hl7v2:FT1.1
|
SI |
0 … 1 |
|
 Set ID - FT1
Bevat 2.16.840.1.113883.3.1937.777.10.15.88 SI - Sequence ID (DYNAMISCH) |
(FT1 ent) |
@Item
|
|
0 … 1 |
F |
355 |
@Type
|
|
0 … 1 |
F |
SI |
@LongName
|
|
0 … 1 |
F |
Set ID - FT1 |
hl7v2:FT1.2
|
ST |
0 … 1 |
|
Transaction ID
Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
356 |
@Type
|
|
0 … 1 |
F |
ST |
@LongName
|
|
0 … 1 |
F |
Transaction ID |
hl7v2:FT1.3
|
ST |
0 … 1 |
|
Transaction Batch ID
Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
357 |
@Type
|
|
0 … 1 |
F |
ST |
@LongName
|
|
0 … 1 |
F |
Transaction Batch ID |
hl7v2:FT1.4
|
DR |
1 … 1 |
|
Transaction Date
Bevat 2.16.840.1.113883.3.1937.777.10.15.18 DR - Date/time range (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
358 |
@Type
|
|
0 … 1 |
F |
DR |
@LongName
|
|
0 … 1 |
F |
Transaction Date |
hl7v2:FT1.5
|
TS |
0 … 1 |
|
Transaction Posting Date
Bevat 2.16.840.1.113883.3.1937.777.10.15.64 TS - Time stamp (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
359 |
@Type
|
|
0 … 1 |
F |
TS |
@LongName
|
|
0 … 1 |
F |
Transaction Posting Date |
hl7v2:FT1.6
|
IS |
1 … 1 |
|
Transaction Type
Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) |
(FT1ent) |
@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 |
|
Transaction Code
Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) |
(FT1ent) |
@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 |
|
Transaction Description
Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
362 |
@Type
|
|
0 … 1 |
F |
ST |
@LongName
|
|
0 … 1 |
F |
Transaction Description |
hl7v2:FT1.9
|
ST |
0 … 1 |
|
Transaction Description - Alt
Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
363 |
@Type
|
|
0 … 1 |
F |
ST |
@LongName
|
|
0 … 1 |
F |
Transaction Description - Alt |
hl7v2:FT1.10
|
NM |
0 … 1 |
|
Transaction Quantity
Bevat 2.16.840.1.113883.3.1937.777.10.15.86 NM - Numeric (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
364 |
@Type
|
|
0 … 1 |
F |
NM |
@LongName
|
|
0 … 1 |
F |
Transaction Quantity |
hl7v2:FT1.11
|
CP |
0 … 1 |
|
Transaction Amount - Extended
Bevat 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
365 |
@Type
|
|
0 … 1 |
F |
CP |
@LongName
|
|
0 … 1 |
F |
Transaction Amount - Extended |
hl7v2:FT1.12
|
CP |
0 … 1 |
|
Transaction Amount - Unit
Bevat 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
366 |
@Type
|
|
0 … 1 |
F |
CP |
@LongName
|
|
0 … 1 |
F |
Transaction Amount - Unit |
hl7v2:FT1.13
|
CE |
0 … 1 |
|
Department Code
Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) |
(FT1ent) |
@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 |
|
Insurance Plan ID
Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) |
(FT1ent) |
@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 |
|
Insurance Amount
Bevat 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
369 |
@Type
|
|
0 … 1 |
F |
CP |
@LongName
|
|
0 … 1 |
F |
Insurance Amount |
hl7v2:FT1.16
|
PL |
0 … 1 |
|
Assigned Patient Location
Bevat 2.16.840.1.113883.3.1937.777.10.15.44 PL - Person location (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
133 |
@Type
|
|
0 … 1 |
F |
PL |
@LongName
|
|
0 … 1 |
F |
Assigned Patient Location |
hl7v2:FT1.17
|
IS |
0 … 1 |
|
Fee Schedule
Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) |
(FT1ent) |
@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 |
|
Patient Type
Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) |
(FT1ent) |
@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 … * |
|
Diagnosis Code - FT1
Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) |
(FT1ent) |
@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 … * |
|
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) |
(FT1ent) |
@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 … * |
|
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) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
373 |
@Type
|
|
0 … 1 |
F |
XCN |
@LongName
|
|
0 … 1 |
F |
Ordered By Code |
hl7v2:FT1.22
|
CP |
0 … 1 |
|
Unit Cost
Bevat 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
374 |
@Type
|
|
0 … 1 |
F |
CP |
@LongName
|
|
0 … 1 |
F |
Unit Cost |
hl7v2:FT1.23
|
EI |
0 … 1 |
|
Filler Order Number
Bevat 2.16.840.1.113883.3.1937.777.10.15.21 EI - Entity identifier (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
217 |
@Type
|
|
0 … 1 |
F |
EI |
@LongName
|
|
0 … 1 |
F |
Filler Order Number |
hl7v2:FT1.24
|
XCN |
0 … * |
|
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) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
765 |
@Type
|
|
0 … 1 |
F |
XCN |
@LongName
|
|
0 … 1 |
F |
Entered By Code |
hl7v2:FT1.25
|
CE |
0 … 1 |
|
Procedure Code
Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) |
(FT1ent) |
@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 … * |
|
Procedure Code Modifier
Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) |
(FT1ent) |
@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 |
|
Advanced Beneficiary Notice Code
Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) |
(FT1ent) |
@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 |
|
Medically Necessary Duplicate Procedure Reason.
Bevat 2.16.840.1.113883.3.1937.777.10.15.11 CWE - Coded with exceptions (DYNAMISCH) |
(FT1ent) |
@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 |
|
NDC Code
Bevat 2.16.840.1.113883.3.1937.777.10.15.6 CNE - Coded with no exceptions (DYNAMISCH) |
(FT1ent) |
@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 |
|
Payment Reference ID
Bevat 2.16.840.1.113883.3.1937.777.10.15.12 CX - Extended composite ID with check digit (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
1846 |
@Type
|
|
0 … 1 |
F |
CX |
@LongName
|
|
0 … 1 |
F |
Payment Reference ID |
hl7v2:FT1.31
|
SI |
0 … * |
|
Transaction Reference Key
Bevat 2.16.840.1.113883.3.1937.777.10.15.88 SI - Sequence ID (DYNAMISCH) |
(FT1ent) |
@Item
|
|
0 … 1 |
F |
1847 |
@Type
|
|
0 … 1 |
F |
SI |
@LongName
|
|
0 … 1 |
F |
Transaction Reference Key |
Template FT1 - Financial Transaction
Lab2Lab Aanvraagbericht (OML^O21)