Segment

Insurance

Carries primary insurance plan information including plan identifier, company name and address, group and policy numbers, insured's name, coordination of benefits priority, and coverage dates. It is a repeating segment (one per insurance plan) found in ADT, BAR, and DFT messages. Registration and patient accounting systems send IN1 to billing, claims, and eligibility verification systems.

52fields

3required

v2.9HL7 version

from zato.hl7v2 import IN1

in1 = IN1()
in1.set_id_in1 = '1'
in1.health_plan_id = 'PPO'
in1.insurance_company_id = 'INS001'
in1.group_number = 'GRP100'

Python examples

Build IN1 segments in Python

How to construct and work with real-world IN1 segments.

Plan enrollment

Basic insurance enrollment with company name, group, and plan effective dates

from zato.hl7v2.v2_9 import IN1
from zato.hl7v2.v2_9 import CWE, CX, XON

in1 = IN1()
in1.set_id_in1 = '1'
in1.health_plan_id = CWE(identifier='PPO')
in1.insurance_company_id = CX(id_number='INS001')
in1.group_number = 'GRP100'
in1.insureds_group_emp_name = XON(organization_name='GREENVALLEY WELLNESS')
in1.plan_effective_date = '20240101'
in1.plan_expiration_date = '20241231'

Family coverage

Insurance with insured name, relationship to patient, and coordination of benefits

from zato.hl7v2.v2_9 import IN1
from zato.hl7v2.v2_9 import CWE, CX, XON, XPN

in1 = IN1()
in1.set_id_in1 = '1'
in1.health_plan_id = CWE(identifier='HMO')
in1.insurance_company_id = CX(id_number='INS002')
in1.insurance_company_name = XON(organization_name='BRIGHT HEALTH PLANS')
in1.group_number = 'GRP200'
in1.plan_effective_date = '20240301'
in1.plan_expiration_date = '20250228'
in1.plan_type = CWE(identifier='PPO')
in1.name_of_insured = XPN(
    family_name='SMITH',
    given_name='ALICE',
    middle_name='M'
)
in1.insureds_relationship_to_patient = CWE(identifier='SPO')
in1.coordination_of_benefits = CWE(identifier='CO')
in1.coord_of_ben_priority = '1'

Verification

Insurance eligibility verified by a provider with policy and company details

from zato.hl7v2.v2_9 import IN1
from zato.hl7v2.v2_9 import CWE, CX, XON, XPN, XTN, XCN

in1 = IN1()
in1.set_id_in1 = '1'
in1.health_plan_id = CWE(identifier='EPO')
in1.insurance_company_id = CX(id_number='INS003')
in1.insurance_company_name = XON(organization_name='SUNLIGHT BENEFITS')
in1.insurance_co_contact_person = XPN(
    family_name='CLARK',
    given_name='DANA'
)
in1.insurance_co_phone_number = XTN(
    telecommunication_use_code='WPN',
    telecommunication_equipment_type='PH',
    country_code='1',
    area_city_code='800',
    local_number='5550100'
)
in1.group_number = 'GRP300'
in1.verification_date_time = '20240601120000'
in1.verification_by = XCN(
    person_identifier='7890',
    family_name='WELLS',
    given_name='MARIA',
    suffix='MD'
)

Tutorials

Learn by building

Step-by-step guides for working with HL7 v2 in Zato.

MLLP

Receive and parse HL7 v2 messages

Set up an MLLP channel, parse incoming messages, and respond with acknowledgments.

Start tutorial Build

Build and send HL7 v2 messages

Construct HL7 v2 messages from scratch using typed segment classes and send them over MLLP.

Start tutorial

FAQ

Frequently asked questions

IN1 carries insurance coverage details - the health plan, insurance company, group number, policy dates, insured person information, coordination of benefits, and verification status. It appears in ADT, BAR, and DFT messages for billing and eligibility workflows.

Create the segment, set its fields, then read them back:

from zato.hl7v2.v2_9 import IN1, CWE

in1 = IN1()
in1.health_plan_id = CWE(identifier='PPO')
in1.group_number = 'GRP100'

plan = in1.health_plan_id
group = in1.group_number

Use the insurance_company_name field with the XON datatype and the contact fields:

from zato.hl7v2.v2_9 import IN1, XON, XPN

in1 = IN1()
in1.insurance_company_name = XON(organization_name='Bright Health')
in1.insurance_co_contact_person = XPN(
    family_name='Clark',
    given_name='Dana'
)

Create separate IN1 instances for primary, secondary, and tertiary coverage, each with its own set_id_in1:

from zato.hl7v2.v2_9 import IN1, CWE

primary = IN1()
primary.set_id_in1 = '1'
primary.health_plan_id = CWE(identifier='PPO')

secondary = IN1()
secondary.set_id_in1 = '2'
secondary.health_plan_id = CWE(identifier='HMO')

Use coordination_of_benefits with HL7 table 0173 and coord_of_ben_priority for ordering:

from zato.hl7v2.v2_9 import IN1, CWE

in1 = IN1()
in1.coordination_of_benefits = CWE(identifier='CO')
in1.coord_of_ben_priority = '1'

Zato connects to any system that speaks HL7v2 over MLLP or FHIR over REST. This includes Epic, Cerner, Meditech, Allscripts, and other EHR platforms.

