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ref Template  FT1 - Financial Transaction

Id 2.16.840.1.113883.3.1937.777.10.13.48
ref
(van repository: ad4bbr-)		 Geldigheid geldig vanaf 2013‑02‑10
Status active Actief Versielabel
Naam FT1_segment Weergavenaam FT1 - Financial Transaction
Classificatie HL7v2 segment level template
Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Gebruikt door / Gebruikt
Gebruikt door 0 transacties en 1 template, Gebruikt 14 templates
Gebruikt door als Naam Versie
2.16.840.1.113883.2.4.3.11.60.25.10.1 Containment draft Lab2Lab Aanvraagbericht (OML^O21) 2015‑07‑21 11:35:02
Gebruikt als Naam Versie
2.16.840.1.113883.3.1937.777.10.15.88 Containment active SI - Sequence ID DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.89 Containment active ST - String DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.18 Containment active DR - Date/time range DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.64 Containment active TS - Time stamp DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.84 Containment active IS - Coded value for user-defined tables DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.5 Containment active CE - Coded element DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.86 Containment active NM - Numeric DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.8 Containment active CP - Composite price DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.44 Containment active PL - Person location DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.74 Containment active XCN - Extended composite ID number and name for persons DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.21 Containment active EI - Entity identifier DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.11 Containment active CWE - Coded with exceptions DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.6 Containment active CNE - Coded with no exceptions DYNAMISCH
2.16.840.1.113883.3.1937.777.10.15.12 Containment active CX - Extended composite ID with check digit DYNAMISCH
Item DT Card Conf Omschrijving Label
hl7v2:FT1.1
 SI 0 … 1
en-US Set ID - FT1

Bevat 2.16.840.1.113883.3.1937.777.10.15.88 SI - Sequence ID (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 355
@Type
 0 … 1 F SI
@LongName
 0 … 1 F Set ID - FT1
hl7v2:FT1.2
 ST 0 … 1
en-US Transaction ID

Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 356
@Type
 0 … 1 F ST
@LongName
 0 … 1 F Transaction ID
hl7v2:FT1.3
 ST 0 … 1
en-US Transaction Batch ID

Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 357
@Type
 0 … 1 F ST
@LongName
 0 … 1 F Transaction Batch ID
hl7v2:FT1.4
 DR 1 … 1
en-US Transaction Date

Bevat 2.16.840.1.113883.3.1937.777.10.15.18 DR - Date/time range (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 358
@Type
 0 … 1 F DR
@LongName
 0 … 1 F Transaction Date
hl7v2:FT1.5
 TS 0 … 1
en-US Transaction Posting Date

Bevat 2.16.840.1.113883.3.1937.777.10.15.64 TS - Time stamp (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 359
@Type
 0 … 1 F TS
@LongName
 0 … 1 F Transaction Posting Date
hl7v2:FT1.6
 IS 1 … 1
en-US Transaction Type

Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 360
@Type
 0 … 1 F IS
@Table
 0 … 1 F HL70017
@LongName
 0 … 1 F Transaction Type
hl7v2:FT1.7
 CE 1 … 1
en-US Transaction Code

Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 361
@Type
 0 … 1 F CE
@Table
 0 … 1 F HL70132
@LongName
 0 … 1 F Transaction Code
hl7v2:FT1.8
 ST 0 … 1
en-US Transaction Description

Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 362
@Type
 0 … 1 F ST
@LongName
 0 … 1 F Transaction Description
hl7v2:FT1.9
 ST 0 … 1
en-US Transaction Description - Alt

Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 363
@Type
 0 … 1 F ST
@LongName
 0 … 1 F Transaction Description - Alt
hl7v2:FT1.10
 NM 0 … 1
en-US Transaction Quantity

Bevat 2.16.840.1.113883.3.1937.777.10.15.86 NM - Numeric (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 364
@Type
 0 … 1 F NM
@LongName
 0 … 1 F Transaction Quantity
hl7v2:FT1.11
 CP 0 … 1
en-US Transaction Amount - Extended

Bevat 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 365
@Type
 0 … 1 F CP
@LongName
 0 … 1 F Transaction Amount - Extended
hl7v2:FT1.12
 CP 0 … 1
en-US Transaction Amount - Unit

Bevat 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 366
@Type
 0 … 1 F CP
@LongName
 0 … 1 F Transaction Amount - Unit
hl7v2:FT1.13
 CE 0 … 1
en-US Department Code

Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 367
@Type
 0 … 1 F CE
@Table
 0 … 1 F HL70049
@LongName
 0 … 1 F Department Code
hl7v2:FT1.14
 CE 0 … 1
en-US Insurance Plan ID

Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 368
@Type
 0 … 1 F CE
@Table
 0 … 1 F HL70072
@LongName
 0 … 1 F Insurance Plan ID
hl7v2:FT1.15
 CP 0 … 1
en-US Insurance Amount

