| 1 | ▶primary_key_value_stf | CWE | Optional | No | HL70786 |
| 1.1 | ├.identifier | ST | Optional | No | - |
| 1.2 | ├.text | ST | Optional | No | - |
| 1.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 1.4 | ├.alternate_identifier | ST | Optional | No | - |
| 1.5 | ├.alternate_text | ST | Optional | No | - |
| 1.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 1.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 1.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 1.9 | ├.original_text | ST | Optional | No | - |
| 1.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 1.11 | ├.second_alternate_text | ST | Optional | No | - |
| 1.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 1.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 1.14 | ├.coding_system_oid | ST | Optional | No | - |
| 1.15 | ├.value_set_oid | ST | Optional | No | - |
| 1.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 1.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 1.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 1.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 1.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 1.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 1.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 2 | ▶staff_identifier_list | CX | Optional | Yes | HL70061 |
| 2.1 | ├.id_number | ST | Optional | No | - |
| 2.2 | ├.identifier_check_digit | ST | Optional | No | - |
| 2.3 | ├.check_digit_scheme | ID | Optional | No | - |
| 2.4 | ├.assigning_authority | HD | Optional | No | - |
| 2.5 | ├.identifier_type_code | ID | Optional | No | - |
| 2.6 | ├.assigning_facility | HD | Optional | No | - |
| 2.7 | ├.effective_date | DT | Optional | No | - |
| 2.8 | ├.expiration_date | DT | Optional | No | - |
| 2.9 | ├.assigning_jurisdiction | CWE | Optional | No | - |
| 2.10 | ├.assigning_agency_or_department | CWE | Optional | No | - |
| 2.11 | ├.security_check | ST | Optional | No | - |
| 2.12 | └.security_check_scheme | ID | Optional | No | - |
| 3 | ▶staff_name | XPN | Optional | Yes | - |
| 3.1 | ├.family_name | FN | Optional | No | - |
| 3.2 | ├.given_name | ST | Optional | No | - |
| 3.3 | ├.second_and_further_given_names_or_initials_thereof | ST | Optional | No | - |
| 3.4 | ├.suffix | ST | Optional | No | - |
| 3.5 | ├.prefix | ST | Optional | No | - |
| 3.6 | ├.degree | ST | Optional | No | - |
| 3.7 | ├.name_type_code | ID | Optional | No | - |
| 3.8 | ├.name_representation_code | ID | Optional | No | - |
| 3.9 | ├.name_context | CWE | Optional | No | - |
| 3.10 | ├.name_validity_range | DR | Optional | No | - |
| 3.11 | ├.name_assembly_order | ID | Optional | No | - |
| 3.12 | ├.effective_date | DTM | Optional | No | - |
| 3.13 | ├.expiration_date | DTM | Optional | No | - |
| 3.14 | ├.professional_suffix | ST | Optional | No | - |
| 3.15 | └.called_by | ST | Optional | No | - |
| 4 | ▶staff_type | CWE | Optional | Yes | HL70182 |
| 4.1 | ├.identifier | ST | Optional | No | - |
| 4.2 | ├.text | ST | Optional | No | - |
| 4.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 4.4 | ├.alternate_identifier | ST | Optional | No | - |
| 4.5 | ├.alternate_text | ST | Optional | No | - |
| 4.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 4.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 4.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 4.9 | ├.original_text | ST | Optional | No | - |
| 4.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 4.11 | ├.second_alternate_text | ST | Optional | No | - |
| 4.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 4.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 4.14 | ├.coding_system_oid | ST | Optional | No | - |
| 4.15 | ├.value_set_oid | ST | Optional | No | - |
| 4.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 4.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 4.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 4.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 4.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 4.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 4.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 5 | ▶administrative_sex | CWE | Optional | No | HL70001 |
| 5.1 | ├.identifier | ST | Optional | No | - |
| 5.2 | ├.text | ST | Optional | No | - |
| 5.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 5.4 | ├.alternate_identifier | ST | Optional | No | - |
| 5.5 | ├.alternate_text | ST | Optional | No | - |
| 5.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 5.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 5.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 5.9 | ├.original_text | ST | Optional | No | - |
| 5.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 5.11 | ├.second_alternate_text | ST | Optional | No | - |
| 5.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 5.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 5.14 | ├.coding_system_oid | ST | Optional | No | - |
