hl7v2:GT1.1
  | 
                                 SI | 
                                 1 … 1 | 
                                  | 
                                   Set ID - GT1 Bevat 2.16.840.1.113883.3.1937.777.10.15.88 SI - Sequence ID (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @Item
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 405 | 
                              
                              
                                 @Type
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 SI | 
                              
                              
                                 @LongName
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 Set ID - GT1 | 
                              
                              
                                 hl7v2:GT1.2
  | 
                                 CX | 
                                 0 … * | 
                                  | 
                                   Guarantor Number Bevat 2.16.840.1.113883.3.1937.777.10.15.12 CX - Extended composite ID with check digit (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @Item
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 406 | 
                              
                              
                                 @Type
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 CX | 
                              
                              
                                 @LongName
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 Guarantor Number | 
                              
                              
                                 hl7v2:GT1.3
  | 
                                 XPN | 
                                 1 … * | 
                                  | 
                                   Guarantor Name Bevat 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @Item
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 407 | 
                              
                              
                                 @Type
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 XPN | 
                              
                              
                                 @LongName
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 Guarantor Name | 
                              
                              
                                 hl7v2:GT1.4
  | 
                                 XPN | 
                                 0 … * | 
                                  | 
                                   Guarantor Spouse Name Bevat 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @Item
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 408 | 
                              
                              
                                 @Type
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 XPN | 
                              
                              
                                 @LongName
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 Guarantor Spouse Name | 
                              
                              
                                 hl7v2:GT1.5
  | 
                                 XAD | 
                                 0 … * | 
                                  | 
                                   Guarantor Address Bevat 2.16.840.1.113883.3.1937.777.10.15.73 XAD - Extended address (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.77 XTN - Extended telecommunications number (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.77 XTN - Extended telecommunications number (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.64 TS - Time stamp (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.80 DT - Date (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.80 DT - Date (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.86 NM - Numeric (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @Item
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 419 | 
                              
                              
                                 @Type
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 NM | 
                              
                              
                                 @LongName
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 Guarantor Priority | 
                              
                              
                                 hl7v2:GT1.16
  | 
                                 XPN | 
                                 0 … * | 
                                  | 
                                   Guarantor Employer Name Bevat 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.73 XAD - Extended address (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.77 XTN - Extended telecommunications number (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.12 CX - Extended composite ID with check digit (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.75 XON - Extended composite name and ID number for organizations (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.83 ID - Coded value for HL7 defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.64 TS - Time stamp (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.83 ID - Coded value for HL7 defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.8 CP - Composite price (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.86 NM - Numeric (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.12 CX - Extended composite ID with check digit (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.80 DT - Date (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.80 DT - Date (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.83 ID - Coded value for HL7 defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.76 XPN - Extended person name (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.77 XTN - Extended telecommunications number (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.30 JCC - Job code/class (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.75 XON - Extended composite name and ID number for organizations (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.25 FC - Financial class (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @Item
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 1231 | 
                              
                              
                                 @Type
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 FC | 
                              
                              
                                 @LongName
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 Guarantor Financial Class | 
                              
                              
                                 hl7v2:GT1.55
  | 
                                 CE | 
                                 0 … * | 
                                  | 
                                   Guarantor Race Bevat 2.16.840.1.113883.3.1937.777.10.15.5 CE - Coded element (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.89 ST - String (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @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 Bevat 2.16.840.1.113883.3.1937.777.10.15.84 IS - Coded value for user-defined tables (DYNAMISCH) | 
                                 (GT1 ent) | 
                              
                              
                                 @Item
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 146 | 
                              
                              
                                 @Type
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 IS | 
                              
                              
                                 @Table
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 HL70099 | 
                              
                              
                                 @LongName
  | 
                                  | 
                                 0 … 1 | 
                                 F | 
                                 VIP Indicator |