Active| Used by 0 transactions and 32 templates, Uses 16 templates | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Item | DT | Card | Conf | Description | Label |
|---|---|---|---|---|---|
| hl7v2:GT1.1 | SI | 1 … 1 | Set ID - GT1 Contains 2.16.840.1.113883.3.1937.777.10.15.88 SI - Sequence ID (DYNAMIC) | GT1_ ment | |
| @Item | 0 … 1 | F | 405 | ||
| @Type | 0 … 1 | F | SI | ||
| @LongName | 0 … 1 | F | Set ID - GT1 | ||
| hl7v2:GT1.2 | CX | 0 … * | Guarantor Number Contains 2.16.840.1.113883.3.1937.777.10.15.12 CX - Extended composite ID with check digit (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 406 | ||
| @Type | 0 … 1 | F | CX | ||
| @LongName | 0 … 1 | F | Guarantor Number | ||
| hl7v2:GT1.3 | XPN | 1 … * | Guarantor Name Contains 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 407 | ||
| @Type | 0 … 1 | F | XPN | ||
| @LongName | 0 … 1 | F | Guarantor Name | ||
| hl7v2:GT1.4 | XPN | 0 … * | Guarantor Spouse Name Contains 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 408 | ||
| @Type | 0 … 1 | F | XPN | ||
| @LongName | 0 … 1 | F | Guarantor Spouse Name | ||
| hl7v2:GT1.5 | XAD | 0 … * | Guarantor Address Contains 2.16.840.1.113883.3.1937.777.10.15.73 XAD - Extended address (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 409 | ||
| @Type | 0 … 1 | F | XAD | ||
| @LongName | 0 … 1 | F | Guarantor Address | ||
| hl7v2:GT1.6 | XTN | 0 … * | Guarantor Ph Num - Home Contains 2.16.840.1.113883.3.1937.777.10.15.77 XTN - Extended telecommunications number (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 410 | ||
| @Type | 0 … 1 | F | XTN | ||
| @LongName | 0 … 1 | F | Guarantor Ph Num - Home | ||
| hl7v2:GT1.7 | XTN | 0 … * | Guarantor Ph Num - Business Contains 2.16.840.1.113883.3.1937.777.10.15.77 XTN - Extended telecommunications number (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 411 | ||
| @Type | 0 … 1 | F | XTN | ||
| @LongName | 0 … 1 | F | Guarantor Ph Num - Business | ||
| hl7v2:GT1.8 | TS | 0 … 1 | Guarantor Date/Time Of Birth Contains 2.16.840.1.113883.3.1937.777.10.15.64 TS - Time stamp (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 412 | ||
| @Type | 0 … 1 | F | TS | ||
| @LongName | 0 … 1 | F | Guarantor Date/Time Of Birth | ||
| hl7v2:GT1.9 | IS | 0 … 1 | Guarantor Administrative Sex Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 413 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70001 | ||
| @LongName | 0 … 1 | F | Guarantor Administrative Sex | ||
| hl7v2:GT1.10 | IS | 0 … 1 | Guarantor Type Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 414 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70068 | ||
| @LongName | 0 … 1 | F | Guarantor Type | ||
| hl7v2:GT1.11 | CE | 0 … 1 | Guarantor Relationship Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 415 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70063 | ||
| @LongName | 0 … 1 | F | Guarantor Relationship | ||
| hl7v2:GT1.12 | ST | 0 … 1 | Guarantor SSN Contains 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 416 | ||
| @Type | 0 … 1 | F | ST | ||
| @LongName | 0 … 1 | F | Guarantor SSN | ||
| hl7v2:GT1.13 | DT | 0 … 1 | Guarantor Date - Begin Contains 2.16.840.1.113883.3.1937.777.10.15.80 DT - Date (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 417 | ||
| @Type | 0 … 1 | F | DT | ||
| @LongName | 0 … 1 | F | Guarantor Date - Begin | ||
| hl7v2:GT1.14 | DT | 0 … 1 | Guarantor Date - End Contains 2.16.840.1.113883.3.1937.777.10.15.80 DT - Date (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 418 | ||
| @Type | 0 … 1 | F | DT | ||