Yes, Zato has built-in MLLP support for sending and receiving HL7v2 messages. MLLP channels handle the framing protocol automatically.

Zato supports HL7 v2.9, which is backward compatible with earlier versions including v2.3, v2.5, and v2.7. Standard segments and datatypes are available as typed Python classes.

Yes. Zato handles both HL7v2 and FHIR natively, so you can parse v2 messages and build FHIR resources with IG-specific extensions in the same service. Typed Python classes are available for both protocols, including extensions from US Core, UK Core, Da Vinci, and other Implementation Guides.

Reference

IN1 field reference

Complete list of fields in the IN1 segment, HL7 v2.9.

#	Python name	Datatype	Usage	Repeatable	Table
1	`set_id_in1`	`SI`	Required	No	-
2	▶`health_plan_id`	`CWE`	Required	No	`HL70072`
2.1	├`.identifier`	`ST`	Optional	No	-
2.2	├`.text`	`ST`	Optional	No	-
2.3	├`.name_of_coding_system`	`ID`	Optional	No	-
2.4	├`.alternate_identifier`	`ST`	Optional	No	-
2.5	├`.alternate_text`	`ST`	Optional	No	-
2.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
2.7	├`.coding_system_version_id`	`ST`	Optional	No	-
2.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
2.9	├`.original_text`	`ST`	Optional	No	-
2.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
2.11	├`.second_alternate_text`	`ST`	Optional	No	-
2.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
2.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
2.14	├`.coding_system_oid`	`ST`	Optional	No	-
2.15	├`.value_set_oid`	`ST`	Optional	No	-
2.16	├`.value_set_version_id`	`DTM`	Optional	No	-
2.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
2.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
2.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
2.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
2.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
2.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
3	▶`insurance_company_id`	`CX`	Required	Yes	-
3.1	├`.id_number`	`ST`	Optional	No	-
3.2	├`.identifier_check_digit`	`ST`	Optional	No	-
3.3	├`.check_digit_scheme`	`ID`	Optional	No	-
3.4	├`.assigning_authority`	`HD`	Optional	No	-
3.5	├`.identifier_type_code`	`ID`	Optional	No	-
3.6	├`.assigning_facility`	`HD`	Optional	No	-
3.7	├`.effective_date`	`DT`	Optional	No	-
3.8	├`.expiration_date`	`DT`	Optional	No	-
3.9	├`.assigning_jurisdiction`	`CWE`	Optional	No	-
3.10	├`.assigning_agency_or_department`	`CWE`	Optional	No	-
3.11	├`.security_check`	`ST`	Optional	No	-
3.12	└`.security_check_scheme`	`ID`	Optional	No	-
4	▶`insurance_company_name`	`XON`	Optional	Yes	-
4.1	├`.organization_name`	`ST`	Optional	No	-
4.2	├`.organization_name_type_code`	`CWE`	Optional	No	-
4.3	├`.id_number`	`NM`	Optional	No	-
4.4	├`.identifier_check_digit`	`ST`	Optional	No	-
4.5	├`.check_digit_scheme`	`ID`	Optional	No	-
4.6	├`.assigning_authority`	`HD`	Optional	No	-
4.7	├`.identifier_type_code`	`ID`	Optional	No	-
4.8	├`.assigning_facility`	`HD`	Optional	No	-
4.9	├`.name_representation_code`	`ID`	Optional	No	-
4.10	└`.organization_identifier`	`ST`	Optional	No	-
5	▶`insurance_company_address`	`XAD`	Optional	Yes	-
5.1	├`.street_address`	`SAD`	Optional	No	-
5.2	├`.other_designation`	`ST`	Optional	No	-
5.3	├`.city`	`ST`	Optional	No	-
5.4	├`.state_or_province`	`ST`	Optional	No	-
5.5	├`.zip_or_postal_code`	`ST`	Optional	No	-
5.6	├`.country`	`ID`	Optional	No	-
5.7	├`.address_type`	`ID`	Optional	No	-
5.8	├`.other_geographic_designation`	`ST`	Optional	No	-
5.9	├`.county_parish_code`	`CWE`	Optional	No	-
5.10	├`.census_tract`	`CWE`	Optional	No	-
5.11	├`.address_representation_code`	`ID`	Optional	No	-
5.12	├`.address_validity_range`	`DR`	Optional	No	-
5.13	├`.effective_date`	`DTM`	Optional	No	-
5.14	├`.expiration_date`	`DTM`	Optional	No	-
5.15	├`.expiration_reason`	`CWE`	Optional	No	-
5.16	├`.temporary_indicator`	`ID`	Optional	No	-
5.17	├`.bad_address_indicator`	`ID`	Optional	No	-
5.18	├`.address_usage`	`ID`	Optional	No	-
5.19	├`.addressee`	`ST`	Optional	No	-
5.20	├`.comment`	`ST`	Optional	No	-
5.21	├`.preference_order`	`NM`	Optional	No	-
5.22	├`.protection_code`	`CWE`	Optional	No	-
5.23	└`.address_identifier`	`EI`	Optional	No	-
6	▶`insurance_co_contact_person`	`XPN`	Optional	Yes	-
6.1	├`.family_name`	`FN`	Optional	No	-
6.2	├`.given_name`	`ST`	Optional	No	-
6.3	├`.second_and_further_given_names_or_initials_thereof`	`ST`	Optional	No	-
6.4	├`.suffix`	`ST`	Optional	No	-
6.5	├`.prefix`	`ST`	Optional	No	-
6.6	├`.degree`	`ST`	Optional	No	-
6.7	├`.name_type_code`	`ID`	Optional	No	-
6.8	├`.name_representation_code`	`ID`	Optional	No	-
6.9	├`.name_context`	`CWE`	Optional	No	-
