Segment MSH Message Header
1 Field Separator (String)
2 Encoding Characters (String)
3 Sending Application (Hierarchic designator)
3.1 Namespace ID: MegaReg
4 Sending Facility (Hierarchic designator)
4.1 Namespace ID: XYZHospC
5 Receiving Application (Hierarchic designator)
5.1 Namespace ID: SuperOE
6 Receiving Facility (Hierarchic designator)
6.1 Namespace ID: XYZImgCtr
7 Date/Time Of Message (Time stamp)
7.1 Time: 20060529090131-0500
9 Message Type (Message type)
9.3 Message Structure: ADT_A01
10 Message Control ID (String)
10.1 String Data: 01052901
11 Processing ID (Processing type)
12 Version ID (Version identifier)
Segment EVN Event Type
2 Recorded Date/Time (Time stamp)
Segment PID Patient Identification
3 Patient Identifier List (Extended composite ID with check digit)
3.4 Assigning Authority: UAReg
3.5 Identifier Type Code: PI
5 Patient Name (Extended person name)
5.1 Family Name: KLEINSAMPLE
5.3 Second and Further Given Names or Initials Thereof: Q
5.4 Suffix (e.g., JR or III): JR
7 Date/Time of Birth (Time stamp)
8 Administrative Sex (Coded value for user-defined tables)
8.1 Coded Value for User-Defined Tables: M (Male)
10 Race (Coded element)
10.3 Name of Coding System: HL70005
10.4 Alternate Identifier: RA99113
10.6 Name of Alternate Coding Syste: XYZ
11 Patient Address (Extended address)
11.1 Street Address: 260 GOODWIN CREST DRIVE
11.4 State or Province: AL
11.5 Zip or Postal Code: 35209
11 Patient Address (Extended address)
11.1 Street Address: NICKELL’S PICKLES
11.2 Other Designation: 10000 W 100TH AVE
11.4 State or Province: AL
11.5 Zip or Postal Code: 35200
18 Patient Account Number (Extended composite ID with check digit)
18.4 Assigning Authority: 99DEF
18.5 Identifier Type Code: AN
Segment PV1 Patient Visit
2 Patient Class (Coded value for user-defined tables)
2.1 Coded Value for User-Defined Tables: I (Inpatient)
3 Assigned Patient Location (Person location)
7 Attending Doctor (Extended composite ID number and name)
7.4 Second and Further Given Names or Initials Thereof: J
7.7 Degree (e.g., MD) deprecated as of v 2.5: MD
7.9 Assigning Authority: UAMC
9 Consulting Doctor (Extended composite ID number and name)
9.2 Family Name: GRAINGER
9.4 Second and Further Given Names or Initials Thereof: X
9.7 Degree (e.g., MD) deprecated as of v 2.5: MD
9.9 Assigning Authority: UAMC
10 Hospital Service (Coded value for user-defined tables)
10.1 Coded Value for User-Defined Tables: MED (Medical Service)
15 Ambulatory Status (Coded value for user-defined tables)
15.1 Coded Value for User-Defined Tables: A0 (No functional limitations)
17 Admitting Doctor (Extended composite ID number and name)
17.4 Second and Further Given Names or Initials Thereof: T
17.7 Degree (e.g., MD) deprecated as of v 2.5: MD
17.9 Assigning Authority: UAMC
44 Admit Date/Time (Time stamp)
Segment OBX Observation / Result
1 Set ID - OBX (Sequence ID)
2 Value Type (Coded values for HL7 tables)
2.1 Coded Value for HL7-Defined Tables: NM (Numeric)
3 Observation Identifier (Coded element)
6 Units (Coded element)
6.3 Name of Coding System: ISO+
11 Observation Result Status (Coded values for HL7 tables)
11.1 Coded Value for HL7-Defined Tables: F (Final results; Can only be changed with a corrected result.)
Segment OBX Observation / Result
1 Set ID - OBX (Sequence ID)
2 Value Type (Coded values for HL7 tables)
2.1 Coded Value for HL7-Defined Tables: NM (Numeric)
3 Observation Identifier (Coded element)
6 Units (Coded element)
6.3 Name of Coding System: ISO+
11 Observation Result Status (Coded values for HL7 tables)
11.1 Coded Value for HL7-Defined Tables: F (Final results; Can only be changed with a corrected result.)
Segment AL1 Patient Allergy Information
1 Set ID - AL1 (Sequence ID)
3 Allergen Code/Mnemonic/Description (Coded element)
Segment DG1 Diagnosis
1 Set ID - DG1 (Sequence ID)
3 Diagnosis Code - DG1 (Coded element)
3.2 Text: CHEST PAIN, UNSPECIFIED
3.3 Name of Coding System: I9
6 Diagnosis Type (Coded value for user-defined tables)
6.1 Coded Value for User-Defined Tables: A (Admitting)