| 5.15 | ├.value_set_oid | ST | Optional | No | - |
| 5.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 5.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 5.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 5.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 5.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 5.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 5.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 6 | date_time_of_birth | DTM | Optional | No | - |
| 7 | active_inactive_flag | ID | Optional | No | HL70183 |
| 8 | ▶department | CWE | Optional | Yes | HL70184 |
| 8.1 | ├.identifier | ST | Optional | No | - |
| 8.2 | ├.text | ST | Optional | No | - |
| 8.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 8.4 | ├.alternate_identifier | ST | Optional | No | - |
| 8.5 | ├.alternate_text | ST | Optional | No | - |
| 8.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 8.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 8.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 8.9 | ├.original_text | ST | Optional | No | - |
| 8.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 8.11 | ├.second_alternate_text | ST | Optional | No | - |
| 8.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 8.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 8.14 | ├.coding_system_oid | ST | Optional | No | - |
| 8.15 | ├.value_set_oid | ST | Optional | No | - |
| 8.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 8.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 8.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 8.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 8.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 8.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 8.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 9 | ▶hospital_service_stf | CWE | Optional | Yes | HL70069 |
| 9.1 | ├.identifier | ST | Optional | No | - |
| 9.2 | ├.text | ST | Optional | No | - |
| 9.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 9.4 | ├.alternate_identifier | ST | Optional | No | - |
| 9.5 | ├.alternate_text | ST | Optional | No | - |
| 9.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 9.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 9.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 9.9 | ├.original_text | ST | Optional | No | - |
| 9.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 9.11 | ├.second_alternate_text | ST | Optional | No | - |
| 9.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 9.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 9.14 | ├.coding_system_oid | ST | Optional | No | - |
| 9.15 | ├.value_set_oid | ST | Optional | No | - |
| 9.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 9.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 9.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 9.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 9.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 9.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 9.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 10 | ▶phone | XTN | Optional | Yes | - |
| 10.1 | ├.telephone_number | ST | Optional | No | - |
| 10.2 | ├.telecommunication_use_code | ID | Optional | No | - |
| 10.3 | ├.telecommunication_equipment_type | ID | Optional | No | - |
| 10.4 | ├.communication_address | ST | Optional | No | - |
| 10.5 | ├.country_code | SNM | Optional | No | - |
| 10.6 | ├.area_city_code | SNM | Optional | No | - |
| 10.7 | ├.local_number | SNM | Optional | No | - |
| 10.8 | ├.extension | SNM | Optional | No | - |
| 10.9 | ├.any_text | ST | Optional | No | - |
| 10.10 | ├.extension_prefix | ST | Optional | No | - |
| 10.11 | ├.speed_dial_code | ST | Optional | No | - |
| 10.12 | ├.unformatted_telephone_number | ST | Optional | No | - |
| 10.13 | ├.effective_start_date | DTM | Optional | No | - |
| 10.14 | ├.expiration_date | DTM | Optional | No | - |
| 10.15 | ├.expiration_reason | CWE | Optional | No | - |
| 10.16 | ├.protection_code | CWE | Optional | No | - |
| 10.17 | ├.shared_telecommunication_identifier | EI | Optional | No | - |
| 10.18 | └.preference_order | NM | Optional | No | - |
| 11 | ▶office_home_address_birthplace | XAD | Optional | Yes | - |
| 11.1 | ├.street_address | SAD | Optional | No | - |
| 11.2 | ├.other_designation | ST | Optional | No | - |
| 11.3 | ├.city | ST | Optional | No | - |
| 11.4 | ├.state_or_province | ST | Optional | No | - |
| 11.5 | ├.zip_or_postal_code | ST | Optional | No | - |
| 11.6 | ├.country | ID | Optional | No | - |
| 11.7 | ├.address_type | ID | Optional | No | - |
| 11.8 | ├.other_geographic_designation | ST | Optional | No | - |
| 11.9 | ├.county_parish_code | CWE | Optional | No | - |
| 11.10 | ├.census_tract | CWE | Optional | No | - |
| 11.11 | ├.address_representation_code | ID | Optional | No | - |
