l i t y_f or ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         t r anspor t _ar r anged_indic at or
                                                                                                                                                                                                                                                                                                                                                                                                                                                         biling_m edia_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        delay_r eason_t xt                                                                                                                       pa r t i c i pat e s _i n ( 1, 1)
                                                                                                                                                                                                                                                                                                                        phon                                                                                                                                                                                                                                                                                                                                                                                            id
                                                                                                                                                                                                                                                      i s _a _r ol e_of ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  incis ion_closed_dt t m                                                                                                                                                                                                                                                               t r anspor t _ar r angem ent _r esponsibilt y_code
                                                                                                                                                                                                                                                                                                                        pr ot ect iv e_equipm ent _t xt ha s _a s _e m pl oye e ( 1, 1)                                                                  char ge_adjust m ent _cd                                                                                                                                                                                                                                       lic ensed_bed_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                         cont r act _dur at ion_cd                                                                                                                                                                           r e c e i ve s _m e di c a t i on_di s pens e _r e c or de d_on ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          nm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  incis ion_open_dt t m                                                                         ppoi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               A ntment_contact_person                                                                                                                                                                 t r anspor t _m ode_cd
                                                                                                                                                                                                                                                                                                                        salar y_am t
                                                                                                                                                                                                                    I nsurance_certi fi cati on_contact                                                                                                                                                                                                  cont r act _t ype_cd                                                                                                                                                                                                                                             opening_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   pr ior it y_num ber
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               r ole_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       when_t o_char ge_dat et im e
                                                                                                                                                                                                                                                                                                                        salar y_t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               when_t o_char ge_t ext
                                                                                                                                                                                                                                                                                                                                                                                                                                                         ef f ect iv e_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          pr ocedur e_cd
                                                                                                                                                                                                                    par t ic ipat ion_t ype_cd                                                                          st at us_cd                                                                                                                                                                                                                                                                                                                                                                                       phon
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               i s _i nc l ude d_i n ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                       pr ocedur e_dt t m
                                                                                                                                                                                                                                                                                                                        t er m inat ion_dt                                                                                                               int er est _r at e_am t                                                                                                                                                                                                                                          ser vic e_specialt y_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       i nvol ve s ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                          per iodic _paym ent _am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                pr ocedur e_f unct ional_t ype_cd                                                                                                                                                                                                                                                                                          0, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ha s _a s _par e nt _r e s ul t ( m a y_be _r e f e r r e d_t o_i n ( 0, M )
                                                                                                                                                                                                                           i s _a _c ont a c t _f or ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                              st at us_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     i nc l ude s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                         pr ocedur e_m inut e_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                          pr ior it y_r anking_cd                                                                                                                                                                                                                                         t ype_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                r e c e i ve s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                          separ 1)
                                                                                                                                                                                                                                                                                                                                                                                                                   ha s _pa ym e nt _gua r a nt e e d_by ( 1, at e_bil_ind                                                                                                                                                                                                                                            slot _siz e_incr em ent _qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                          t er m inat ion_dt
                                                                                                                                                                                                                                                                                                                                                                                                                    ha s _c ove r a ge _a f f i r m e d_by ( 0, M )                                                                                                                                                                                                                                                                                             i s _r e que s t e d_by ( 0, m )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ha s ( 0, M )               i s s c he dul e d by ( 0, m )