6.10	├`.name_validity_range`	`DR`	Optional	No	-
6.11	├`.name_assembly_order`	`ID`	Optional	No	-
6.12	├`.effective_date`	`DTM`	Optional	No	-
6.13	├`.expiration_date`	`DTM`	Optional	No	-
6.14	├`.professional_suffix`	`ST`	Optional	No	-
6.15	└`.called_by`	`ST`	Optional	No	-
7	▶`insurance_co_phone_number`	`XTN`	Optional	Yes	-
7.1	├`.telephone_number`	`ST`	Optional	No	-
7.2	├`.telecommunication_use_code`	`ID`	Optional	No	-
7.3	├`.telecommunication_equipment_type`	`ID`	Optional	No	-
7.4	├`.communication_address`	`ST`	Optional	No	-
7.5	├`.country_code`	`SNM`	Optional	No	-
7.6	├`.area_city_code`	`SNM`	Optional	No	-
7.7	├`.local_number`	`SNM`	Optional	No	-
7.8	├`.extension`	`SNM`	Optional	No	-
7.9	├`.any_text`	`ST`	Optional	No	-
7.10	├`.extension_prefix`	`ST`	Optional	No	-
7.11	├`.speed_dial_code`	`ST`	Optional	No	-
7.12	├`.unformatted_telephone_number`	`ST`	Optional	No	-
7.13	├`.effective_start_date`	`DTM`	Optional	No	-
7.14	├`.expiration_date`	`DTM`	Optional	No	-
7.15	├`.expiration_reason`	`CWE`	Optional	No	-
7.16	├`.protection_code`	`CWE`	Optional	No	-
7.17	├`.shared_telecommunication_identifier`	`EI`	Optional	No	-
7.18	└`.preference_order`	`NM`	Optional	No	-
8	`group_number`	`ST`	Optional	No	-
9	▶`group_name`	`XON`	Optional	Yes	-
9.1	├`.organization_name`	`ST`	Optional	No	-
9.2	├`.organization_name_type_code`	`CWE`	Optional	No	-
9.3	├`.id_number`	`NM`	Optional	No	-
9.4	├`.identifier_check_digit`	`ST`	Optional	No	-
9.5	├`.check_digit_scheme`	`ID`	Optional	No	-
9.6	├`.assigning_authority`	`HD`	Optional	No	-
9.7	├`.identifier_type_code`	`ID`	Optional	No	-
9.8	├`.assigning_facility`	`HD`	Optional	No	-
9.9	├`.name_representation_code`	`ID`	Optional	No	-
9.10	└`.organization_identifier`	`ST`	Optional	No	-
10	▶`insureds_group_emp_id`	`CX`	Optional	Yes	-
10.1	├`.id_number`	`ST`	Optional	No	-
10.2	├`.identifier_check_digit`	`ST`	Optional	No	-
10.3	├`.check_digit_scheme`	`ID`	Optional	No	-
10.4	├`.assigning_authority`	`HD`	Optional	No	-
10.5	├`.identifier_type_code`	`ID`	Optional	No	-
10.6	├`.assigning_facility`	`HD`	Optional	No	-
10.7	├`.effective_date`	`DT`	Optional	No	-
10.8	├`.expiration_date`	`DT`	Optional	No	-
10.9	├`.assigning_jurisdiction`	`CWE`	Optional	No	-
10.10	├`.assigning_agency_or_department`	`CWE`	Optional	No	-
10.11	├`.security_check`	`ST`	Optional	No	-
10.12	└`.security_check_scheme`	`ID`	Optional	No	-
11	▶`insureds_group_emp_name`	`XON`	Optional	Yes	-
11.1	├`.organization_name`	`ST`	Optional	No	-
11.2	├`.organization_name_type_code`	`CWE`	Optional	No	-
11.3	├`.id_number`	`NM`	Optional	No	-
11.4	├`.identifier_check_digit`	`ST`	Optional	No	-
11.5	├`.check_digit_scheme`	`ID`	Optional	No	-
11.6	├`.assigning_authority`	`HD`	Optional	No	-
11.7	├`.identifier_type_code`	`ID`	Optional	No	-
11.8	├`.assigning_facility`	`HD`	Optional	No	-
11.9	├`.name_representation_code`	`ID`	Optional	No	-
11.10	└`.organization_identifier`	`ST`	Optional	No	-
12	`plan_effective_date`	`DT`	Optional	No	-
13	`plan_expiration_date`	`DT`	Optional	No	-
14	▶`authorization_information`	`AUI`	Optional	No	-
14.1	├`.authorization_number`	`ST`	Optional	No	-
14.2	├`.date`	`DT`	Optional	No	-
14.3	└`.source`	`ST`	Optional	No	-
15	▶`plan_type`	`CWE`	Optional	No	`HL70086`
15.1	├`.identifier`	`ST`	Optional	No	-
15.2	├`.text`	`ST`	Optional	No	-
15.3	├`.name_of_coding_system`	`ID`	Optional	No	-
15.4	├`.alternate_identifier`	`ST`	Optional	No	-
15.5	├`.alternate_text`	`ST`	Optional	No	-
15.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
15.7	├`.coding_system_version_id`	`ST`	Optional	No	-
15.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
15.9	├`.original_text`	`ST`	Optional	No	-
15.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
15.11	├`.second_alternate_text`	`ST`	Optional	No	-
15.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
15.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
15.14	├`.coding_system_oid`	`ST`	Optional	No	-
15.15	├`.value_set_oid`	`ST`	Optional	No	-
15.16	├`.value_set_version_id`	`DTM`	Optional	No	-
15.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
15.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
15.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
15.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
15.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
15.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
16	▶`name_of_insured`	`XPN`	Optional	Yes	-
16.1	├`.family_name`	`FN`	Optional	No	-
16.2	├`.given_name`	`ST`	Optional	No	-
16.3	├`.second_and_further_given_names_or_initials_thereof`	`ST`	Optional	No	-
16.4	├`.suffix`	`ST`	Optional	No	-
