Report for HL7 Segment [ PID ]
Description: Patient identification
39 Defined HL7 Data Fields
HL7 Vendor: Example Labs Version: 2.5.1
Description: HL7 Definition for Example Laboratory

Field #1 Data Type: [SI] Components [1] - Set ID - PID
Component Type Description
# 1 [ST] Sequence ID

Field #2 Data Type: [CX] Components [10] - Patient ID
Component Type Description
# 1 [ST] ID Number
# 2 [ST] Check Digit
# 3 [ID] Check Digit Scheme
# 4 [HD] Assigning Authority
# 5 [ID] Identifier Type Code
# 6 [HD] Assigning Facility
# 7 [DT] Effective Date
# 8 [DT] Expiration Date
# 9 [CWE] Assigning Jurisdiction
# 10 [CWE] Assigning Agency or Department

Field #3 Data Type: [CX] Components [10] - Patient Identifier List
Component Type Description
# 1 [ST] ID Number
# 2 [ST] Check Digit
# 3 [ID] Check Digit Scheme
# 4 [HD] Assigning Authority
# 5 [ID] Identifier Type Code
# 6 [HD] Assigning Facility
# 7 [DT] Effective Date
# 8 [DT] Expiration Date
# 9 [CWE] Assigning Jurisdiction
# 10 [CWE] Assigning Agency or Department

Field #4 Data Type: [CX] Components [10] - Alternate Patient ID - PID
Component Type Description
# 1 [ST] ID Number
# 2 [ST] Check Digit
# 3 [ID] Check Digit Scheme
# 4 [HD] Assigning Authority
# 5 [ID] Identifier Type Code
# 6 [HD] Assigning Facility
# 7 [DT] Effective Date
# 8 [DT] Expiration Date
# 9 [CWE] Assigning Jurisdiction
# 10 [CWE] Assigning Agency or Department

Field #5 Data Type: [XPN] Components [14] - Patient Name
Component Type Description
# 1 [FN] family name (last name)
# 2 [ST] given name (first name)
# 3 [ST] middle initial or name
# 4 [ST] suffix (jr, sr, etc)
# 5 [ST] prefix (Mr, Mrs, Dr etc)
# 6 [IS] degree (MD, PHD etc)
# 7 [ID] name type code
# 8 [ID] Name Representation Code
# 9 [CE] Name Context
# 10 [DR] Name Validity Range
# 11 [ID] Name Assembly Order
# 12 [TS] Effective Date
# 13 [TS] Expiration Date
# 14 [ST] Professional Suffix

Field #6 Data Type: [XPN] Components [14] - Mother's Maiden Name
Component Type Description
# 1 [FN] family name (last name)
# 2 [ST] given name (first name)
# 3 [ST] middle initial or name
# 4 [ST] suffix (jr, sr, etc)
# 5 [ST] prefix (Mr, Mrs, Dr etc)
# 6 [IS] degree (MD, PHD etc)
# 7 [ID] name type code
# 8 [ID] Name Representation Code
# 9 [CE] Name Context
# 10 [DR] Name Validity Range
# 11 [ID] Name Assembly Order
# 12 [TS] Effective Date
# 13 [TS] Expiration Date
# 14 [ST] Professional Suffix

Field #7 Data Type: [TS] Components [2] - Date/Time Of Birth
Component Type Description
# 1 [DTM] Time stamp data
# 2 [ST] degree of precision (optional)

Field #8 Data Type: [IS] Components [1] - Administrative Sex
Component Type Description
# 1 [ST] Code value for user-defined table

Field #9 Data Type: [XPN] Components [14] - Patient Alias
Component Type Description
# 1 [FN] family name (last name)
# 2 [ST] given name (first name)
# 3 [ST] middle initial or name
# 4 [ST] suffix (jr, sr, etc)
# 5 [ST] prefix (Mr, Mrs, Dr etc)
# 6 [IS] degree (MD, PHD etc)
# 7 [ID] name type code
# 8 [ID] Name Representation Code
# 9 [CE] Name Context
# 10 [DR] Name Validity Range
# 11 [ID] Name Assembly Order
# 12 [TS] Effective Date
# 13 [TS] Expiration Date
# 14 [ST] Professional Suffix

Field #10 Data Type: [CE] Components [6] - Race
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #11 Data Type: [XAD] Components [14] - Patient Address
Component Type Description
# 1 [SAD] street address
# 2 [ST] other designation
# 3 [ST] city
# 4 [ST] state or province
# 5 [ST] zip or postal code
# 6 [ID] country
# 7 [ID] address type
# 8 [ST] other geographic designation
# 9 [IS] County/Parish Code
# 10 [IS] Census Tract
# 11 [ID] Address Representation Code
# 12 [DR] Address Validity Range
# 13 [TS] Effective Date
# 14 [TS] Expiration Date

Field #12 Data Type: [IS] Components [1] - County Code
Component Type Description
# 1 [ST] Code value for user-defined table