| 11.12 | ├.address_validity_range | DR | Optional | No | - |
| 11.13 | ├.effective_date | DTM | Optional | No | - |
| 11.14 | ├.expiration_date | DTM | Optional | No | - |
| 11.15 | ├.expiration_reason | CWE | Optional | No | - |
| 11.16 | ├.temporary_indicator | ID | Optional | No | - |
| 11.17 | ├.bad_address_indicator | ID | Optional | No | - |
| 11.18 | ├.address_usage | ID | Optional | No | - |
| 11.19 | ├.addressee | ST | Optional | No | - |
| 11.20 | ├.comment | ST | Optional | No | - |
| 11.21 | ├.preference_order | NM | Optional | No | - |
| 11.22 | ├.protection_code | CWE | Optional | No | - |
| 11.23 | └.address_identifier | EI | Optional | No | - |
| 12 | ▶institution_activation_date | DIN | Optional | Yes | HL70537 |
| 12.1 | ├.date | ST | Optional | No | - |
| 12.2 | └.institution_name | ST | Optional | No | - |
| 13 | ▶institution_inactivation_date | DIN | Optional | Yes | HL70537 |
| 13.1 | ├.date | ST | Optional | No | - |
| 13.2 | └.institution_name | ST | Optional | No | - |
| 14 | ▶backup_person_id | CWE | Optional | Yes | - |
| 14.1 | ├.identifier | ST | Optional | No | - |
| 14.2 | ├.text | ST | Optional | No | - |
| 14.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 14.4 | ├.alternate_identifier | ST | Optional | No | - |
| 14.5 | ├.alternate_text | ST | Optional | No | - |
| 14.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 14.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 14.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 14.9 | ├.original_text | ST | Optional | No | - |
| 14.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 14.11 | ├.second_alternate_text | ST | Optional | No | - |
| 14.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 14.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 14.14 | ├.coding_system_oid | ST | Optional | No | - |
| 14.15 | ├.value_set_oid | ST | Optional | No | - |
| 14.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 14.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 14.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 14.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 14.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 14.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 14.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 15 | e_mail_address | ST | Optional | Yes | - |
| 16 | ▶preferred_method_of_contact | CWE | Optional | No | HL70185 |
| 16.1 | ├.identifier | ST | Optional | No | - |
| 16.2 | ├.text | ST | Optional | No | - |
| 16.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 16.4 | ├.alternate_identifier | ST | Optional | No | - |
| 16.5 | ├.alternate_text | ST | Optional | No | - |
| 16.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 16.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 16.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 16.9 | ├.original_text | ST | Optional | No | - |
| 16.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 16.11 | ├.second_alternate_text | ST | Optional | No | - |
| 16.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 16.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 16.14 | ├.coding_system_oid | ST | Optional | No | - |
| 16.15 | ├.value_set_oid | ST | Optional | No | - |
| 16.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 16.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 16.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 16.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 16.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 16.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 16.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 17 | ▶marital_status | CWE | Optional | No | HL70002 |
| 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 | job_title | ST | Optional | No | - |
| 19 | ▶job_code_class | JCC | Optional | No | - |
| 19.1 | ├.job_code | CWE | Optional | No | - |
| 19.2 | ├.job_class | CWE | Optional | No | - |
| 19.3 | └.job_description_text | ID | Optional | No | - |
| 20 | ▶employment_status_code | CWE | Optional | No | HL70066 |
| 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 | additional_insured_on_auto | ID | Optional | No | HL70136 |
| 22 | ▶drivers_license_number_staff | DLN | Optional | No | - |
| 22.1 | ├.drivers_license_number | ST | Optional | No | - |
| 22.2 | ├.issuing_state_province_country | IS | Optional | No | - |
| 22.3 | └.expiration_date | DT | Optional | No | - |
| 23 | copy_auto_ins | ID | Optional | No | HL70136 |
| 24 | auto_ins_expires | DT | Optional | No | - |
| 25 | date_last_dmv_review | DT | Optional | No | - |
| 26 | date_next_dmv_review | DT | Optional | No | - |
| 27 | ▶race | CWE | Optional | No | HL70005 |
| 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 | ▶ethnic_group | CWE | Optional | No | HL70189 |
| 28.1 | ├.identifier | ST | Optional | No | - |
| 28.2 | ├.text | ST | Optional | No | - |