| @LongName | 0 … 1 | F | Guarantor Date - End | ||
| hl7v2:GT1.15 | NM | 0 … 1 | Guarantor Priority Contains 2.16.840.1.113883.3.1937.777.10.15.86 NM - Numeric (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 419 | ||
| @Type | 0 … 1 | F | NM | ||
| @LongName | 0 … 1 | F | Guarantor Priority | ||
| hl7v2:GT1.16 | XPN | 0 … * | Guarantor Employer Name Contains 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 420 | ||
| @Type | 0 … 1 | F | XPN | ||
| @LongName | 0 … 1 | F | Guarantor Employer Name | ||
| hl7v2:GT1.17 | XAD | 0 … * | Guarantor Employer Address Contains 2.16.840.1.113883.3.1937.777.10.15.73 XAD - Extended address (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 421 | ||
| @Type | 0 … 1 | F | XAD | ||
| @LongName | 0 … 1 | F | Guarantor Employer Address | ||
| hl7v2:GT1.18 | XTN | 0 … * | Guarantor Employer Phone Number Contains 2.16.840.1.113883.3.1937.777.10.15.77 XTN - Extended telecommunications number (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 422 | ||
| @Type | 0 … 1 | F | XTN | ||
| @LongName | 0 … 1 | F | Guarantor Employer Phone Number | ||
| hl7v2:GT1.19 | CX | 0 … * | Guarantor Employee ID Number Contains 2.16.840.1.113883.3.1937.777.10.15.12 CX - Extended composite ID with check digit (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 423 | ||
| @Type | 0 … 1 | F | CX | ||
| @LongName | 0 … 1 | F | Guarantor Employee ID Number | ||
| hl7v2:GT1.20 | IS | 0 … 1 | Guarantor Employment Status Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 424 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70066 | ||
| @LongName | 0 … 1 | F | Guarantor Employment Status | ||
| hl7v2:GT1.21 | XON | 0 … * | Guarantor Organization Name Contains 2.16.840.1.113883.3.1937.777.10.15.75 XON - Extended composite name and ID number for organizations (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 425 | ||
| @Type | 0 … 1 | F | XON | ||
| @LongName | 0 … 1 | F | Guarantor Organization Name | ||
| hl7v2:GT1.22 | ID | 0 … 1 | Guarantor Billing Hold Flag Contains 2.16.840.1.113883.3.1937.777.10.15.83 ID - Coded value for HL7 defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 773 | ||
| @Type | 0 … 1 | F | ID | ||
| @Table | 0 … 1 | F | HL70136 | ||
| @LongName | 0 … 1 | F | Guarantor Billing Hold Flag | ||
| hl7v2:GT1.23 | CE | 0 … 1 | Guarantor Credit Rating Code Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 774 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70341 | ||
| @LongName | 0 … 1 | F | Guarantor Credit Rating Code | ||
| hl7v2:GT1.24 | TS | 0 … 1 | Guarantor Death Date And Time Contains 2.16.840.1.113883.3.1937.777.10.15.64 TS - Time stamp (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 775 | ||
| @Type | 0 … 1 | F | TS | ||
| @LongName | 0 … 1 | F | Guarantor Death Date And Time | ||
| hl7v2:GT1.25 | ID | 0 … 1 | Guarantor Death Flag Contains 2.16.840.1.113883.3.1937.777.10.15.83 ID - Coded value for HL7 defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 776 | ||
| @Type | 0 … 1 | F | ID | ||
| @Table | 0 … 1 | F | HL70136 | ||
| @LongName | 0 … 1 | F | Guarantor Death Flag | ||
| hl7v2:GT1.26 | CE | 0 … 1 | Guarantor Charge Adjustment Code Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 777 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70218 | ||
| @LongName | 0 … 1 | F | Guarantor Charge Adjustment Code | ||
| hl7v2:GT1.27 | CP | 0 … 1 | Guarantor Household Annual Income Contains 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 778 | ||
| @Type | 0 … 1 | F | CP | ||