                                                                                                                                                                                                                                                                                                                                    eal
                                                                                                                                                                                                                                                                                                                                   H thcare_benefi t_pl an
                                                                                                                                                                                                                                                                                                      ha s _a s _pur c ha s e r ( 1, 1)
                                                                                                                                                                                                                                                                                                                                 agr eem ent _t ype_cd
                                                                                                                                                                                                                                                                                                                                 assignm ent _of _benef it s_ind
                                                                                                                                                                                                                                                                                                                                  1, 1)
                                                                                                                                                                                                                                                                                                            i s _of f e r ed_by (baby_cover age_ind
                                                                                                                                                                                                                                                                                                                                 benef it _desc
                                                                                                                                                                                                                                                                                                                                 benef it _plan_id
                                                                                                                                                                                                                                                                                                                                 benef it _plan_nm
                                                                                                                                                                                                                                                                                                                                                                                 i s _a s s oc i a t e d_wi t h ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        l
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               C i ni cal _observati on                            i s _pa r e nt _of ( 0, M )
                                                                                                                                                                                                                                        I nsurance_certi fi cati on                                                              benef it _plan_t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       abnor m al_r esult _ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   i s _c onc l ude d_f r om ( 0, m )                                     c onc l ude s ( 1, 1)
                                                                                                                                                                                                                                        appeal_r eason_cd                                                                        benef it s_coor dinat ion_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 clinic al_obser vat ion_id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   m a y_oc c ur _dur i ng ( 0, 1)
                                                                                                                                                                                                            ha s _a s _a _c ont a c t ( cerM if) ic at ion_day_qt y
                                                                                                                                                                                                                                          1, t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 last _obser ved_nor m al_values_dt t m
                                                                                                                                                                                                                                                                                                                                 bl1)
                                                                                                                                                                                                                                                                           a f f i r m s _i ns ur a nc e _c ove r a ge _f or ( 1, ood_deduct ible_am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Observati on_rel ati onshi p
                                                                                                                                                                                                                                        ef f ect iv e_dt                                                                         cob_pr ior it y_nbr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            nat ur e_of _abnor m al_t est ing_cd
                                                                                                                                                                                                                                        id                                                                                       com bine_baby_bil_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          obser vat ion_begin_dt t m                                                                            r elat ionship_t ype_cd
                                                                                                                                                                                                                                        insur ance_ver if ic at ion_dt t m                                                       copay_lim it _ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              obser vat ion_end_dt t m
                                                                                                                                                                                                                                         m odif ic at ion_dt t m                                                                 cover age_t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             obser vat ion_m et hod_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          i nf e r r e d_f r om ( 1, m )
                                                                                                                                                                                                                                         non_concur _cd                    pr ovi de s _va l i da t i on_f or ( 1, 1)            daily _deduct ible_am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        obser vat ion_st at us_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      i s _on_be ha l f _of obser vat ion_st at us_dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ( 0, 1)                                            us e d_t o_i nf e r ( 0, m )
                                                                                                                                                                                                                                         non_concur _ef f ect iv e_dt t m
                                                                                                                                                                                                                 i s _i s s ue d_by ( 1, 1)                                                                                      ef f ect iv e_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             pe r t a i ns _t o ( 1, 1)                                                                                                                                                                                                                                                                                                                            i s _a n_obs e r va t i on_of ( 1, 1)
                                                                                                                                                                                                                                         penalt y_am t                                                                           eligibilt y_sour ce_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         obser vat ion_sub_id
                                                                                                                                                                                                                                         t er m inat ion_dt                                                                      expir at ion_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                obser vat ion_value_t xt
                                                                                                                                                                                                                                                                                                                                 0, M )
                                                                                                                                                                                                                                                                                                       i s _va l i dat e d_by ( gr oup_benef it _ind                             gove r ns ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Locati on_encounter_rol e                                                                                                                                                                                                                                                                                                  ( obabi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ha s _a s _par t i c i pa nt pr1, M )lit y_num ber
                                                                                                                                                                                                                                                                                                                    m ail_claim _par t y_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           accom m odat ion_cd                                                                                                                                                                                                                                                                                                       r ef er ences_r ange_t ext
                                                                                                                                                                                                                                                 i nc l ude s ( 0, M )
                                                                                                                                                                                                                                                                                                                    non_cover ed_insur ance_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ef f ect iv e_dt t m                                                                                                                                                                                                                                                                                                      univ er sal_ser vic e_ident if ier _suf f ix _t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      locat ion_r ole_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Treatment_servi ce_order
                                                                                                                                                                                                                                                                                                                    plan_id                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     user _def ined_access_check_t xt
                                                                                                                                                                                                                                                                                                                    polic y_am ount _class_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          st at us_cd                                                                                                                                                                                                                                                                                                              value_t ype_cd                                                                                                                                                                                                                                                                                                                                                                                          dosage_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       t er m inat ion_dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              i
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             D etary_order                                                                                                                              ear liest _dis pense_dt
                                                                                                                                                                                                                                                                                                                    polic y_am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                value_unit s_code
                                                                                                                                                                                                                                                                                                                    polic y_cat egor y_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              t r ansf er _r eason_cd                                                                                                                                                                                                        i s _pa r t i ci pa nt _f or ( 1, 1)                                                                                                                                                                                                                                                                                                                   diet _t ype_cd                                                                                                                             I ndic at ion_cd
                                                                                                                                                                                                                                                           erti
                                                                                                                                                                                                                                                          C fi cati on_second_opi ni on                             polic y_deduct ible_am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           t r ansf er _r eason_desc                                                                                                                                                                                                                                                                                                          r e f e r r e d_t o_i n ( 0, M )                                                                                                                                                                                                                   diet ar y_inst r uct ion_desc                                                                                                              non_f or m _aut hor iz ed_ind
                                                                                                                                                                                                                                                                                                                    polic y_id                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         usage_appr oved_ind                                                                                                                                                                  C i ni cal _observati on_provi der
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             l                                                                                                                                                                                                                                                                                Treatment_servi ce_event                                                                                       diet ar y_t r ay_t ype_cd                                                                                                                  pr ovider s_t r eat m ent _inst r uct ion_t xt
                                                                                                                                                                                                                                                          ( f 1)
                                                                                                                                                                                                                                pr ovi de s _opi ni on_on ef1, ect iv e_dt                                          polic y_lim it _day_qt y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 ser vic e_per iod_cd                                                                                                                       r eject ion_r eason_cd
                                                                                                                                                                                                                                                          st at us_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       clinic al_obser vat ion_id                                                                                                                                                                                                                                     ha s _pa r t s ( 0,pr escr ipt ion_id
                                                                                                                                                                                                                                                                                                                    polic y_scope_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         pe r t a i ns _t o ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                        M)                                                                                                            ser vic e_t ype_cd                                                      Pati ent_referral                                                  r equest ed_giv e_r at e_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            par t ic ipat ion_t ype_cd                                                                                                                                                                                                                                                        r ef ils _r em aining_qt y
                                                                                                                                                                                                                                                                                                                    polic y_sour ce_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  r equest ed_giv e_st r engt h_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     aut hor iz ed_vis it s_qt y
                                                                                                                                                                                                                                                                                        i s _pr ovi de d_by ( 1, 1) r elease_inf or m at ion_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         subst it ut ion_allowed_ind
                                                                                                                                                                                                                                                                                                                                                       i s _f or ( 1, 1)                            pa r t i c i pat e s _a s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               desc
                                                                                                                                                                                                                                                                                                                    r epor t _of _eligibilt y_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ha s _a s _par t i c i pa nt ( 1, 1)                                                                                                                                                                                                                                                                    ha s )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ha s _pa r t s ( 0, M_pa r t s ( 0, M )                                                                                                                                                                                                         supplier _special_dis pensing_inst r uct ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     r eason_t xt
                                                                                                                                                                                                                                                                                                                    r epor t _of _eligibilt y_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       ver if ic at ion_r equir ed_ind
                                                                                                                                                                                                                  eal
                                                                                                                                                                                                              H thcare_coverage_benefi t                                                                                                                                     eal
                                                                                                                                                                                                                                                                                                                                                                         H thcare_servi ce_provi der
                                                                                                                                                                                                                                                                                                                    r oom _cover age_t ype_am ount _cd                                                                          pa r t i c i pat e s _a s ( 0, M )
                                                                                                                                                                                                              annual_lim it _am t                                                                                                                                        boar d_cer t if ic at ion_t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 ha s _pa r t s ( 1, M )
                                                                                                                                                                                                                                                                                                                    st at us_cd
                                                                                                                                                                                                              benef it _desc
                                                                                                                                                                                                                                                                                                                    t er m inat ion_dt
                                                                                                                                                                                                                                                                                                                                                                         boar d_cer t if ied_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                pa r t i c i pat e s _a s ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Observati on_order
                                                                                                                                                                                                                 M)
                                                                                                                                                                                           ha s _pa r t s ( 0,benef it _pr oduct _nm                                                                                                                                     cer t if ic at ion_dt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             pat ient _hazar d_code
                                                                                                                                                                                                              dependent _cover age_ind                                                                                                                                   ef f ect iv e_dt
                                                                                                                                                                                                                                                                                                                               ha s _pa r t s ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       r eason_f or _st udy_cd
                                                                                                                                                                                                              dependent _cover age_lm t _am t i i                                                                                                                        lic ense_id                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         r elevant _clinic al_inf or m at ion_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   di s pe ns e s ( 0, 1)
                                                                                                                                                                                                              ef f ect iv e_dt t m                                                                                                                                         r ecer t if ic at ion_dt                                                                                                                                                                                                                                                                        ol
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          C l ected_speci men_sampl e                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        r epor t ing_pr ior it y_cd
                                                                                                                                                                   i s _pa r t _of ( 1, 1)                    lif et im e_lim it _am t                                                                                                                                     specialt y_cd
                                                                                                                                                                                                                                                                i s _pa r t _of ( 1, 1)                                                                                                                                         i de nt i f i es ( 0, M )                                                                                                                                                                                                                 body_sit e_cd                                                                                                                                                                                                                                                                                                                                                 Treatment_servi ce_di spense                                                                                                                                                                                                                                                                                                                                                                                         specim en_act ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          or de r s ( 0, 1)                 i s _pa r t _of ( 1, 1)
                                                                                                                                                                                                                t er m inat ion_dt t m                                                                                                                                     t er m inat ion_dt                                                                                                                                                                                                                                                                             collect ion_body_sit e_m odif ier _cd
                                                                                                                                              eal
                                                                                                                                             H thcare_benefi t_servi ce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            dis pense_count er _qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          collect ion_end_dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   dis pense_not es_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Treatment_servi ce_admi ni strati on                            i s _pa r t _of ( 1, 1)                                                                                                                                                                                                                                               Treatment_servi ce_order_revi si on
                                                                                                                                             access_pr ot ocol_desc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       collect ion_m et hod_m odif ier _cd    i s _s our c ed_f r om ( 0, 1)                                                                                                                                                                                                                                  i s _us e d_dur i ng ( 1, 1)                                                                                                                                                                                     act ual_adm inis t r at ion_PTcom p
                                                                                                                                             capit at ion_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      dis pense_package_m et hod_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          collect ion_scheduled_dt t m                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  dis pense_package_m et hod_cd
                                                                                                                                             coinsur ance_ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      dis pense_package_siz e_am t                                                                                                                                   act ual_adm inis t r at ion_PTr out
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          collect ion_st ar t _dt t m                                                                                                                                                                                                                                                          Servi ce_event_speci men                                            dis pense_PTcom p                                                                                                                                              adm inis t er ed_r at e_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        dis pense_package_siz e_am t
                                                                                                                                             coinsur ance_pct                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             collect ion_volum e_am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      giv e_indic at ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               analy zed_object _act ion_cd                                        dis pense_PTr out                                                                                                                                              adm inis t r at ion_begin_dt t m                                de l i ve r s ( 0, 1)
                                                                                                                                             copaym ent _am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             condit ion_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 giv e_per _t im e_unit _cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  i s _c ol l e ct e d_by ( 1, 1)                                i s _s our c e_f or ( 0, M )                                                                                                                                                                                           i s _s our c ed_f r om specim en_r eceiv ed_dt t m
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ( 1, 1)                                                            dis pensed_dt t m                                                                                                                                              adm inis t r at ion_count er _qt y
                                                                                                                                             deduct ible_am t                                                                                        Medi care_coverage                                                                                                                                                                                                                                                                                                                                                                                                   handling_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   giv e_r at e_am t
                                                                                                                                             lower _cover age_lim it _am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         indic at ion_cd                                                                                                                                                adm inis t r at ion_end_dt t m                                             Treatment_servi ce_gi ve
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          id                                                                                                                                                                                                                                                                                                                                                                                                                    i s _pa r t _of ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                 last _r ef iled_dt t m
                                                                                                                                                                                                                                                     ef f ect iv e_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               needs_hum an_r eview_ind                                                                                                                                      com plet ion_st at us_cd
                                                                                                                                              pay_cap_lim it _am t                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        m et hod_of _collect ion_desc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  m ax_giv e_am t
                                                                                                                                                                                                                                                     eligibilt y_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               I ndic at ion_code                                                         adm inis t r at ion_desc
                                                                                                                                              pcp_r ef er r al_ind                                                                                                                                                                                                                                                                                                                                                                                                                          ha s _a s _par t i c i pa nt ( 1, 1)                                          num ber _of _sam ple_cont ainer s_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ej ct
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          i s _di s pe ns e d_t o (r 1,e1) ion_r eason_t xt                                                                                                                                                                                                                                                                                                                                                                                                                                                                              m in_giv e_am t
                                                                                                                                                                                                                                                     id                                                     Medi cai d_coverage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   not es_f r om _adm inis t r at ion_cd                                      giv e_count er _qt y
                                                                                                                                              pr im ar y_car e_pr ovider _ind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       subst ance_expir at ion_dt
                                                                                                                                                                                                                                                     lif et im e_r es_delay_day_qt y                                                                       Champus_coverage                                                                                                                                                                                                                                                                                               specim en_addit iv e_t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  subst ance_expir at ion_dt t m                                             giv e_per _t im e_unit _cd                                                                                                                                                                                                                                  needs_hum an_r eview_ind
                                                                                                                                              r eview_ind                                                                                                                                                   aid_cat egor y_cd                                                                                                                                                                                                                                        Producer_Of_Master_Servi ce                                                                                                                                                                                                                                                                                                                                                                                                                                    subst ance_lot _ident if ier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          specim en_danger _cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               giv e_PTcom p                                                                                                                                                                                                                                               or der _r evis ion_PTcom p
                                                                                                                                                                                                                                                       lif et im e_r eser ve_day_qt y                                                                      handic apped_pr ogr am _cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               subst ance_m anuf act ur er _cd                                                                                                                               subst ance_lot _num ber _t xt
                                                                                                                                              upper _cover age_lim it _am t                                                                                                                                 case_id                                                                                                                                                                                                                                                                                                                                                       specim en_sour ce_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           or der _r evis ion_PTr out
                                                                                                                                                                                                                                                         m edic ar e_cover age_t ype_cd                                                                    non_avail_cer t _on_f ile_ind                                                                                                                                                                             ser vic e_pr oducing_depar t m ent _t ype_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 subst ance_m anuf act ur er _cd                                            giv e_PTr out
                                                                                                                                                                                                                                                                                                            ef f ect iv e_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        subst it ut ion_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   or der _r evis ion_quant it yt im ing_qt
                                                                                                                                                                                                                                                         pr ogr am _t ype_cd                                                                                                                                                                                                                                                                                                                                                                                              t r anspor t _logis t ic s_cd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      giv e_quant it yt im ing_qt
                                                                                                                                                                                                                                                                                                                                                           r et ir em ent _dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       supplier s_special_dis pensing_inst r uct ion_cd                                                                                                              subst ance_r ef usal_r eason_cd
                                                                                                                                                                   pr ovi de s _c ove r a ge _f or ( 1, M )                                                                                                 t er m inat ion_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               giv e_r at e_am t                                                                                                                                                                                                                                           or der ed_adm inis t r at ion_m et hod_cd
                                                                                                                                                                                                                                                         r enal_cd                                                                                         st at ion_id                                                                                                                                                                                                                     pr oduc e s ( 0, 1)                                                                                                                                                                                                                                                                                                                                                                                                                     t ot al_daily _dose_am t                                                                                                                                      subst it ut ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             indic at ion_code                                                                                                                                                                                                                                           pr escr ipt ion_id
                                                                                                                                                                                                                                                         t er m inat ion_dt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       syst em _ent r y_dt t m                                                                                                             i s _pa r t _of ( 1, 1)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              m ax_giv e_am t                                                                                                                                                                                                                                            pr ovider s_adm inis t r at ion_inst r uct ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   i s _r e f e r enc e d_on ( 0, M )                                                                                                                                                                         m in_giv e_am t                                                                                                                                                                                                                                            r ef ils _allowed_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          r e f e r e nc es ( 1, 1)                                                                                                                                                                                                                                                                                                      r ef ils _doses_dis pensed_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              needs_hum an_r eview_ind
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              subst ance_expir at ion_dt t m                                                                                                                                                                                                                             r ef ils _r em aining_qt y
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           i s _a _r ol e_of ( 1, 1)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     subst it ut ion_st at us_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              subst ance_lot _num ber _t xt
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              subst ance_m anuf act ur er _cd                                                                                                                                                                                                                            supplier s_dis pensing_inst r uct ion_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                   eal
                                                                                                                                                                                                                                                                                                                                                                                                                                  H thcare_provi der_organi zati on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      t ot al_daily _dose_am t
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              subst it ut ion_st at us_cd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              supplier _special_adm inis t r at ion_inst r uct ion_cd                                                                                                                                                                                                    t ot al_daily _dose_cd
                                                                                    be l ongs _t o ( 0, m )                                                                                                                                                                                                                                                                                                                                                  pr ovi de s _pa t i e nt _s e r vi c e s _a t ( 0, M )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              i s _r e f e r enc e d_on ( 0, M )
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            r e f e r e nc es ( 1, 1)   r e c or ds _di s pe ns e _t o ( 1, 1)                                                                                                                                                                                                      s pe c i f i e s _m e di c a t i on_de l i ve r y_t o ( 0, 1)
                                                               I ndi vi dual _heal thcare_practi ti oner                  i s _t he _pr i m a r y_pr ovi de r _f or ( 0, M )
                                                               desc
                                                               f ellowship_f ield_cd
                                                                                                                          pa r t i c i pat e s _a s ( 0, M )
                                                               gr aduat e_school_nm
                                                               gr aduat ion_dt
                                                               posit ion_cd                                               i s _r e que s t e d_by ( 0, m )
                                                               pr act it ioner _t ype_cd
                                                                                                                          pr ovi de s ( 0, M )
                                                               pr im ar y_car e_ind
                                                               r esidency_f ield_cd                                       pa r t i c i pat e s _i n ( 0, M )
                                                               slot _siz e_incr em ent _qt y
                                                                                                                          i s _a _r ol e_of ( 1, 1)