16.5	├`.prefix`	`ST`	Optional	No	-
16.6	├`.degree`	`ST`	Optional	No	-
16.7	├`.name_type_code`	`ID`	Optional	No	-
16.8	├`.name_representation_code`	`ID`	Optional	No	-
16.9	├`.name_context`	`CWE`	Optional	No	-
16.10	├`.name_validity_range`	`DR`	Optional	No	-
16.11	├`.name_assembly_order`	`ID`	Optional	No	-
16.12	├`.effective_date`	`DTM`	Optional	No	-
16.13	├`.expiration_date`	`DTM`	Optional	No	-
16.14	├`.professional_suffix`	`ST`	Optional	No	-
16.15	└`.called_by`	`ST`	Optional	No	-
17	▶`insureds_relationship_to_patient`	`CWE`	Optional	No	`HL70063`
17.1	├`.identifier`	`ST`	Optional	No	-
17.2	├`.text`	`ST`	Optional	No	-
17.3	├`.name_of_coding_system`	`ID`	Optional	No	-
17.4	├`.alternate_identifier`	`ST`	Optional	No	-
17.5	├`.alternate_text`	`ST`	Optional	No	-
17.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
17.7	├`.coding_system_version_id`	`ST`	Optional	No	-
17.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
17.9	├`.original_text`	`ST`	Optional	No	-
17.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
17.11	├`.second_alternate_text`	`ST`	Optional	No	-
17.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
17.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
17.14	├`.coding_system_oid`	`ST`	Optional	No	-
17.15	├`.value_set_oid`	`ST`	Optional	No	-
17.16	├`.value_set_version_id`	`DTM`	Optional	No	-
17.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
17.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
17.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
17.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
17.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
17.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
18	`insureds_date_of_birth`	`DTM`	Optional	No	-
19	▶`insureds_address`	`XAD`	Optional	Yes	-
19.1	├`.street_address`	`SAD`	Optional	No	-
19.2	├`.other_designation`	`ST`	Optional	No	-
19.3	├`.city`	`ST`	Optional	No	-
19.4	├`.state_or_province`	`ST`	Optional	No	-
19.5	├`.zip_or_postal_code`	`ST`	Optional	No	-
19.6	├`.country`	`ID`	Optional	No	-
19.7	├`.address_type`	`ID`	Optional	No	-
19.8	├`.other_geographic_designation`	`ST`	Optional	No	-
19.9	├`.county_parish_code`	`CWE`	Optional	No	-
19.10	├`.census_tract`	`CWE`	Optional	No	-
19.11	├`.address_representation_code`	`ID`	Optional	No	-
19.12	├`.address_validity_range`	`DR`	Optional	No	-
19.13	├`.effective_date`	`DTM`	Optional	No	-
19.14	├`.expiration_date`	`DTM`	Optional	No	-
19.15	├`.expiration_reason`	`CWE`	Optional	No	-
19.16	├`.temporary_indicator`	`ID`	Optional	No	-
19.17	├`.bad_address_indicator`	`ID`	Optional	No	-
19.18	├`.address_usage`	`ID`	Optional	No	-
19.19	├`.addressee`	`ST`	Optional	No	-
19.20	├`.comment`	`ST`	Optional	No	-
19.21	├`.preference_order`	`NM`	Optional	No	-
19.22	├`.protection_code`	`CWE`	Optional	No	-
19.23	└`.address_identifier`	`EI`	Optional	No	-
20	▶`assignment_of_benefits`	`CWE`	Optional	No	`HL70135`
20.1	├`.identifier`	`ST`	Optional	No	-
20.2	├`.text`	`ST`	Optional	No	-
20.3	├`.name_of_coding_system`	`ID`	Optional	No	-
20.4	├`.alternate_identifier`	`ST`	Optional	No	-
20.5	├`.alternate_text`	`ST`	Optional	No	-
20.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
20.7	├`.coding_system_version_id`	`ST`	Optional	No	-
20.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
20.9	├`.original_text`	`ST`	Optional	No	-
20.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
20.11	├`.second_alternate_text`	`ST`	Optional	No	-
20.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
20.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
20.14	├`.coding_system_oid`	`ST`	Optional	No	-
20.15	├`.value_set_oid`	`ST`	Optional	No	-
20.16	├`.value_set_version_id`	`DTM`	Optional	No	-
20.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
20.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
20.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
20.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
20.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
20.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
21	▶`coordination_of_benefits`	`CWE`	Optional	No	`HL70173`
21.1	├`.identifier`	`ST`	Optional	No	-
21.2	├`.text`	`ST`	Optional	No	-
21.3	├`.name_of_coding_system`	`ID`	Optional	No	-
21.4	├`.alternate_identifier`	`ST`	Optional	No	-
21.5	├`.alternate_text`	`ST`	Optional	No	-
21.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
21.7	├`.coding_system_version_id`	`ST`	Optional	No	-
21.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
21.9	├`.original_text`	`ST`	Optional	No	-
21.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
21.11	├`.second_alternate_text`	`ST`	Optional	No	-