| @LongName | 0 … 1 | F | Guarantor Household Annual Income | ||
| hl7v2:GT1.28 | NM | 0 … 1 | Guarantor Household Size Contains 2.16.840.1.113883.3.1937.777.10.15.86 NM - Numeric (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 779 | ||
| @Type | 0 … 1 | F | NM | ||
| @LongName | 0 … 1 | F | Guarantor Household Size | ||
| hl7v2:GT1.29 | CX | 0 … * | Guarantor Employer ID Number Contains 2.16.840.1.113883.3.1937.777.10.15.12 CX - Extended composite ID with check digit (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 780 | ||
| @Type | 0 … 1 | F | CX | ||
| @LongName | 0 … 1 | F | Guarantor Employer ID Number | ||
| hl7v2:GT1.30 | CE | 0 … 1 | Guarantor Marital Status Code Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 781 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70002 | ||
| @LongName | 0 … 1 | F | Guarantor Marital Status Code | ||
| hl7v2:GT1.31 | DT | 0 … 1 | Guarantor Hire Effective Date Contains 2.16.840.1.113883.3.1937.777.10.15.80 DT - Date (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 782 | ||
| @Type | 0 … 1 | F | DT | ||
| @LongName | 0 … 1 | F | Guarantor Hire Effective Date | ||
| hl7v2:GT1.32 | DT | 0 … 1 | Employment Stop Date Contains 2.16.840.1.113883.3.1937.777.10.15.80 DT - Date (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 783 | ||
| @Type | 0 … 1 | F | DT | ||
| @LongName | 0 … 1 | F | Employment Stop Date | ||
| hl7v2:GT1.33 | IS | 0 … 1 | Living Dependency Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 755 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70223 | ||
| @LongName | 0 … 1 | F | Living Dependency | ||
| hl7v2:GT1.34 | IS | 0 … * | Ambulatory Status Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 145 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70009 | ||
| @LongName | 0 … 1 | F | Ambulatory Status | ||
| hl7v2:GT1.35 | CE | 0 … * | Citizenship Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 129 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70171 | ||
| @LongName | 0 … 1 | F | Citizenship | ||
| hl7v2:GT1.36 | CE | 0 … 1 | Primary Language Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 118 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70296 | ||
| @LongName | 0 … 1 | F | Primary Language | ||
| hl7v2:GT1.37 | IS | 0 … 1 | Living Arrangement Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 742 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70220 | ||
| @LongName | 0 … 1 | F | Living Arrangement | ||
| hl7v2:GT1.38 | CE | 0 … 1 | Publicity Code Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 743 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70215 | ||
| @LongName | 0 … 1 | F | Publicity Code | ||
| hl7v2:GT1.39 | ID | 0 … 1 | Protection Indicator Contains 2.16.840.1.113883.3.1937.777.10.15.83 ID - Coded value for HL7 defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 744 | ||
| @Type | 0 … 1 | F | ID | ||
| @Table | 0 … 1 | F | HL70136 | ||
| @LongName | 0 … 1 | F | Protection Indicator | ||
| hl7v2:GT1.40 | IS | 0 … 1 | Student Indicator Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 745 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70231 | ||
| @LongName | 0 … 1 | F | Student Indicator | ||
| hl7v2:GT1.41 | CE | 0 … 1 | Religion Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 120 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70006 | ||
| @LongName | 0 … 1 | F | Religion | ||
| hl7v2:GT1.42 | XPN | 0 … * | Mother's Maiden Name Contains 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 109 | ||
| @Type | 0 … 1 | F | XPN | ||