                                                                                                       pa
                                                                            i s s c he dul e d by ( 0, m )r t i c i pat e s _a s ( 0, M )
                          XML

• Extensible Markup language
     – metalanguage
• Simplified SGML
     – SGML: Powerful, complex, slow
• W3C standard 1.0
• Many possible MLs
     – Define own tags


5 June 1999              Get it, Got it, Good   12
              Markup



We are all familiar with markup now.




5 June 1999    Get it, Got it, Good    13
              XML Basics



<element> Element content </element>

<element attribute=“value”> stuff </element>

<saab> Car goes here </saab>

5 June 1999      Get it, Got it, Good    14
                 Example

<report>
   <procedure mycode=“1234”> chest radiograph
   </procedure>
   <findings>
     This is where the findings go.
   </findings>
   <icd_code codevalue=“123.45”/>
</report>

5 June 1999        Get it, Got it, Good     15
                      DTD

• Document Type Definition
• Definition of a particular markup language
• Specifies allowable tags, attributes and
  organization.
• Well-formed vs. Valid
     – Well-formed: follows basic XML syntax
     – Valid: also follows specific DTD


5 June 1999          Get it, Got it, Good      16
               Simple DTD
<!-- comment here -->
<!ELEMENT report (procedure,findings,icd_code)>
<!ELEMENT procedure #PCDATA>
<!ATTLIST procedure mycode CDATA #REQUIRED>
<!ELEMENT findings #PCDATA >
<!ELEMENT icd_code EMPTY >
<!ATTLIST icd_code codevalue CDATA #REQUIRED>




5 June 1999         Get it, Got it, Good      17
              XML and HL7 history

• 1986: SGML (ISO 8879:1986)
• 1993: CEN Report on Messaging Syntaxes in
  Healthcare
• 1996: HL7 SGML/XML SIG
• 1997: Kona Document Architecture
• 1997: SIG Report on SGML as a Messaging
  Syntax
• 1998: XML Recommendation
• 1998: XML as a Messaging Syntax for HL7
5 June 1999         Get it, Got it, Good   18
<!--======================= ===== ===== ===== ==== ===== ===== ===== ===== ==== =====
   HL7 Version 3 Prototy pe Messages: Lab_results_message [Labrs3P00]                         HL7_name CDATA #FIXED "Lab_results_message.Patient_person"
                      Rspns_HL7_Lab_Query [RLabrv3P00]                                        T     CDATA "PTP">
  ======================== ===== ===== ===== ===== ==== ===== ===== ===== ===== ===-- >   <!ATTLIST Labrs3P00.SIOO_L
                                                                                          HL7_name CDATA #FIXED "Lab_results_message.Service_intent_or_or der_list"
<!ENTITY % DT_MSGH           "sndApp?, sndFaclt?, rcvgApp?, rcvgFaclt?, msgDt?,               T     CDATA "SIOO_L">
            scrty ?, msgTy p, msgCntID, procID, vrsnID, sqncNbr?,                         <!ATTLIST MPSLOC.addr
            contPtr?, acptAckTy p?, applAckTy p?, cntry Cd?,                                  HL7_name CDATA #FIXED "Master_patient_service_location.addr "
            charSet?, msgPrimLang?, altCharSetSchm?">                                         T     CDATA "XAD">
<!ENTITY % DT_HD          "nsid, uid?, uidty p?">                                         <!ATTLIST MPSLOC.emlAdr
<!ENTITY % DT_PTP        "PTP.birthDtm, PTP.gndr, PTP.martlStats,                         HL7_name CDATA #FIXED "Master_patient_service_loca tion.email_add ress"
            PTP.primrNamRprsntn?, PTP.primrNamTy pe,                                          T     CDATA "XTN">
            PTP.primrPrsnm, PTP.race?, PTP.addr,                                          <!ATTLIST MPSLOC.id
            PTP.PhonNmbr_L?, PTP.StkID">                                                      HL7_name CDATA #FIXED "Master_patient_service_location.id"
<!ENTITY % DT_PN         "fmn, gvn?, mdn?, sfx?, pfx?, dgr?">                                 T     CDATA "IID">
<!ENTITY % DT_XAD          "strtAdrs?, othrDsgn?, city ?, sttPrvnc?, zipPstlCd?,          <!ATTLIST MPSLOC.inclIn
            cntry ?, addrTy pe, othrGgrphDsgn?, cnty Prsh?,                               HL7_name CDATA #FIXED "Master_patient_service_loca tion.is_include d_in"
            cnssTract?">                                                                      T     CDATA "MPSLOC">
<!ENTITY % DT_XTN          "tlcmnUse, tlcmnEqpTy p, emailAddr?, cntry Code?,              <!ATTLIST MPSLOC.name
            areaCity Code?, phonNmbr, xtnsn?, any txt?">                                      HL7_name CDATA #FIXED "Master_patient_service_location.nm"
<!ENTITY % DT_StkID       "StkID.id, StkID.idTy pe">                                          T     CDATA "ST">
<!ENTITY % DT_SIOO_L         "SIOO_L.item">                                               <!ATTLIST MPSLOC.phon
<!ENTITY % DT_MPSLOC           "MPSLOC.id, MPSLOC.name?, MPSLOC.addr?, MPSLOC.phon?,          HL7_name CDATA #FIXED "Master_patient_service_location.pho n"
            MPSLOC.emlAdr?, MPSLOC.inclIn?">                                                  T     CDATA "XTN">
<!ENTITY % DT_ACTP_L          "ACTP_L.item">                                              <!ATTLIST MSGA.ackCd
                                                                                              HL7_name CDATA #FIXED "Message_ack.ac knowledgement_cod e"
<!ELEMENT Labrs3P00        (Labrs3P00.MSGH, Labrs3P00.PTP, Labrs3P00.SIOO_L)>                 T     CDATA "ID">