21.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
21.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
21.14	├`.coding_system_oid`	`ST`	Optional	No	-
21.15	├`.value_set_oid`	`ST`	Optional	No	-
21.16	├`.value_set_version_id`	`DTM`	Optional	No	-
21.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
21.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
21.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
21.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
21.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
21.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
22	`coord_of_ben_priority`	`ST`	Optional	No	-
23	`notice_of_admission_flag`	`ID`	Optional	No	`HL70136`
24	`notice_of_admission_date`	`DT`	Optional	No	-
25	`report_of_eligibility_flag`	`ID`	Optional	No	`HL70136`
26	`report_of_eligibility_date`	`DT`	Optional	No	-
27	▶`release_information_code`	`CWE`	Optional	No	`HL70093`
27.1	├`.identifier`	`ST`	Optional	No	-
27.2	├`.text`	`ST`	Optional	No	-
27.3	├`.name_of_coding_system`	`ID`	Optional	No	-
27.4	├`.alternate_identifier`	`ST`	Optional	No	-
27.5	├`.alternate_text`	`ST`	Optional	No	-
27.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
27.7	├`.coding_system_version_id`	`ST`	Optional	No	-
27.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
27.9	├`.original_text`	`ST`	Optional	No	-
27.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
27.11	├`.second_alternate_text`	`ST`	Optional	No	-
27.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
27.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
27.14	├`.coding_system_oid`	`ST`	Optional	No	-
27.15	├`.value_set_oid`	`ST`	Optional	No	-
27.16	├`.value_set_version_id`	`DTM`	Optional	No	-
27.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
27.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
27.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
27.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
27.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
27.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
28	`pre_admit_cert_pac`	`ST`	Optional	No	-
29	`verification_date_time`	`DTM`	Optional	No	-
30	▶`verification_by`	`XCN`	Optional	Yes	-
30.1	├`.person_identifier`	`ST`	Optional	No	-
30.2	├`.family_name`	`FN`	Optional	No	-
30.3	├`.given_name`	`ST`	Optional	No	-
30.4	├`.second_and_further_given_names_or_initials_thereof`	`ST`	Optional	No	-
30.5	├`.suffix`	`ST`	Optional	No	-
30.6	├`.prefix`	`ST`	Optional	No	-
30.7	├`.degree`	`ST`	Optional	No	-
30.8	├`.source_table`	`CWE`	Optional	No	-
30.9	├`.assigning_authority`	`HD`	Optional	No	-
30.10	├`.name_type_code`	`ID`	Optional	No	-
30.11	├`.identifier_check_digit`	`ST`	Optional	No	-
30.12	├`.check_digit_scheme`	`ID`	Optional	No	-
30.13	├`.identifier_type_code`	`ID`	Optional	No	-
30.14	├`.assigning_facility`	`HD`	Optional	No	-
30.15	├`.name_representation_code`	`ID`	Optional	No	-
30.16	├`.name_context`	`CWE`	Optional	No	-
30.17	├`.name_validity_range`	`DR`	Optional	No	-
30.18	├`.name_assembly_order`	`ID`	Optional	No	-
30.19	├`.effective_date`	`DTM`	Optional	No	-
30.20	├`.expiration_date`	`DTM`	Optional	No	-
30.21	├`.professional_suffix`	`ST`	Optional	No	-
30.22	├`.assigning_jurisdiction`	`CWE`	Optional	No	-
30.23	├`.assigning_agency_or_department`	`CWE`	Optional	No	-
30.24	├`.security_check`	`ST`	Optional	No	-
30.25	└`.security_check_scheme`	`ID`	Optional	No	-
31	▶`type_of_agreement_code`	`CWE`	Optional	No	`HL70098`
31.1	├`.identifier`	`ST`	Optional	No	-
31.2	├`.text`	`ST`	Optional	No	-
31.3	├`.name_of_coding_system`	`ID`	Optional	No	-
31.4	├`.alternate_identifier`	`ST`	Optional	No	-
31.5	├`.alternate_text`	`ST`	Optional	No	-
31.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
31.7	├`.coding_system_version_id`	`ST`	Optional	No	-
31.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
31.9	├`.original_text`	`ST`	Optional	No	-
31.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
31.11	├`.second_alternate_text`	`ST`	Optional	No	-
31.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
31.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
31.14	├`.coding_system_oid`	`ST`	Optional	No	-
31.15	├`.value_set_oid`	`ST`	Optional	No	-
31.16	├`.value_set_version_id`	`DTM`	Optional	No	-
31.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
31.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
31.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
31.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
31.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
31.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
