HL7 message decoded: Patient Information Update

 ADT_A08 Patient Information Update Sample


MSH|^~\&|AccMgr|1|||20050110045504||ADT^A08|599102|P|2.3|||

EVN|A01|20050110045502|||||

PID|1||10006579^^^1^MRN^1||DUCK^DONALD^D||19241010|M||1|111 DUCK ST^^FOWL^CA^999990000^^M|1|8885551212|8885551212|1|2||40007716^^^AccMgr^VN^1|123121234|||||||||||NO

NK1|1|DUCK^HUEY|SO|3583 DUCK RD^^FOWL^CA^999990000|8885552222||Y||||||||||||||

PV1|1|I|PREOP^101^1^1^^^S|3|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|||01||||1|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|2|40007716^^^AccMgr^VN|4|||||||||||||||||||1||G|||20050110045253||||||

GT1|1|8291|DUCK^DONALD^D||111^DUCK ST^^FOWL^CA^999990000|8885551212||19241010|M||1|123121234||||#Cartoon Ducks Inc|111^DUCK ST^^FOWL^CA^999990000|8885551212||PT|

DG1|1|I9|71596^OSTEOARTHROS NOS-L/LEG ^I9|OSTEOARTHROS NOS-L/LEG ||A|

IN1|1|MEDICARE|3|MEDICARE|||||||Cartoon Ducks Inc|19891001|||4|DUCK^DONALD^D|1|19241010|111^DUCK ST^^FOWL^CA^999990000|||||||||||||||||123121234A||||||PT|M|111 DUCK ST^^FOWL^CA^999990000|||||8291

IN2|1||123121234|Cartoon Ducks Inc|||123121234A|||||||||||||||||||||||||||||||||||||||||||||||||||||||||8885551212

IN1|2|NON-PRIMARY|9|MEDICAL MUTUAL CALIF.|PO BOX 94776^^HOLLYWOOD^CA^441414776||8003621279|PUBSUMB|||Cartoon Ducks Inc||||7|DUCK^DONALD^D|1|19241010|111 DUCK ST^^FOWL^CA^999990000|||||||||||||||||056269770||||||PT|M|111^DUCK ST^^FOWL^CA^999990000|||||8291

IN2|2||123121234|Cartoon Ducks Inc||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||8885551212

IN1|3|SELF PAY|1|SELF PAY|||||||||||5||1


Subparts of the provided HL7 message:


1. MSH Segment (Message Header):

   - Field Separator: |

   - Encoding Characters: ^~\

   - Sending Application: AccMgr

   - Sending Facility: 1

   - Receiving Application: (Not specified)

   - Receiving Facility: (Not specified)

   - Date/Time of Message: 20050110045504

   - Security: (Not specified)

   - Message Type: ADT^A08 (Patient Information Update)

   - Message Control ID: 599102

   - Processing ID: P

   - Version ID: 2.3


2. EVN Segment (Event Type):

   - Event Type Code: A01

   - Recorded Date/Time: 20050110045502


3. PID Segment (Patient Identification):

   - Patient ID: 10006579^^^1^MRN^1

   - Patient Name: Donald D. Duck

   - Date of Birth: 19241010

   - Sex: Male

   - Race: (Not specified)

   - Address: 111 Duck St, Fowl, CA 999990000

   - Phone Numbers: 8885551212 (Home and Work)

   - Marital Status: Single

   - SSN: 40007716^^^AccMgr^VN^1

   - Driver's License Number: 123121234

   - Mother's Maiden Name: (Not specified)

   - Ethnic Group: (Not specified)

   - Religion: (Not specified)

   - Preferred Language: (Not specified)

   - Patient Account Number: 123121234

   - SSN: (Not specified)

   - Guarantor Name: Duck, Huey

   - Guarantor Relationship: Son

   - Guarantor Address: 3583 Duck Rd, Fowl, CA 999990000

   - Guarantor Phone Number: 8885552222

   - Guarantor Financial Class: Y (Yes, patient is financially responsible)


4. PV1 Segment (Patient Visit):

   - Patient Class: I (Inpatient)

   - Assigned Patient Location: PREOP^101^1^1

   - Admit Date/Time: (Not specified)

   - Admitting Doctor: 37^Disney^Walt^^^AccMgr^^^^CI

   - Referring Doctor: (Not specified)

   - Consulting Doctor: (Not specified)

   - Hospital Service: 01

   - Temporary Location: (Not specified)

   - Preadmit Test Indicator: 1

   - Re-admission Indicator: (Not specified)

   - Admit Source: (Not specified)

   - Ambulatory Status: (Not specified)

   - VIP Indicator: (Not specified)

   - Admitting Doctor: 37^Disney^Walt^^^AccMgr^^^^CI

   - Patient Type: 2

   - Visit Number: 40007716^^^AccMgr^VN

   - Financial Class: 4 (Medicare)


5. GT1 Segment (Guarantor):

   - Guarantor Number: 1

   - Guarantor Name: Duck, Donald D.

   - Guarantor SSN: 111^Duckst^^Fowl^CA^999990000

   - Guarantor Phone Number: 8885551212

   - Date of Birth: 19241010

   - Guarantor Sex: M (Male)

   - Guarantor Relationship: 1

   - Guarantor Address: 111 Duck St, Fowl, CA 999990000


6. DG1 Segment (Diagnosis Information):

   - Diagnosis Sequence Number: 1

   - Diagnosis Code: I9

   - Diagnosis Description: 71596^Osteoarthros NOS-L/Leg ^I9

   - Diagnosis Type: Osteoarthros NOS-L/Leg

   - Diagnosis Classification: A (Admitting)


7. IN1 Segment (Insurance):

   - Insurance Plan ID: 1

   - Insurance Company ID: MEDICARE

   - Insurance Company Name: MEDICARE

   - Insurance Plan Effective Date: (Not specified)

   - Insurance Plan Expiration Date: (Not specified)

   - Authorization Information: (Not specified)

   - Plan Type: Cartoon Ducks Inc

   - Name of Insured: Duck, Donald D.

   - Relationship to Patient: 1

   - Date of Birth of Insured: 19241010

   - Insured Address: 111 Duck St, Fowl, CA 999990000


8. IN2 Segment (Insurance Additional Information):

   - Insured's ID Number: 123121234

   - Company Plan Code: Cartoon Ducks Inc

   - Company Plan Code Type: (Not specified)

   - Effective Date: (Not specified)

   - Expiration Date: (Not specified)

   - Authorization Information: 123121234A

   - Company ID: (Not specified)

   - Person Code: (Not specified)

   - Source: (Not specified)

   - Individual Relationship Code: (Not specified)

   - Ambulatory Status: (Not specified)

   - Citizenship: (Not specified)

   - Primary Language: (Not specified)

   - Living Arrangement: (Not specified)

   - Publicity Code: (Not specified)

   - Protection Indicator: (Not specified)

   - Student Indicator: (Not specified)

   - Religion: (Not specified)

   - Mother's Maiden Name: (Not specified)

   - Nationality: (Not specified)

   - Ethnic Group: (Not specified)

   - Contact Person's Name: (Not specified)

   - Contact Person's Telephone Number: (Not specified)


9. IN1 Segment (Additional Insurance):

   - Set ID: 2

   - Insurance Plan ID: NON-PRIMARY

   -


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