                                                                                                                                                                                        HL7 Lab DTD
                                                                                          <!ATTLIST MSGA.dly dAckTy p
<!ELEMENT Labrs3P00.MSGH (%DT_MSGH;)>                                                         HL7_name CDATA #FIXED "Message_ack.delay ed_ac k_ty pe"
                                                                                              T     CDATA "ID">
<!ELEMENT Labrs3P00.PTP (%DT_PTP;)>                                                       <!ATTLIST MSGA.errCond
                                                                                              HL7_name CDATA #FIXED "Message_ack.error_co ndition "
<!ELEMENT Labrs3P00.SIOO_L (SIOO_L.item+)>                                                    T     CDATA "CNE">
                                                                                          <!ATTLIST MSGA.expctdSeqNbr
<!ELEMENT RLabrv3P00   (RLabrv3P00.MSGH, RLabrv3P00.MSGA, RLabrv3P00.PTP,                     HL7_name CDATA #FIXED "Message_ack.expecte d_seq_n umber"
           RLabrv3P00.SIOO_L?)>                                                               T     CDATA "NM">
                                                                                          <!ATTLIST MSGA.msgCntID
<!ELEMENT RLabrv3P00.MSGH (%DT_MSGH;)>                                                        HL7_name CDATA #FIXED "Message_ack.message_contro l_id"
                                                                                              T     CDATA "ST">
<!ELEMENT RLabrv3P00.MSGA (MSGA.ackCd, MSGA.msgCntID, MSGA.txtmsg?,                       <!ATTLIST MSGA.txtmsg
           MSGA.expctdSeqNbr?, MSGA.dly dAckTy p?, MSGA.errCond?)>                            HL7_name CDATA #FIXED "Message_ack.text_message"
                                                                                              T     CDATA "ST">
<!ELEMENT RLabrv3P00.PTP (%DT_PTP;)>                                                      <!ATTLIST MSRV.mthdCd
                                                                                              HL7_name CDATA #FIXED "Master_service.method_cd"
<!ELEMENT RLabrv3P00.SIOO_L (SIOO_L.item+)>                                                   T     CDATA "CE">
                                                                                          <!ATTLIST MSRV.mthdDesc
<!ELEMENT SIOO_L.item (SIOO.filrOrdId?, SIOO.placrOrdId?, SIOO.intOrOrd,                      HL7_name CDATA #FIXED "Master_service.method_descr"
            SIOO.ordPlcdDtm?, SIOO.OrdQty Timng?,                                             T     CDATA "TX">
            SIOO.placrTxt?, SIOO.filrTxt?,                                                <!ATTLIST MSRV.svcDesc
            SIOO.rprtRsltsToPhon?, SIOO.InsncOf?,                                             HL7_name CDATA #FIXED "Master_service.service_desc"
            SIOO.entrdAt?, SIOO.SAMP, SIOO.actPrtcpntOrd_L,                                   T     CDATA "TX">
            SIOO.SRVE_L)>                                                                 <!ATTLIST MSRV.targAntmcSite
                                                                                              HL7_name CDATA #FIXED "Master_service.target_anatomic_site _cd"
<!ELEMENT SIOO.filrOrdId (#PCDATA)>                                                           T     CDATA "CE">
<!ELEMENT SIOO.placrOrdId (#PCDATA)>                                                      <!ATTLIST MSRV.unvSvcId
<!ELEMENT SIOO.intOrOrd (#PCDATA)>                                                            HL7_name CDATA #FIXED "Master_service.universal_ser vice_id"
<!ELEMENT SIOO.ordPlcdDtm (#PCDATA)>                                                          T     CDATA "CE">
<!ELEMENT SIOO.OrdQty Timng (TQ.text?)>                                                   <!ATTLIST PSNI.StkID
                                                                                              HL7_name CDATA #FIXED "Person_ID.Stakeholder_ID"
<!ELEMENT SIOO.placrTxt (#PCDATA)>                                                            T     CDATA "StkID">
<!ELEMENT SIOO.filrTxt (#PCDATA)>                                                         <!ATTLIST PSNI.primrNamTy pe
<!ELEMENT SIOO.rprtRsltsToPhon (%DT_XTN;)>                                                    HL7_name CDATA #FIXED "Person_ID.primary _name_ty pe_cd"
                                                                                              T     CDATA "CNE">
<!ELEMENT SIOO.InsncOf (MSRV.unvSvcId, MSRV.svcDesc?, MSRV.targAntmcSite?,                <!ATTLIST PSNI.primrPrsnm
            MSRV.mthdCd?, MSRV.mthdDesc?)>                                                    HL7_name CDATA #FIXED "Person_ID.primary _prsnm"
                                                                                              T     CDATA "PN">
<!ELEMENT SIOO.entrdAt      (%DT_MPSLOC;)>                                                <!ATTLIST PTP.PhonNmbr_L
                                                                                              HL7_name CDATA #FIXED "Patient_person.phone_number_list"
<!ELEMENT SIOO.SAMP       (SAMP.partpnTy p, SAMP.id, SAMP.spcmnSrc?,                          T     CDATA "PhonNmbr_LL">
            SAMP.colctnStrtDtm?, SAMP.colctnEndDtm?,                                      <!ATTLIST PTP.StkID
            SAMP.mthdColctnDesc?, SAMP.body Site?,                                            HL7_name CDATA #FIXED "Patient_person.Stakeholder_I D"
            SAMP.colctnVolm?, SAMP.spcmnAdtv?, SAMP.handlg?,                                  T     CDATA "StkID">
            SAMP.spcmnDngr?)>                                                             <!ATTLIST PTP.addr
                                                                                              HL7_name CDATA #FIXED "Patient_person.addr"
<!ELEMENT SIOO.actPrtcpntOrd_L (ACTP_L.item+)>                                                T     CDATA "XAD">
                                                                                          <!ATTLIST PTP.birthDtm
<!ELEMENT SIOO.SRVE_L         (SRVE_L.item+)>                                                 HL7_name CDATA #FIXED "Patient_person.birth_dttm"
                                                                                              T     CDATA "DTM">
<!ELEMENT MSRV.unvSvcId (#PCDATA)>                                                        <!ATTLIST PTP.gndr
<!ELEMENT MSRV.svcDesc (#PCDATA)>                                                             HL7_name CDATA #FIXED "Patient_person.gender_cd"
<!ELEMENT MSRV.targAntmcSite (#PCDATA)>                                                       T     CDATA "CNE">
<!ELEMENT MSRV.mthdCd (#PCDATA)>                                                          <!ATTLIST PTP.martlStats
<!ELEMENT MSRV.mthdDesc (#PCDATA)>                                                            HL7_name CDATA #FIXED "Patient_person.marital_status_cd"
                                                                                              T     CDATA "CNE">
<!ELEMENT MPSLOC.id   (#PCDATA)>                                                          <!ATTLIST PTP.primrNamRprsntn
<!ELEMENT MPSLOC.name (#PCDATA)>                                                          HL7_name CDATA #FIXED "Patient_person.primary _name_representation_cd"
<!ELEMENT MPSLOC.addr (%DT_XAD;)>                                                             T     CDATA "CNE">
                                                                                          <!ATTLIST PTP.primrNamTy pe
<!ELEMENT MPSLOC.phon         (%DT_XTN;)>                                                     HL7_name CDATA #FIXED "Patient_person.primary _name_ty pe_cd"
                                                                                              T     CDATA "CNE">
<!ELEMENT MPSLOC.emlAdr (%DT_XTN;)>                                                       <!ATTLIST PTP.primrPrsnm
                                                                                              HL7_name CDATA #FIXED "Patient_person.primary _prsnm"
<!ELEMENT MPSLOC.inclIn (%DT_MPSLOC;)>                                                        T     CDATA "PN">
                                                                                          <!ATTLIST PTP.race
<!ELEMENT SAMP.partpnTy p (#PCDATA)>                                                          HL7_name CDATA #FIXED "Patient_person.race_cd"
<!ELEMENT SAMP.id      (#PCDATA)>                                                             T     CDATA "CNE">
<!ELEMENT SAMP.spcmnSrc (#PCDATA)>                                                        <!ATTLIST PhonNmbr_LL.item
<!ELEMENT SAMP.colctnStrtDtm (#PCDATA)>                                                       HL7_name CDATA #FIXED "Patient_Phone_Number_List.item"
<!ELEMENT SAMP.colctnEndDtm (#PCDATA)>                                                        T     CDATA "XTN">
<!ELEMENT SAMP.mthdColctnDesc (#PCDATA)>                                                  <!ATTLIST PrcsgIdTy p
<!ELEMENT SAMP.body Site (#PCDATA)>                                                           HL7_name CDATA #FIXED "processing_id_ty pe"
<!ELEMENT SAMP.colctnVolm (qty , unts?)>                                                      T     CDATA "ID">
                                                                                          <!ATTLIST PrcsgMod
<!ELEMENT SAMP.spcmnAdtv (#PCDATA)>                                                           HL7_name CDATA #FIXED "processing_mode"
<!ELEMENT SAMP.handlg (#PCDATA)>                                                              T     CDATA "ID">
<!ELEMENT SAMP.spcmnDngr (#PCDATA)>                                                       <!ATTLIST RLabrv3P00
                                                                                              HL7_name CDATA #FIXED "Rspns_HL7_Lab_Query "
<!ELEMENT ACTP_L.item        (ACTP.partcpnTy p, ACTP.partcpnt)>                               T     CDATA "RLabrv3P00">
                                                                                          <!ATTLIST RLabrv3P00.MSGA
<!ELEMENT ACTP.partcpnTy p (#PCDATA)>                                                         HL7_name CDATA #FIXED "Rspns_HL7_Lab_Query .Message_ac k"
<!ELEMENT ACTP.partcpnt (PSNI.primrNamTy pe, PSNI.primrPrsnm, PSNI.StkID)>                    T     CDATA "MSGA">
                                                                                          <!ATTLIST RLabrv3P00.MSGH
<!ELEMENT SRVE_L.item (SRVE.name, SRVE.svcEvntDesc?, SRVE.CLOB?,                              HL7_name CDATA #FIXED "Rspns_HL7_Lab_Query .Message_he ader"
           SRVE.spcmRcvdDtm?, SRVE.hasActvPartnts_L)>                                         T     CDATA "MSGH">
                                                                                          <!ATTLIST RLabrv3P00.PTP
<!ELEMENT SRVE.name     (#PCDATA)>                                                            HL7_name CDATA #FIXED "Rspns_HL7_Lab_Query .Patient_person"
<!ELEMENT SRVE.svcEvntDesc (#PCDATA)>                                                         T     CDATA "PTP">
<!ELEMENT SRVE.CLOB      (CLOB.obsValu_C, CLOB.prblty ?, CLOB.abnrmlRslt?,                <!ATTLIST RLabrv3P00.SIOO_L
           CLOB.refsRng?, CLOB.naturAbnTstg?,                                             HL7_name CDATA #FIXED "Rspns_HL7_Lab_Query .Service_intent_or_ order_list"
           CLOB.lastObsvNormValuDtm?, CLOB.clnRlvnBgnDtm?,                                    T     CDATA "SIOO_L">
           CLOB.clnRlvnEndtm?)>                                                           <!ATTLIST SAMP.body Site
                                                                                              HL7_name CDATA #FIXED "Collected_specimen_sample.body _site_cd"
<!ELEMENT SRVE.spcmRcvdDtm (#PCDATA)>                                                         T     CDATA "CE">
<!ELEMENT SRVE.hasActvPartnts_L (ACTP_L.item+)>                                           <!ATTLIST SAMP.colctnEndDtm
                                                                                          HL7_name CDATA #FIXED "Collected_specimen_sample.collection_end _dttm"
<!ELEMENT CLOB.obsValu_C (obsValu_C.obsValuCnt| obsValu_C.obsValuCd|                          T     CDATA "DTM">
           obsValu_C.obsValuSt)>                                                          <!ATTLIST SAMP.colctnStrtDtm
<!ELEMENT CLOB.prblty (#PCDATA)>                                                          HL7_name CDATA #FIXED "Collected_specimen_sample.collection_star t_dttm"
<!ELEMENT CLOB.abnrmlRslt (#PCDATA)>                                                          T     CDATA "DTM">
<!ELEMENT CLOB.refsRng (#PCDATA)>                                                         <!ATTLIST SAMP.colctnVolm
<!ELEMENT CLOB.naturAbnTstg (#PCDATA)>                                                    HL7_name CDATA #FIXED "Collected_specimen_sample.collection_volume_amt"
<!ELEMENT CLOB.lastObsvNormValuDtm (#PCDATA)>                                                 T     CDATA "CQ">
<!ELEMENT CLOB.clnRlvnBgnDtm (#PCDATA)>                                                   <!ATTLIST SAMP.handlg
<!ELEMENT CLOB.clnRlvnEndtm (#PCDATA)>                                                        HL7_name CDATA #FIXED "Collected_specimen_sample.handling_cd"
                                                                                              T     CDATA "ID">
<!ELEMENT obsValu_C.obsValuCnt (obsValuNm.obsvnValu, obsValuNm.valUnits?)>                <!ATTLIST SAMP.id
                                                                                              HL7_name CDATA #FIXED "Collected_specimen_sample.id"
<!ELEMENT obsValu_C.obsValuCd (#PCDATA)>                                                      T     CDATA "IID">
<!ELEMENT obsValu_C.obsValuSt (#PCDATA)>                                                  <!ATTLIST SAMP.mthdColctnDesc
<!ELEMENT obsValuNm.obsvnValu (#PCDATA)>                                                  HL7_name CDATA #FIXED "Collected_specimen_sample.method_of_collection _desc"
<!ELEMENT obsValuNm.valUnits (#PCDATA)>                                                       T     CDATA "TX">