Bevat 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 369
@Type
 0 … 1 F CP
@LongName
 0 … 1 F Insurance Amount
hl7v2:FT1.16
 PL 0 … 1
en-US Assigned Patient Location

Bevat 2.16.840.1.113883.3.1937.777.10.15.44 PL - Person location (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 133
@Type
 0 … 1 F PL
@LongName
 0 … 1 F Assigned Patient Location
hl7v2:FT1.17
 IS 0 … 1
en-US Fee Schedule

Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 370
@Type
 0 … 1 F IS
@Table
 0 … 1 F HL70024
@LongName
 0 … 1 F Fee Schedule
hl7v2:FT1.18
 IS 0 … 1
en-US Patient Type

Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 148
@Type
 0 … 1 F IS
@Table
 0 … 1 F HL70018
@LongName
 0 … 1 F Patient Type
hl7v2:FT1.19
 CE 0 … *
en-US Diagnosis Code - FT1

Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 371
@Type
 0 … 1 F CE
@Table
 0 … 1 F HL70051
@LongName
 0 … 1 F Diagnosis Code - FT1
hl7v2:FT1.20
 XCN 0 … *
en-US Performed By Code

Bevat 2.16.840.1.113883.3.1937.777.10.15.74 XCN - Extended composite ID number and name for persons (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 372
@Type
 0 … 1 F XCN
@Table
 0 … 1 F HL70084
@LongName
 0 … 1 F Performed By Code
hl7v2:FT1.21
 XCN 0 … *
en-US Ordered By Code

Bevat 2.16.840.1.113883.3.1937.777.10.15.74 XCN - Extended composite ID number and name for persons (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 373
@Type
 0 … 1 F XCN
@LongName
 0 … 1 F Ordered By Code
hl7v2:FT1.22
 CP 0 … 1
en-US Unit Cost

Bevat 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 374
@Type
 0 … 1 F CP
@LongName
 0 … 1 F Unit Cost
hl7v2:FT1.23
 EI 0 … 1
en-US Filler Order Number

Bevat 2.16.840.1.113883.3.1937.777.10.15.21 EI - Entity identifier (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 217
@Type
 0 … 1 F EI
@LongName
 0 … 1 F Filler Order Number
hl7v2:FT1.24
 XCN 0 … *
en-US Entered By Code

Bevat 2.16.840.1.113883.3.1937.777.10.15.74 XCN - Extended composite ID number and name for persons (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 765
@Type
 0 … 1 F XCN
@LongName
 0 … 1 F Entered By Code
hl7v2:FT1.25
 CE 0 … 1
en-US Procedure Code

Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 393
@Type
 0 … 1 F CE
@Table
 0 … 1 F HL70088
@LongName
 0 … 1 F Procedure Code
hl7v2:FT1.26
 CE 0 … *
en-US Procedure Code Modifier

Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 1316
@Type
 0 … 1 F CE
@Table
 0 … 1 F HL70340
@LongName
 0 … 1 F Procedure Code Modifier
hl7v2:FT1.27
 CE 0 … 1
en-US Advanced Beneficiary Notice Code

Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 1310
@Type
 0 … 1 F CE
@Table
 0 … 1 F HL70339
@LongName
 0 … 1 F Advanced Beneficiary Notice Code
hl7v2:FT1.28
 CWE 0 … 1
en-US Medically Necessary Duplicate Procedure Reason.

Bevat 2.16.840.1.113883.3.1937.777.10.15.11 CWE - Coded with exceptions (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 1646
@Type
 0 … 1 F CWE
@Table
 0 … 1 F HL70476
@LongName
 0 … 1 F Medically Necessary Duplicate Procedure Reason.
hl7v2:FT1.29
 CNE 0 … 1
en-US NDC Code

Bevat 2.16.840.1.113883.3.1937.777.10.15.6 CNE - Coded with no exceptions (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 1845
@Type
 0 … 1 F CNE
@Table
 0 … 1 F HL70549
@LongName
 0 … 1 F NDC Code
hl7v2:FT1.30
 CX 0 … 1
en-US Payment Reference ID

Bevat 2.16.840.1.113883.3.1937.777.10.15.12 CX - Extended composite ID with check digit (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 1846
@Type
 0 … 1 F CX
@LongName
 0 … 1 F Payment Reference ID
hl7v2:FT1.31
 SI 0 … *
en-US Transaction Reference Key

Bevat 2.16.840.1.113883.3.1937.777.10.15.88 SI - Sequence ID (DYNAMISCH) 		(FT1dotsent)
@Item
 0 … 1 F 1847
@Type
 0 … 1 F SI
@LongName
 0 … 1 F Transaction Reference Key