| 28.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 28.4 | ├.alternate_identifier | ST | Optional | No | - |
| 28.5 | ├.alternate_text | ST | Optional | No | - |
| 28.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 28.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 28.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 28.9 | ├.original_text | ST | Optional | No | - |
| 28.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 28.11 | ├.second_alternate_text | ST | Optional | No | - |
| 28.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 28.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 28.14 | ├.coding_system_oid | ST | Optional | No | - |
| 28.15 | ├.value_set_oid | ST | Optional | No | - |
| 28.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 28.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 28.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 28.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 28.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 28.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 28.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 29 | re_activation_approval_indicator | ID | Optional | No | HL70136 |
| 30 | ▶citizenship | CWE | Optional | Yes | HL70171 |
| 30.1 | ├.identifier | ST | Optional | No | - |
| 30.2 | ├.text | ST | Optional | No | - |
| 30.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 30.4 | ├.alternate_identifier | ST | Optional | No | - |
| 30.5 | ├.alternate_text | ST | Optional | No | - |
| 30.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 30.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 30.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 30.9 | ├.original_text | ST | Optional | No | - |
| 30.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 30.11 | ├.second_alternate_text | ST | Optional | No | - |
| 30.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 30.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 30.14 | ├.coding_system_oid | ST | Optional | No | - |
| 30.15 | ├.value_set_oid | ST | Optional | No | - |
| 30.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 30.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 30.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 30.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 30.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 30.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 30.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 31 | date_time_of_death | DTM | Optional | No | - |
| 32 | death_indicator | ID | Optional | No | HL70136 |
| 33 | ▶institution_relationship_type_code | CWE | Optional | No | HL70538 |
| 33.1 | ├.identifier | ST | Optional | No | - |
| 33.2 | ├.text | ST | Optional | No | - |
| 33.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 33.4 | ├.alternate_identifier | ST | Optional | No | - |
| 33.5 | ├.alternate_text | ST | Optional | No | - |
| 33.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 33.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 33.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 33.9 | ├.original_text | ST | Optional | No | - |
| 33.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 33.11 | ├.second_alternate_text | ST | Optional | No | - |
| 33.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 33.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 33.14 | ├.coding_system_oid | ST | Optional | No | - |
| 33.15 | ├.value_set_oid | ST | Optional | No | - |
| 33.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 33.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 33.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 33.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 33.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 33.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 33.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 34 | ▶institution_relationship_period | DR | Optional | No | - |
| 34.1 | ├.range_start_date_time | DTM | Optional | No | - |
| 34.2 | └.range_end_date_time | DTM | Optional | No | - |
| 35 | expected_return_date | DT | Optional | No | - |
| 36 | ▶cost_center_code | CWE | Optional | Yes | HL70539 |
| 36.1 | ├.identifier | ST | Optional | No | - |
| 36.2 | ├.text | ST | Optional | No | - |
| 36.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 36.4 | ├.alternate_identifier | ST | Optional | No | - |
| 36.5 | ├.alternate_text | ST | Optional | No | - |
| 36.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 36.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 36.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 36.9 | ├.original_text | ST | Optional | No | - |
| 36.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 36.11 | ├.second_alternate_text | ST | Optional | No | - |
| 36.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 36.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 36.14 | ├.coding_system_oid | ST | Optional | No | - |