32	▶`billing_status`	`CWE`	Optional	No	`HL70022`
32.1	├`.identifier`	`ST`	Optional	No	-
32.2	├`.text`	`ST`	Optional	No	-
32.3	├`.name_of_coding_system`	`ID`	Optional	No	-
32.4	├`.alternate_identifier`	`ST`	Optional	No	-
32.5	├`.alternate_text`	`ST`	Optional	No	-
32.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
32.7	├`.coding_system_version_id`	`ST`	Optional	No	-
32.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
32.9	├`.original_text`	`ST`	Optional	No	-
32.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
32.11	├`.second_alternate_text`	`ST`	Optional	No	-
32.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
32.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
32.14	├`.coding_system_oid`	`ST`	Optional	No	-
32.15	├`.value_set_oid`	`ST`	Optional	No	-
32.16	├`.value_set_version_id`	`DTM`	Optional	No	-
32.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
32.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
32.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
32.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
32.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
32.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
33	`lifetime_reserve_days`	`NM`	Optional	No	-
34	`delay_before_lr_day`	`NM`	Optional	No	-
35	▶`company_plan_code`	`CWE`	Optional	No	`HL70042`
35.1	├`.identifier`	`ST`	Optional	No	-
35.2	├`.text`	`ST`	Optional	No	-
35.3	├`.name_of_coding_system`	`ID`	Optional	No	-
35.4	├`.alternate_identifier`	`ST`	Optional	No	-
35.5	├`.alternate_text`	`ST`	Optional	No	-
35.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
35.7	├`.coding_system_version_id`	`ST`	Optional	No	-
35.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
35.9	├`.original_text`	`ST`	Optional	No	-
35.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
35.11	├`.second_alternate_text`	`ST`	Optional	No	-
35.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
35.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
35.14	├`.coding_system_oid`	`ST`	Optional	No	-
35.15	├`.value_set_oid`	`ST`	Optional	No	-
35.16	├`.value_set_version_id`	`DTM`	Optional	No	-
35.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
35.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
35.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
35.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
35.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
35.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
36	`policy_number`	`ST`	Optional	No	-
37	▶`policy_deductible`	`CP`	Optional	No	-
37.1	├`.price`	`MO`	Optional	No	-
37.2	├`.price_type`	`ID`	Optional	No	-
37.3	├`.from_value`	`NM`	Optional	No	-
37.4	├`.to_value`	`NM`	Optional	No	-
37.5	├`.range_units`	`CWE`	Optional	No	-
37.6	└`.range_type`	`ID`	Optional	No	-
39	`policy_limit_days`	`NM`	Optional	No	-
42	▶`insureds_employment_status`	`CWE`	Optional	No	`HL70066`
42.1	├`.identifier`	`ST`	Optional	No	-
42.2	├`.text`	`ST`	Optional	No	-
42.3	├`.name_of_coding_system`	`ID`	Optional	No	-
42.4	├`.alternate_identifier`	`ST`	Optional	No	-
42.5	├`.alternate_text`	`ST`	Optional	No	-
42.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
42.7	├`.coding_system_version_id`	`ST`	Optional	No	-
42.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
42.9	├`.original_text`	`ST`	Optional	No	-
42.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
42.11	├`.second_alternate_text`	`ST`	Optional	No	-
42.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
42.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
42.14	├`.coding_system_oid`	`ST`	Optional	No	-
42.15	├`.value_set_oid`	`ST`	Optional	No	-
42.16	├`.value_set_version_id`	`DTM`	Optional	No	-
42.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
42.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
42.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
42.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
42.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
42.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
43	▶`insureds_administrative_sex`	`CWE`	Optional	No	`HL70001`
43.1	├`.identifier`	`ST`	Optional	No	-
43.2	├`.text`	`ST`	Optional	No	-
43.3	├`.name_of_coding_system`	`ID`	Optional	No	-
43.4	├`.alternate_identifier`	`ST`	Optional	No	-
43.5	├`.alternate_text`	`ST`	Optional	No	-
43.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
43.7	├`.coding_system_version_id`	`ST`	Optional	No	-
43.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
43.9	├`.original_text`	`ST`	Optional	No	-
43.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
43.11	├`.second_alternate_text`	`ST`	Optional	No	-