                                                                                                                                                                                    <!ELEMENT SRVE.CLOB       (CLOB.obsValu_C,
                                                                                          <!ATTLIST SAMP.partpnTy p
<!ELEMENT sndApp          (%DT_HD;)>                                                      HL7_name CDATA #FIXED "Collected_specimen_sample.participation_ty pe_cd "
                                                                                              T     CDATA "CE">
<!ELEMENT sndFaclt       (%DT_HD;)>                                                       <!ATTLIST SAMP.spcmnAdtv
                                                                                          HL7_name CDATA #FIXED "Collected_specimen_sample.specimen_additive_txt"
<!ELEMENT rcvgApp         (%DT_HD;)>                                                          T     CDATA "ST">
                                                                                          <!ATTLIST SAMP.spcmnDngr
<!ELEMENT rcvgFaclt       (%DT_HD;)>                                                      HL7_name CDATA #FIXED "Collected_specimen_sample.specimen_danger_cd"
                                                                                              T     CDATA "ID">
<!ELEMENT msgDt           (#PCDATA)>                                                      <!ATTLIST SAMP.spcmnSrc
<!ELEMENT scrty         (#PCDATA)>                                                        HL7_name CDATA #FIXED "Collected_specimen_sample.specimen_source_cd"
<!ELEMENT msgTy p          (msgID, intrId?)>                                                  T     CDATA "CE">
                                                                                          <!ATTLIST SIOO.InsncOf
<!ELEMENT msgCntID        (#PCDATA)>                                                          HL7_name CDATA #FIXED "Service_intent_or_order.is_an _instan ce_of"
<!ELEMENT procID         (PrcsgIdTy p, PrcsgMod?)>                                            T     CDATA "MSRV">
                                                                                          <!ATTLIST SIOO.OrdQty Timng
<!ELEMENT vrsnID         (ID, intCd?, intVID?)>                                           HL7_name CDATA #FIXED "Service_intent_or_order.ord er_quan tity _timing_qty "
                                                                                              T     CDATA "TQ">
<!ELEMENT sqncNbr       (#PCDATA)>                                                        <!ATTLIST SIOO.SAMP
<!ELEMENT contPtr     (#PCDATA)>                                                          HL7_name CDATA #FIXED "Service_intent_or_order.has _as_tar get_sample"
<!ELEMENT acptAckTy p     (#PCDATA)>                                                          T     CDATA "SAMP">
<!ELEMENT applAckTy p     (#PCDATA)>                                                      <!ATTLIST SIOO.SRVE_L
<!ELEMENT cntry Cd     (#PCDATA)>                                                         HL7_name CDATA #FIXED "Service_intent_or_order.Ser vice_ev ent_list"
<!ELEMENT charSet      (#PCDATA)>                                                             T     CDATA "SRVE_L">