| @LongName | 0 … 1 | F | Mother's Maiden Name | ||
| hl7v2:GT1.43 | CE | 0 … 1 | Nationality Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 739 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70212 | ||
| @LongName | 0 … 1 | F | Nationality | ||
| hl7v2:GT1.44 | CE | 0 … * | Ethnic Group Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 125 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70189 | ||
| @LongName | 0 … 1 | F | Ethnic Group | ||
| hl7v2:GT1.45 | XPN | 0 … * | Contact Person's Name Contains 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 748 | ||
| @Type | 0 … 1 | F | XPN | ||
| @LongName | 0 … 1 | F | Contact Person's Name | ||
| hl7v2:GT1.46 | XTN | 0 … * | Contact Person's Telephone Number Contains 2.16.840.1.113883.3.1937.777.10.15.77 XTN - Extended telecommunications number (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 749 | ||
| @Type | 0 … 1 | F | XTN | ||
| @LongName | 0 … 1 | F | Contact Person's Telephone Number | ||
| hl7v2:GT1.47 | CE | 0 … 1 | Contact Reason Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 747 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70222 | ||
| @LongName | 0 … 1 | F | Contact Reason | ||
| hl7v2:GT1.48 | IS | 0 … 1 | Contact Relationship Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 784 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70063 | ||
| @LongName | 0 … 1 | F | Contact Relationship | ||
| hl7v2:GT1.49 | ST | 0 … 1 | Job Title Contains 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 785 | ||
| @Type | 0 … 1 | F | ST | ||
| @LongName | 0 … 1 | F | Job Title | ||
| hl7v2:GT1.50 | JCC | 0 … 1 | Job Code/Class Contains 2.16.840.1.113883.3.1937.777.10.15.30 JCC - Job code/class (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 786 | ||
| @Type | 0 … 1 | F | JCC | ||
| @LongName | 0 … 1 | F | Job Code/Class | ||
| hl7v2:GT1.51 | XON | 0 … * | Guarantor Employer's Organization Name Contains 2.16.840.1.113883.3.1937.777.10.15.75 XON - Extended composite name and ID number for organizations (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 1299 | ||
| @Type | 0 … 1 | F | XON | ||
| @LongName | 0 … 1 | F | Guarantor Employer's Organization Name | ||
| hl7v2:GT1.52 | IS | 0 … 1 | Handicap Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 753 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70295 | ||
| @LongName | 0 … 1 | F | Handicap | ||
| hl7v2:GT1.53 | IS | 0 … 1 | Job Status Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 752 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70311 | ||
| @LongName | 0 … 1 | F | Job Status | ||
| hl7v2:GT1.54 | FC | 0 … 1 | Guarantor Financial Class Contains 2.16.840.1.113883.3.1937.777.10.15.25 FC - Financial class (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 1231 | ||
| @Type | 0 … 1 | F | FC | ||
| @LongName | 0 … 1 | F | Guarantor Financial Class | ||
| hl7v2:GT1.55 | CE | 0 … * | Guarantor Race Contains 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 1291 | ||
| @Type | 0 … 1 | F | CE | ||
| @Table | 0 … 1 | F | HL70005 | ||
| @LongName | 0 … 1 | F | Guarantor Race | ||
| hl7v2:GT1.56 | ST | 0 … 1 | Guarantor Birth Place Contains 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 1851 | ||
| @Type | 0 … 1 | F | ST | ||
| @LongName | 0 … 1 | F | Guarantor Birth Place | ||
| hl7v2:GT1.57 | IS | 0 … 1 | VIP Indicator Contains 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMIC) | GT1_ment | |
| @Item | 0 … 1 | F | 146 | ||
| @Type | 0 … 1 | F | IS | ||
| @Table | 0 … 1 | F | HL70099 | ||
| @LongName | 0 … 1 | F | VIP Indicator | ||