| 36.15 | ├.value_set_oid | ST | Optional | No | - |
| 36.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 36.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 36.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 36.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 36.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 36.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 36.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 37 | generic_classification_indicator | ID | Optional | No | HL70136 |
| 38 | ▶inactive_reason_code | CWE | Optional | No | HL70540 |
| 38.1 | ├.identifier | ST | Optional | No | - |
| 38.2 | ├.text | ST | Optional | No | - |
| 38.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 38.4 | ├.alternate_identifier | ST | Optional | No | - |
| 38.5 | ├.alternate_text | ST | Optional | No | - |
| 38.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 38.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 38.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 38.9 | ├.original_text | ST | Optional | No | - |
| 38.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 38.11 | ├.second_alternate_text | ST | Optional | No | - |
| 38.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 38.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 38.14 | ├.coding_system_oid | ST | Optional | No | - |
| 38.15 | ├.value_set_oid | ST | Optional | No | - |
| 38.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 38.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 38.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 38.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 38.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 38.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 38.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 39 | ▶generic_resource_type_or_category | CWE | Optional | Yes | HL70771 |
| 39.1 | ├.identifier | ST | Optional | No | - |
| 39.2 | ├.text | ST | Optional | No | - |
| 39.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 39.4 | ├.alternate_identifier | ST | Optional | No | - |
| 39.5 | ├.alternate_text | ST | Optional | No | - |
| 39.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 39.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 39.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 39.9 | ├.original_text | ST | Optional | No | - |
| 39.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 39.11 | ├.second_alternate_text | ST | Optional | No | - |
| 39.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 39.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 39.14 | ├.coding_system_oid | ST | Optional | No | - |
| 39.15 | ├.value_set_oid | ST | Optional | No | - |
| 39.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 39.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 39.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 39.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 39.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 39.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 39.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 40 | ▶religion | CWE | Optional | No | HL70006 |
| 40.1 | ├.identifier | ST | Optional | No | - |
| 40.2 | ├.text | ST | Optional | No | - |
| 40.3 | ├.name_of_coding_system | ID | Optional | No | - |
| 40.4 | ├.alternate_identifier | ST | Optional | No | - |
| 40.5 | ├.alternate_text | ST | Optional | No | - |
| 40.6 | ├.name_of_alternate_coding_system | ID | Optional | No | - |
| 40.7 | ├.coding_system_version_id | ST | Optional | No | - |
| 40.8 | ├.alternate_coding_system_version_id | ST | Optional | No | - |
| 40.9 | ├.original_text | ST | Optional | No | - |
| 40.10 | ├.second_alternate_identifier | ST | Optional | No | - |
| 40.11 | ├.second_alternate_text | ST | Optional | No | - |
| 40.12 | ├.name_of_second_alternate_coding_system | ID | Optional | No | - |
| 40.13 | ├.second_alternate_coding_system_version_id | ST | Optional | No | - |
| 40.14 | ├.coding_system_oid | ST | Optional | No | - |
| 40.15 | ├.value_set_oid | ST | Optional | No | - |
| 40.16 | ├.value_set_version_id | DTM | Optional | No | - |
| 40.17 | ├.alternate_coding_system_oid | ST | Optional | No | - |
| 40.18 | ├.alternate_value_set_oid | ST | Optional | No | - |
| 40.19 | ├.alternate_value_set_version_id | DTM | Optional | No | - |
| 40.20 | ├.second_alternate_coding_system_oid | ST | Optional | No | - |
| 40.21 | ├.second_alternate_value_set_oid | ST | Optional | No | - |
| 40.22 | └.second_alternate_value_set_version_id | DTM | Optional | No | - |
| 41 | ▶signature | ED | Optional | No | - |
| 41.1 | ├.source_application | ST | Optional | No | - |
| 41.2 | ├.type_of_data | ST | Optional | No | - |
| 41.3 | ├.data_subtype | ST | Optional | No | - |
| 41.4 | ├.encoding | ST | Optional | No | - |
| 41.5 | └.data | ST | Optional | No | - |