                                                                                                                                                                                         CLOB.prblty?, CLOB.abnrmlRslt?,
<!ELEMENT msgPrimLang (#PCDATA)>                                                          <!ATTLIST SIOO.actPrtcpntOrd_L
<!ELEMENT altCharSetSchm (#PCDATA)>                                                       HL7_name CDATA #FIXED "Service_intent_or_order.has _as_active_par ticipant_order _list"
                                                                                              T     CDATA "ACTP_L">
<!ELEMENT msgID           (#PCDATA)>                                                      <!ATTLIST SIOO.entrdAt
<!ELEMENT intrId        (#PCDATA)>                                                            HL7_name CDATA #FIXED "Service_intent_or_order.is_en tered_a t"
                                                                                              T     CDATA "MPSLOC">
<!ELEMENT MSGA.ackCd     (#PCDATA)>                                                       <!ATTLIST SIOO.filrOrdId
<!ELEMENT MSGA.msgCntID (#PCDATA)>                                                            HL7_name CDATA #FIXED "Service_intent_or_order.filler _order_ id"
<!ELEMENT MSGA.txtmsg (#PCDATA)>                                                              T     CDATA "IID">
<!ELEMENT MSGA.expctdSeqNbr (#PCDATA)>                                                    <!ATTLIST SIOO.filrTxt
<!ELEMENT MSGA.dly dAckTy p (#PCDATA)>                                                        HL7_name CDATA #FIXED "Service_intent_or_order.filler _txt"
<!ELEMENT MSGA.errCond (#PCDATA)>                                                             T     CDATA "TX">
                                                                                          <!ATTLIST SIOO.intOrOrd
<!ELEMENT PTP.birthDtm (#PCDATA)>                                                         HL7_name CDATA #FIXED "Service_intent_or_order.inte nt_or_o rder_c d"
<!ELEMENT PTP.gndr     (#PCDATA)>                                                             T     CDATA "ID">
<!ELEMENT PTP.martlStats (#PCDATA)>                                                       <!ATTLIST SIOO.ordPlcdDtm
<!ELEMENT PTP.primrNamRprsntn (#PCDATA)>                                                      HL7_name CDATA #FIXED "Service_intent_or_order.order _place d_dttm"
<!ELEMENT PTP.primrNamTy pe (#PCDATA)>                                                        T     CDATA "DTM">
<!ELEMENT PTP.primrPrsnm (%DT_PN;)>                                                       <!ATTLIST SIOO.placrOrdId
                                                                                              HL7_name CDATA #FIXED "Service_intent_or_order.place r_orde r_id"
<!ELEMENT PTP.race        (#PCDATA)>                                                          T     CDATA "IID">
<!ELEMENT PTP.addr        (%DT_XAD;)>                                                     <!ATTLIST SIOO.placrTxt
                                                                                              HL7_name CDATA #FIXED "Service_intent_or_order.place r_txt"
<!ELEMENT PTP.PhonNmbr_L (PhonNmbr_LL.item+)>                                                 T     CDATA "TX">




                                                                                                                                                                                         CLOB.refsRng?, CLOB.naturAbnTstg?,
                                                                                          <!ATTLIST SIOO.rprtRsltsToPhon
<!ELEMENT PTP.StkID        (%DT_StkID;)>                                                  HL7_name CDATA #FIXED "Service_intent_or_order.rep ort_resu lts_to_ phone"
                                                                                              T     CDATA "XTN">
<!ELEMENT StkID.id     (#PCDATA)>                                                         <!ATTLIST SIOO_L.item
<!ELEMENT StkID.idTy pe (#PCDATA)>                                                            HL7_name CDATA #FIXED "Service_intent_or_order_list.item"
                                                                                              T     CDATA "SIOO">
<!ELEMENT PSNI.primrNamTy pe (#PCDATA)>                                                   <!ATTLIST SRVE.CLOB
<!ELEMENT PSNI.primrPrsnm (%DT_PN;)>                                                          HL7_name CDATA #FIXED "Service_event.Clinical_observ ation"
                                                                                              T     CDATA "CLOB">
<!ELEMENT PSNI.StkID       (%DT_StkID;)>                                                  <!ATTLIST SRVE.hasActvPartnts_L
                                                                                          HL7_name CDATA #FIXED "Service_event.has_as_active _participant_list"
<!ELEMENT TQ.text        (#PCDATA)>                                                           T     CDATA "ACTP_L">
                                                                                          <!ATTLIST SRVE.name
<!ELEMENT nsid         (#PCDATA)>                                                             HL7_name CDATA #FIXED "Service_event.name"
<!ELEMENT uid         (#PCDATA)>                                                              T     CDATA "CE">
<!ELEMENT uidty p       (#PCDATA)>                                                        <!ATTLIST SRVE.spcmRcvdDtm
                                                                                              HL7_name CDATA #FIXED "Service_event.specimen_received_dttm"
<!ELEMENT PrcsgIdTy p      (#PCDATA)>                                                         T     CDATA "DTM">
<!ELEMENT PrcsgMod         (#PCDATA)>                                                     <!ATTLIST SRVE.svcEvntDesc
                                                                                              HL7_name CDATA #FIXED "Service_event.service_event_ desc"
<!ELEMENT ID           (#PCDATA)>                                                             T     CDATA "ST">
<!ELEMENT intCd         (#PCDATA)>                                                        <!ATTLIST SRVE_L.item
<!ELEMENT intVID         (#PCDATA)>                                                           HL7_name CDATA #FIXED "Service_event_list.item"
                                                                                              T     CDATA "SRVE">




                                                                                                                                                                                         CLOB.lastObsvNormValuDtm?,
<!ELEMENT fmn           (#PCDATA)>                                                        <!ATTLIST StkID.id
<!ELEMENT gvn          (#PCDATA)>                                                             HL7_name CDATA #FIXED "Stakeholder_ID.id"
<!ELEMENT mdn           (#PCDATA)>                                                            T     CDATA "ST">
<!ELEMENT sfx         (#PCDATA)>                                                          <!ATTLIST StkID.idTy pe
<!ELEMENT pfx          (#PCDATA)>                                                             HL7_name CDATA #FIXED "Stakeholder_ID.identif ier_ty pe_cd"
<!ELEMENT dgr          (#PCDATA)>                                                             T     CDATA "ID">
                                                                                          <!ATTLIST TQ.text
<!ELEMENT strtAdrs    (#PCDATA)>                                                              HL7_name CDATA #FIXED "Service_delivery _time_quantity .text"
<!ELEMENT othrDsgn      (#PCDATA)>                                                            T     CDATA "TX">
<!ELEMENT city      (#PCDATA)>                                                            <!ATTLIST acptAckTy p
<!ELEMENT sttPrvnc    (#PCDATA)>                                                              HL7_name CDATA #FIXED "accept_ack_ty pe"
<!ELEMENT zipPstlCd    (#PCDATA)>                                                             T     CDATA "ID">
<!ELEMENT cntry      (#PCDATA)>                                                           <!ATTLIST addrTy pe
<!ELEMENT addrTy pe      (#PCDATA)>                                                           HL7_name CDATA #FIXED "address_ty pe"
<!ELEMENT othrGgrphDsgn (#PCDATA)>                                                            T     CDATA "ID">
<!ELEMENT cnty Prsh    (#PCDATA)>                                                         <!ATTLIST altCharSetSchm
<!ELEMENT cnssTract     (#PCDATA)>                                                            HL7_name CDATA #FIXED "alt_char_set_scheme"
                                                                                              T     CDATA "ID">
<!ELEMENT PhonNmbr_LL.item (%DT_XTN;)>                                                    <!ATTLIST any txt
                                                                                              HL7_name CDATA #FIXED "any _text"
<!ELEMENT tlcmnUse      (#PCDATA)>                                                            T     CDATA "TX">
<!ELEMENT tlcmnEqpTy p (#PCDATA)>                                                         <!ATTLIST applAckTy p
<!ELEMENT emailAddr      (#PCDATA)>                                                           HL7_name CDATA #FIXED "application_ack_ty pe"
<!ELEMENT cntry Code    (#PCDATA)>                                                            T     CDATA "ID">