Field #13 Data Type: [XTN] Components [12] - Phone Number - Home
Component Type Description
# 1 [ST] Telephone Number
# 2 [ID] Telecommunication Use Code
# 3 [ID] Telecommunication Equipment Type
# 4 [ST] Email Address
# 5 [NM] Country Code
# 6 [NM] Area/City Code
# 7 [NM] Local Number
# 8 [NM] Extension
# 9 [ST] Any Text
# 10 [ST] Extension Prefix
# 11 [ST] Speed Dial Code
# 12 [ST] Unformatted Telephone number

Field #14 Data Type: [XTN] Components [12] - Phone Number - Business
Component Type Description
# 1 [ST] Telephone Number
# 2 [ID] Telecommunication Use Code
# 3 [ID] Telecommunication Equipment Type
# 4 [ST] Email Address
# 5 [NM] Country Code
# 6 [NM] Area/City Code
# 7 [NM] Local Number
# 8 [NM] Extension
# 9 [ST] Any Text
# 10 [ST] Extension Prefix
# 11 [ST] Speed Dial Code
# 12 [ST] Unformatted Telephone number

Field #15 Data Type: [CE] Components [6] - Primary Language
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #16 Data Type: [CE] Components [6] - Marital Status
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #17 Data Type: [CE] Components [6] - Religion
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #18 Data Type: [CX] Components [10] - Patient Account Number
Component Type Description
# 1 [ST] ID Number
# 2 [ST] Check Digit
# 3 [ID] Check Digit Scheme
# 4 [HD] Assigning Authority
# 5 [ID] Identifier Type Code
# 6 [HD] Assigning Facility
# 7 [DT] Effective Date
# 8 [DT] Expiration Date
# 9 [CWE] Assigning Jurisdiction
# 10 [CWE] Assigning Agency or Department

Field #19 Data Type: [ST] Components [1] - SSN Number - Patient
Component Type Description
# 1 [ST] string data

Field #20 Data Type: [DLN] Components [3] - Driver's License Number - Patient
Component Type Description
# 1 [ST] license number
# 2 [IS] issuing state, province, country
# 3 [DT] expiration date

Field #21 Data Type: [CX] Components [10] - Mother's Identifier
Component Type Description
# 1 [ST] ID Number
# 2 [ST] Check Digit
# 3 [ID] Check Digit Scheme
# 4 [HD] Assigning Authority
# 5 [ID] Identifier Type Code
# 6 [HD] Assigning Facility
# 7 [DT] Effective Date
# 8 [DT] Expiration Date
# 9 [CWE] Assigning Jurisdiction
# 10 [CWE] Assigning Agency or Department

Field #22 Data Type: [CE] Components [6] - Ethnic Group
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #23 Data Type: [ST] Components [1] - Birth Place
Component Type Description
# 1 [ST] string data

Field #24 Data Type: [ID] Components [1] - Multiple Birth Indicator
Component Type Description
# 1 [ST] Coded value for HL7 Tables

Field #25 Data Type: [NM] Components [1] - Birth Order
Component Type Description
# 1 [ST] Numeric data

Field #26 Data Type: [CE] Components [6] - Citizenship
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #27 Data Type: [CE] Components [6] - Veterans Military Status
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #28 Data Type: [CE] Components [6] - Nationality
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #29 Data Type: [TS] Components [2] - Patient Death Date and Time
Component Type Description
# 1 [DTM] Time stamp data
# 2 [ST] degree of precision (optional)

Field #30 Data Type: [ID] Components [1] - Patient Death Indicator
Component Type Description
# 1 [ST] Coded value for HL7 Tables

Field #31 Data Type: [ID] Components [1] - Identity Unknown Indicator
Component Type Description
# 1 [ST] Coded value for HL7 Tables

Field #32 Data Type: [IS] Components [1] - Identity Reliability Code
Component Type Description
# 1 [ST] Code value for user-defined table

Field #33 Data Type: [TS] Components [2] - Last Update Date/Time
Component Type Description
# 1 [DTM] Time stamp data
# 2 [ST] degree of precision (optional)

Field #34 Data Type: [HD] Components [3] - Last Update Facility
Component Type Description
# 1 [IS] namespace id
# 2 [ST] universal ID
# 3 [ID] universal ID type

Field #35 Data Type: [CE] Components [6] - Species Code
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #36 Data Type: [CE] Components [6] - Breed Code
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #37 Data Type: [ST] Components [1] - Strain
Component Type Description
# 1 [ST] string data

Field #38 Data Type: [CE] Components [6] - Production Class Code
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system

Field #39 Data Type: [CWE] Components [9] - Tribal Citizenship
Component Type Description
# 1 [ST] identifier
# 2 [ST] text
# 3 [ID] name of coding system
# 4 [ST] alternate identifier
# 5 [ST] alternate text
# 6 [ID] name of alternate coding system
# 7 [ST] coding system version ID
# 8 [ST] alternate coding system version ID
# 9 [ST] original text