43.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
43.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
43.14	├`.coding_system_oid`	`ST`	Optional	No	-
43.15	├`.value_set_oid`	`ST`	Optional	No	-
43.16	├`.value_set_version_id`	`DTM`	Optional	No	-
43.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
43.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
43.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
43.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
43.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
43.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
44	▶`insureds_employers_address`	`XAD`	Optional	Yes	-
44.1	├`.street_address`	`SAD`	Optional	No	-
44.2	├`.other_designation`	`ST`	Optional	No	-
44.3	├`.city`	`ST`	Optional	No	-
44.4	├`.state_or_province`	`ST`	Optional	No	-
44.5	├`.zip_or_postal_code`	`ST`	Optional	No	-
44.6	├`.country`	`ID`	Optional	No	-
44.7	├`.address_type`	`ID`	Optional	No	-
44.8	├`.other_geographic_designation`	`ST`	Optional	No	-
44.9	├`.county_parish_code`	`CWE`	Optional	No	-
44.10	├`.census_tract`	`CWE`	Optional	No	-
44.11	├`.address_representation_code`	`ID`	Optional	No	-
44.12	├`.address_validity_range`	`DR`	Optional	No	-
44.13	├`.effective_date`	`DTM`	Optional	No	-
44.14	├`.expiration_date`	`DTM`	Optional	No	-
44.15	├`.expiration_reason`	`CWE`	Optional	No	-
44.16	├`.temporary_indicator`	`ID`	Optional	No	-
44.17	├`.bad_address_indicator`	`ID`	Optional	No	-
44.18	├`.address_usage`	`ID`	Optional	No	-
44.19	├`.addressee`	`ST`	Optional	No	-
44.20	├`.comment`	`ST`	Optional	No	-
44.21	├`.preference_order`	`NM`	Optional	No	-
44.22	├`.protection_code`	`CWE`	Optional	No	-
44.23	└`.address_identifier`	`EI`	Optional	No	-
45	`verification_status`	`ST`	Optional	No	-
46	▶`prior_insurance_plan_id`	`CWE`	Optional	No	`HL70072`
46.1	├`.identifier`	`ST`	Optional	No	-
46.2	├`.text`	`ST`	Optional	No	-
46.3	├`.name_of_coding_system`	`ID`	Optional	No	-
46.4	├`.alternate_identifier`	`ST`	Optional	No	-
46.5	├`.alternate_text`	`ST`	Optional	No	-
46.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
46.7	├`.coding_system_version_id`	`ST`	Optional	No	-
46.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
46.9	├`.original_text`	`ST`	Optional	No	-
46.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
46.11	├`.second_alternate_text`	`ST`	Optional	No	-
46.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
46.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
46.14	├`.coding_system_oid`	`ST`	Optional	No	-
46.15	├`.value_set_oid`	`ST`	Optional	No	-
46.16	├`.value_set_version_id`	`DTM`	Optional	No	-
46.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
46.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
46.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
46.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
46.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
46.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
47	▶`coverage_type`	`CWE`	Optional	No	`HL70309`
47.1	├`.identifier`	`ST`	Optional	No	-
47.2	├`.text`	`ST`	Optional	No	-
47.3	├`.name_of_coding_system`	`ID`	Optional	No	-
47.4	├`.alternate_identifier`	`ST`	Optional	No	-
47.5	├`.alternate_text`	`ST`	Optional	No	-
47.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
47.7	├`.coding_system_version_id`	`ST`	Optional	No	-
47.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
47.9	├`.original_text`	`ST`	Optional	No	-
47.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
47.11	├`.second_alternate_text`	`ST`	Optional	No	-
47.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
47.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
47.14	├`.coding_system_oid`	`ST`	Optional	No	-
47.15	├`.value_set_oid`	`ST`	Optional	No	-
47.16	├`.value_set_version_id`	`DTM`	Optional	No	-
47.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
47.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
47.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
47.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
47.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
47.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
48	▶`handicap`	`CWE`	Optional	No	`HL70295`
48.1	├`.identifier`	`ST`	Optional	No	-
48.2	├`.text`	`ST`	Optional	No	-
48.3	├`.name_of_coding_system`	`ID`	Optional	No	-
48.4	├`.alternate_identifier`	`ST`	Optional	No	-
48.5	├`.alternate_text`	`ST`	Optional	No	-
48.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
48.7	├`.coding_system_version_id`	`ST`	Optional	No	-
48.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
48.9	├`.original_text`	`ST`	Optional	No	-