                                                                                                                                                                                         CLOB.clnRlvnBgnDtm?,
<!ELEMENT areaCity Code (#PCDATA)>                                                        <!ATTLIST areaCity Code
<!ELEMENT phonNmbr        (#PCDATA)>                                                          HL7_name CDATA #FIXED "area_city _code"
<!ELEMENT xtnsn       (#PCDATA)>                                                              T     CDATA "NM">
<!ELEMENT any txt     (#PCDATA)>                                                          <!ATTLIST charSet
                                                                                              HL7_name CDATA #FIXED "character_set"
<!ELEMENT qty         (#PCDATA)>                                                              T     CDATA "ID">
<!ELEMENT unts         (#PCDATA)>                                                         <!ATTLIST city
                                                                                              HL7_name CDATA #FIXED "city "
<!ATTLIST ACTP.partcpnTy p                                                                    T     CDATA "ST">
HL7_name CDATA #FIXED "Active_participation.particip ation_ty pe_cd"                      <!ATTLIST cnssTract
    T     CDATA "ID">                                                                         HL7_name CDATA #FIXED "census_tract"
<!ATTLIST ACTP.partcpnt                                                                       T     CDATA "IS">
    HL7_name CDATA #FIXED "Active_participation.participa nt"                             <!ATTLIST cntry
    T     CDATA "PSNI">                                                                       HL7_name CDATA #FIXED "country "
<!ATTLIST ACTP_L.item                                                                         T     CDATA "ID">
    HL7_name CDATA #FIXED "Active_participation_list.item"                                <!ATTLIST cntry Cd
    T     CDATA "ACTP">                                                                       HL7_name CDATA #FIXED "country _code"
<!ATTLIST CLOB.abnrmlRslt                                                                     T     CDATA "ID">
    HL7_name CDATA #FIXED "Clinical_observation.abnormal_result_ind"                      <!ATTLIST cntry Code
    T     CDATA "ID">                                                                         HL7_name CDATA #FIXED "country _code"
<!ATTLIST CLOB.clnRlvnBgnDtm                                                                  T     CDATA "NM">
HL7_name CDATA #FIXED "Clinical_observation.clinically _relev ant_be gin_dttm"            <!ATTLIST cnty Prsh
    T     CDATA "DTM">                                                                        HL7_name CDATA #FIXED "county _or_parish_code"
<!ATTLIST CLOB.clnRlvnEndtm                                                                   T     CDATA "IS">




                                                                                                                                                                                         CLOB.clnRlvnEndtm?)>
HL7_name CDATA #FIXED "Clinical_observation.clinically _relev ant_en d_dttm"              <!ATTLIST contPtr
    T     CDATA "DTM">                                                                        HL7_name CDATA #FIXED "continuation_pointer"
<!ATTLIST CLOB.lastObsvNormValuDtm                                                            T     CDATA "ST">
HL7_name CDATA #FIXED "Clinical_observation.last_obs erved_ normal_values _dttm"          <!ATTLIST dgr
    T     CDATA "DTM">                                                                        HL7_name CDATA #FIXED "degree"
<!ATTLIST CLOB.naturAbnTstg                                                                   T     CDATA "ST">
HL7_name CDATA #FIXED "Clinical_observation.nature_ of_abn ormal_testing_ cd"             <!ATTLIST emailAddr
    T     CDATA "CE">                                                                         HL7_name CDATA #FIXED "email_address"
<!ATTLIST CLOB.obsValu_C                                                                      T     CDATA "ST">
HL7_name CDATA #FIXED "Clinical_observation.observa tion_va lue_ch oice"                  <!ATTLIST fmn
    T     CDATA "obsValu_C">                                                                  HL7_name CDATA #FIXED "family _name"
<!ATTLIST CLOB.prblty                                                                         T     CDATA "ST">
    HL7_name CDATA #FIXED "Clinical_observation.probability _number"                      <!ATTLIST gvn
    T     CDATA "NM">                                                                         HL7_name CDATA #FIXED "given_name"
<!ATTLIST CLOB.refsRng                                                                        T     CDATA "ST">
HL7_name CDATA #FIXED "Clinical_observation.referen ces_ran ge_text"                      <!ATTLIST intCd
    T     CDATA "ST">                                                                         HL7_name CDATA #FIXED "internationalization_co de"
<!ATTLIST ID                                                                                  T     CDATA "CNE">
    HL7_name CDATA #FIXED "Version_id"                                                    <!ATTLIST intVID
    T     CDATA "ID">                                                                         HL7_name CDATA #FIXED "international_version_id"
<!ATTLIST Labrs3P00                                                                           T     CDATA "CNE">
    HL7_name CDATA #FIXED "Lab_results_message"                                           <!ATTLIST intrId
    T     CDATA "Labrs3P00">                                                                  HL7_name CDATA #FIXED "interaction_id"
<!ATTLIST Labrs3P00.MSGH                                                                      T     CDATA "ID">
    HL7_name CDATA #FIXED "Lab_results_message.Message_head er"                           <!ATTLIST mdn
    T     CDATA "MSGH">                                                                       HL7_name CDATA #FIXED "middle_initial_or_name"
<!ATTLIST Labrs3P00.PTP                                                                       T     CDATA "ST">
    HL7_name CDATA #FIXED "Lab_results_message.Patient_person"                            <!ATTLIST msgCntID
    T     CDATA "PTP">                                                                        HL7_name CDATA #FIXED "message_control_id"
<!ATTLIST Labrs3P00.SIOO_L                                                                    T     CDATA "ST">
HL7_name CDATA #FIXED "Lab_results_message.Service_intent_or_or der_list"                 <!ATTLIST msgDt
    T     CDATA "SIOO_L">                                                                     HL7_name CDATA #FIXED "date_time_message"
<!ATTLIST MPSLOC.addr                                                                         T     CDATA "DTM">
    HL7_name CDATA #FIXED "Master_patient_service_location.addr "                         <!ATTLIST msgID
    T     CDATA "XAD">                                                                        HL7_name CDATA #FIXED "message_id"
<!ATTLIST MPSLOC.emlAdr                                                                       T     CDATA "ID">
HL7_name CDATA #FIXED "Master_patient_service_loca tion.email_add ress"                   <!ATTLIST msgPrimLang
    T     CDATA "XTN">                                                                        HL7_name CDATA #FIXED "msg_primary _lang"
<!ATTLIST MPSLOC.id                                                                           T     CDATA "CNE">
    HL7_name CDATA #FIXED "Master_patient_service_location.id"                            <!ATTLIST msgTy p
    T     CDATA "IID">                                                                        HL7_name CDATA #FIXED "message_ty pe"
<!ATTLIST MPSLOC.inclIn                                                                       T     CDATA "MSGT">
HL7_name CDATA #FIXED "Master_patient_service_loca tion.is_include d_in"                  <!ATTLIST nsid
    T     CDATA "MPSLOC">                                                                     HL7_name CDATA #FIXED "name_space_id"
<!ATTLIST MPSLOC.name                                                                         T     CDATA "ST">
    HL7_name CDATA #FIXED "Master_patient_service_location.nm"                            <!ATTLIST obsValuNm.obsvnValu
    T     CDATA "ST">                                                                         HL7_name CDATA #FIXED "observation_value_nm.observation_v alue"
<!ATTLIST MPSLOC.phon                                                                         T     CDATA "NM">
    HL7_name CDATA #FIXED "Master_patient_service_location.pho n"                         <!ATTLIST obsValuNm.valUnits
    T     CDATA "XTN">                                                                        HL7_name CDATA #FIXED "observation_value_nm.value_units_c ode"
<!ATTLIST MSGA.ackCd                                                                          T     CDATA "CE">
    HL7_name CDATA #FIXED "Message_ack.ac knowledgement_cod e"                            <!ATTLIST obsValu_C.obsValuCd
    T     CDATA "ID">                                                                     HL7_name CDATA #FIXED "observation_value_choice.ob servation_valu e_cate gorical"
<!ATTLIST MSGA.dly dAckTy p                                                                   T     CDATA "CE"
    HL7_name CDATA #FIXED "Message_ack.delay ed_ac k_ty pe"                                   Choice CDATA "C">
    T     CDATA "ID">                                                                     <!ATTLIST obsValu_C.obsValuCnt
<!ATTLIST MSGA.errCond                                                                    HL7_name CDATA #FIXED "observation_value_choice.ob servation_valu e_continuous"
    HL7_name CDATA #FIXED "Message_ack.error_co ndition "                                     T     CDATA "obsValuNm"
    T     CDATA "CNE">                                                                        Choice CDATA "N">
<!ATTLIST MSGA.expctdSeqNbr                                                               <!ATTLIST obsValu_C.obsValuSt
    HL7_name CDATA #FIXED "Message_ack.expecte d_seq_n umber"                             HL7_name CDATA #FIXED "observation_value_choice.ob servation_valu e_calc ulated"
    T     CDATA "NM">                                                                         T     CDATA "ST"
<!ATTLIST MSGA.msgCntID                                                                       Choice CDATA "S">
    HL7_name CDATA #FIXED "Message_ack.message_contro l_id"                               <!ATTLIST othrDsgn
    T     CDATA "ST">                                                                         HL7_name CDATA #FIXED "other_designation"
<!ATTLIST MSGA.txtmsg                                                                         T     CDATA "ST">
    HL7_name CDATA #FIXED "Message_ack.text_message"                                      <!ATTLIST othrGgrphDsgn
    T     CDATA "ST">                                                                         HL7_name CDATA #FIXED "other_geographic_designation "
<!ATTLIST MSRV.mthdCd                                                                         T     CDATA "ST">
    HL7_name CDATA #FIXED "Master_service.method_cd"                                      <!ATTLIST pfx
    T     CDATA "CE">                                                                         HL7_name CDATA #FIXED "prefix"
<!ATTLIST MSRV.mthdDesc                                                                       T     CDATA "ST">
    HL7_name CDATA #FIXED "Master_service.method_descr"                                   <!ATTLIST phonNmbr
    T     CDATA "TX">                                                                         HL7_name CDATA #FIXED "phone_number"
<!ATTLIST MSRV.svcDesc                                                                        T     CDATA "NM">
    HL7_name CDATA #FIXED "Master_service.service_desc"                                   <!ATTLIST procID
    T     CDATA "TX">                                                                         HL7_name CDATA #FIXED "processing_id"
<!ATTLIST MSRV.targAntmcSite                                                                  T     CDATA "PDG">
    HL7_name CDATA #FIXED "Master_service.target_anatomic_site _cd"                       <!ATTLIST qty
    T     CDATA "CE">                                                                         HL7_name CDATA #FIXED "quantity "
<!ATTLIST MSRV.unvSvcId                                                                       T     CDATA "NM">
    HL7_name CDATA #FIXED "Master_service.universal_ser vice_id"                          <!ATTLIST rcvgApp
    T     CDATA "CE">                                                                         HL7_name CDATA #FIXED "receiving_application"
<!ATTLIST PSNI.StkID                                                                          T     CDATA "HD">
    HL7_name CDATA #FIXED "Person_ID.Stakeholder_ID"                                      <!ATTLIST rcvgFaclt
    T     CDATA "StkID">                                                                      HL7_name CDATA #FIXED "receiving_facility "
<!ATTLIST PSNI.primrNamTy pe                                                                  T     CDATA "HD">
    HL7_name CDATA #FIXED "Person_ID.primary _name_ty pe_cd"                              <!ATTLIST scrty
    T     CDATA "CNE">                                                                        HL7_name CDATA #FIXED "security "
<!ATTLIST PSNI.primrPrsnm                                                                     T     CDATA "ST">
    HL7_name CDATA #FIXED "Person_ID.primary _prsnm"                                      <!ATTLIST sfx
    T     CDATA "PN">                                                                         HL7_name CDATA #FIXED "suffix"
<!ATTLIST PTP.PhonNmbr_L                                                                      T     CDATA "ST">
    HL7_name CDATA #FIXED "Patient_person.phone_number_list"                              <!ATTLIST sndApp
    T     CDATA "PhonNmbr_LL">                                                                HL7_name CDATA #FIXED "sending_application"
<!ATTLIST PTP.StkID                                                                           T     CDATA "HD">
    HL7_name CDATA #FIXED "Patient_person.Stakeholder_I D"                                <!ATTLIST sndFaclt
    T     CDATA "StkID">                                                                      HL7_name CDATA #FIXED "sending_facility "
<!ATTLIST PTP.addr                                                                            T     CDATA "HD">
    HL7_name CDATA #FIXED "Patient_person.addr"                                           <!ATTLIST sqncNbr
    T     CDATA "XAD">                                                                        HL7_name CDATA #FIXED "sequence_number"
<!ATTLIST PTP.birthDtm                                                                        T     CDATA "NM">
    HL7_name CDATA #FIXED "Patient_person.birth_dttm"                                     <!ATTLIST strtAdrs
    T     CDATA "DTM">                                                                        HL7_name CDATA #FIXED "street_address"
<!ATTLIST PTP.gndr                                                                            T     CDATA "ST">
    HL7_name CDATA #FIXED "Patient_person.gender_cd"                                      <!ATTLIST sttPrvnc
    T     CDATA "CNE">                                                                        HL7_name CDATA #FIXED "state_or_province"
<!ATTLIST PTP.martlStats                                                                      T     CDATA "ST">
    HL7_name CDATA #FIXED "Patient_person.marital_status_cd"                              <!ATTLIST tlcmnEqpTy p
    T     CDATA "CNE">                                                                        HL7_name CDATA #FIXED "telecommunication_equipment_ty pe"
<!ATTLIST PTP.primrNamRprsntn                                                                 T     CDATA "ID">
HL7_name CDATA #FIXED "Patient_person.primary _name_representation_cd"                    <!ATTLIST tlcmnUse
    T     CDATA "CNE">                                                                        HL7_name CDATA #FIXED "telecommunication_use_code"
<!ATTLIST PTP.primrNamTy pe                                                                   T     CDATA "ID">
    HL7_name CDATA #FIXED "Patient_person.primary _name_ty pe_cd"                         <!ATTLIST uid
    T     CDATA "CNE">                                                                        HL7_name CDATA #FIXED "universal_id"
<!ATTLIST PTP.primrPrsnm                                                                      T     CDATA "ST">
    HL7_name CDATA #FIXED "Patient_person.primary _prsnm"                                 <!ATTLIST uidty p
    T     CDATA "PN">                                                                         HL7_name CDATA #FIXED "universal_id_ty pe"
<!ATTLIST PTP.race                                                                            T     CDATA "ID">
    HL7_name CDATA #FIXED "Patient_person.race_cd"                                        <!ATTLIST unts
    T     CDATA "CNE">                                                                        HL7_name CDATA #FIXED "units"
<!ATTLIST PhonNmbr_LL.item                                                                    T     CDATA "CE">
    HL7_name CDATA #FIXED "Patient_Phone_Number_List.item"                                <!ATTLIST vrsnID
    T     CDATA "XTN">                                                                        HL7_name CDATA #FIXED "version_id"
                                                                                              T     CDATA "VID">
                                                                                          <!ATTLIST xtnsn
                                                                                              HL7_name CDATA #FIXED "extension"
                                                                                              T     CDATA "NM">
                                                                                          <!ATTLIST zipPstlCd
                                                                                              HL7_name CDATA #FIXED "zip_or_postal_code"
                                                                                              T     CDATA "ST">

