Terug naar index  <<  Terug naar templates

active Template  FT1 - Financial Transaction

Id 2.16.840.1.113883.3.1937.777.10.13.48
ref
ad4bbr-
Ingangsdatum 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