48.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
48.11	├`.second_alternate_text`	`ST`	Optional	No	-
48.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
48.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
48.14	├`.coding_system_oid`	`ST`	Optional	No	-
48.15	├`.value_set_oid`	`ST`	Optional	No	-
48.16	├`.value_set_version_id`	`DTM`	Optional	No	-
48.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
48.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
48.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
48.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
48.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
48.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
49	▶`insureds_id_number`	`CX`	Optional	Yes	-
49.1	├`.id_number`	`ST`	Optional	No	-
49.2	├`.identifier_check_digit`	`ST`	Optional	No	-
49.3	├`.check_digit_scheme`	`ID`	Optional	No	-
49.4	├`.assigning_authority`	`HD`	Optional	No	-
49.5	├`.identifier_type_code`	`ID`	Optional	No	-
49.6	├`.assigning_facility`	`HD`	Optional	No	-
49.7	├`.effective_date`	`DT`	Optional	No	-
49.8	├`.expiration_date`	`DT`	Optional	No	-
49.9	├`.assigning_jurisdiction`	`CWE`	Optional	No	-
49.10	├`.assigning_agency_or_department`	`CWE`	Optional	No	-
49.11	├`.security_check`	`ST`	Optional	No	-
49.12	└`.security_check_scheme`	`ID`	Optional	No	-
50	▶`signature_code`	`CWE`	Optional	No	`HL70535`
50.1	├`.identifier`	`ST`	Optional	No	-
50.2	├`.text`	`ST`	Optional	No	-
50.3	├`.name_of_coding_system`	`ID`	Optional	No	-
50.4	├`.alternate_identifier`	`ST`	Optional	No	-
50.5	├`.alternate_text`	`ST`	Optional	No	-
50.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
50.7	├`.coding_system_version_id`	`ST`	Optional	No	-
50.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
50.9	├`.original_text`	`ST`	Optional	No	-
50.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
50.11	├`.second_alternate_text`	`ST`	Optional	No	-
50.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
50.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
50.14	├`.coding_system_oid`	`ST`	Optional	No	-
50.15	├`.value_set_oid`	`ST`	Optional	No	-
50.16	├`.value_set_version_id`	`DTM`	Optional	No	-
50.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
50.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
50.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
50.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
50.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
50.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
51	`signature_code_date`	`DT`	Optional	No	-
52	`insureds_birth_place`	`ST`	Optional	No	-
53	▶`vip_indicator`	`CWE`	Optional	No	`HL70099`
53.1	├`.identifier`	`ST`	Optional	No	-
53.2	├`.text`	`ST`	Optional	No	-
53.3	├`.name_of_coding_system`	`ID`	Optional	No	-
53.4	├`.alternate_identifier`	`ST`	Optional	No	-
53.5	├`.alternate_text`	`ST`	Optional	No	-
53.6	├`.name_of_alternate_coding_system`	`ID`	Optional	No	-
53.7	├`.coding_system_version_id`	`ST`	Optional	No	-
53.8	├`.alternate_coding_system_version_id`	`ST`	Optional	No	-
53.9	├`.original_text`	`ST`	Optional	No	-
53.10	├`.second_alternate_identifier`	`ST`	Optional	No	-
53.11	├`.second_alternate_text`	`ST`	Optional	No	-
53.12	├`.name_of_second_alternate_coding_system`	`ID`	Optional	No	-
53.13	├`.second_alternate_coding_system_version_id`	`ST`	Optional	No	-
53.14	├`.coding_system_oid`	`ST`	Optional	No	-
53.15	├`.value_set_oid`	`ST`	Optional	No	-
53.16	├`.value_set_version_id`	`DTM`	Optional	No	-
53.17	├`.alternate_coding_system_oid`	`ST`	Optional	No	-
53.18	├`.alternate_value_set_oid`	`ST`	Optional	No	-
53.19	├`.alternate_value_set_version_id`	`DTM`	Optional	No	-
53.20	├`.second_alternate_coding_system_oid`	`ST`	Optional	No	-
53.21	├`.second_alternate_value_set_oid`	`ST`	Optional	No	-
53.22	└`.second_alternate_value_set_version_id`	`DTM`	Optional	No	-
54	▶`external_health_plan_identifiers`	`CX`	Optional	Yes	-
54.1	├`.id_number`	`ST`	Optional	No	-
54.2	├`.identifier_check_digit`	`ST`	Optional	No	-
54.3	├`.check_digit_scheme`	`ID`	Optional	No	-
54.4	├`.assigning_authority`	`HD`	Optional	No	-
54.5	├`.identifier_type_code`	`ID`	Optional	No	-
54.6	├`.assigning_facility`	`HD`	Optional	No	-
54.7	├`.effective_date`	`DT`	Optional	No	-
54.8	├`.expiration_date`	`DT`	Optional	No	-
54.9	├`.assigning_jurisdiction`	`CWE`	Optional	No	-
54.10	├`.assigning_agency_or_department`	`CWE`	Optional	No	-
54.11	├`.security_check`	`ST`	Optional	No	-
54.12	└`.security_check_scheme`	`ID`	Optional	No	-
55	`insurance_action_code`	`ID`	Optional	No	`HL70206`

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