                                                                                          <!--============== End HL7 Version 3 Prototy pe Message DTD ==============-->




                                                                  5 June 1999                                                                                                                  Get it, Got it, Good      19
<SRVE.name T="CE">4544-3
</SRVE.name>                             HL7 XML fragment
<SRVE.svcEvntDesc T="ST">HEMATOCRIT (AUTOMATED)
</SRVE.svcEvntDesc>
<SRVE.CLOB T="CLOB">
   <CLOB.obsValu_C T="obsValu_C">
        <obsValu_C.obsValuCnt T="obsValuNm" Choice="N">
                <obsValuNm.obsvnValu T="NM">45
                </obsValuNm.obsvnValu>
        </obsValu_C.obsValuCnt>
   </CLOB.obsValu_C>
   <CLOB.refsRng T="ST">39-49
   </CLOB.refsRng>
     <CLOB.clnRlvnBgnDtm T="DTM">199812292128
   </CLOB.clnRlvnBgnDtm>
</SRVE.CLOB>
   ...
   5 June 1999               Get it, Got it, Good         20
5 June 1999   Get it, Got it, Good   21
  Extensible Style Sheets (XSL)
 • Language for mapping one set of tags to
   another.
 • Primarily for HTML display
 • Also for Transformations

                                          <H2>
<ICD_code>
                                          ICD Diagnosis:
XSL for dummies
                                          XSL for dummies
</ICD_code>
                                          </H2>

 5 June 1999       Get it, Got it, Good              22
              XML Architectures
• Similar to DTD
• Mapping multiple local sets of tags to
  common framework
• HL7 Patient Record Architecture (PRA)

<discussion>
    <findings>                            <section>
<observations>

5 June 1999        Get it, Got it, Good               23
                 Why XML?

•   Easy
•   Fast
•   Readable
•   Everyone else is doing it
     – HL7




5 June 1999          Get it, Got it, Good   24
              What XML is not

• Not Magic
• Not Self-defining
• Not Self-indexing
• Not a complete and sufficient description of
  HL7 messages
• Not Finished



5 June 1999        Get it, Got it, Good    25
                   Heuristics
• representativeness
    – basic pattern matching
    – if A looks like B, A probably is a B
    – A is speaks jargon and dresses poorly
      => A may be a technology expert




5 June 1999           Get it, Got it, Good    26
              Exercise 2:

                    NLP




5 June 1999     Get it, Got it, Good   27

								
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