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275Patient Information

This Draft Standard for Trial Use contains the format and establishes the data contents of the Patient Information Transaction Set (275) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used to communicate individual patient information requests and patient information (either solicited or unsolicited) between separate health care entities in a variety of settings to be consistent with confidentiality and use requirements. Patient information consists of demographic, clinical, and other supporting data.

  • ST
    Transaction Set Header
    M必须(Mandatory)
    Repeat 1

    To indicate the start of a transaction set and to assign a control number

  • BGN
    Beginning Segment
    O可选(Optional)
    Repeat 1

    To indicate the beginning of a transaction set

  • DTM
    Date/Time Reference
    O可选(Optional)
    Repeat 3

    To specify pertinent dates and times

  • TRN
    Trace
    O可选(Optional)
    Repeat 5

    To uniquely identify a transaction to an application

  • NM1Loop1Individual or Organizational Name LOOPO可选(Optional)Repeat > 1
    NM1IN1DMGPRVPERREFDTPNX1Loop1
    • NM1
      Individual or Organizational Name
      M必须(Mandatory)
      Repeat 1

      To supply the full name of an individual or organizational entity

    • IN1
      Individual Identification
      O可选(Optional)
      Repeat 1

      To provide identification of an individual or entity

    • DMG
      Demographic Information
      O可选(Optional)
      Repeat 3

      To supply demographic information

    • PRV
      Provider Information
      O可选(Optional)
      Repeat 1

      To specify the identifying characteristics of a provider

    • PER
      Administrative Communications Contact
      O可选(Optional)
      Repeat 2

      To identify a person or office to whom administrative communications should be directed

    • REF
      Reference Identification
      O可选(Optional)
      Repeat 5

      To specify identifying information

    • DTP
      Date or Time or Period
      O可选(Optional)
      Repeat 1

      To specify any or all of a date, a time, or a time period

    • NX1Loop1Property or Entity Identification LOOPO可选(Optional)Repeat 5
      NX1N3N4
      • NX1
        Property or Entity Identification
        M必须(Mandatory)
        Repeat 1

        To define the attributes of a property or an entity

      • N3
        Address Information
        O可选(Optional)
        Repeat 1

        To specify the location of the named party

      • N4
        Geographic Location
        O可选(Optional)
        Repeat 1

        To specify the geographic place of the named party

  • LXLoop1Assigned Number LOOPO可选(Optional)Repeat > 1
    LXTRNSTCNM1PRVPERREFDTPLoop1
    • LX
      Assigned Number
      M必须(Mandatory)
      Repeat 1

      To reference a line number in a transaction set

    • TRN
      Trace
      O可选(Optional)
      Repeat 1

      To uniquely identify a transaction to an application

    • STC
      Status Information
      O可选(Optional)
      Repeat 1

      To report the status, required action, and paid information of a claim or service line

    • NM1
      Individual or Organizational Name
      O可选(Optional)
      Repeat 1

      To supply the full name of an individual or organizational entity

    • PRV
      Provider Information
      O可选(Optional)
      Repeat 1

      To specify the identifying characteristics of a provider

    • PER
      Administrative Communications Contact
      O可选(Optional)
      Repeat 1

      To identify a person or office to whom administrative communications should be directed

    • REF
      Reference Identification
      O可选(Optional)
      Repeat 5

      To specify identifying information

    • DTPLoop1Date or Time or Period LOOPO可选(Optional)Repeat > 1
      DTPCATPIDEFILoop1
      • DTP
        Date or Time or Period
        M必须(Mandatory)
        Repeat 1

        To specify any or all of a date, a time, or a time period

      • CAT
        Category of Patient Information Service
        O可选(Optional)
        Repeat 1

        To specify categories of patient information service

      • PID
        Product/Item Description
        O可选(Optional)
        Repeat 1

        To describe a product or process in coded or free-form format

      • EFILoop1Electronic Format Identification LOOPO可选(Optional)Repeat 1
        EFIBIN
        • EFI
          Electronic Format Identification
          M必须(Mandatory)
          Repeat 1

          To provide basic information about the electronic format of the interchange data

        • BIN
          Binary Data
          M必须(Mandatory)
          Repeat 1

          To transfer binary data in a single data segment and allow identification of the end of the data segment through a count; there is no identification of the internal structure of the binary data in this segment

  • SE
    Transaction Set Trailer
    M必须(Mandatory)
    Repeat 1

    To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

Segment
X12 EDI Release 00403
STTransaction Set Header
To indicate the start of a transaction set and to assign a control number
Elements
  • ST01143Transaction Set Identifier Code
    ID
    M必须(Mandatory)
    Min 3 / Max 3

    Code uniquely identifying a Transaction Set

    Codes (320)
  • ST02329Transaction Set Control Number
    AN
    M必须(Mandatory)
    Min 4 / Max 9

    Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

  • ST031705Implementation Convention Preference
    AN
    O可选(Optional)
    Min 1 / Max 9

    Reference assigned to identify Implementation Convention

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