| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | patient(+) | 0;1 | POINTER | 2 | B | The patient for whom the query was sent. |
| .02 | dt/tm sent(+) | 0;2 | DATE-TIME | This field contains the date/time the query was transmitted to HEC. | ||
| .03 | status(+) | 0;3 | SET OF CODES | 0:TRANSMITTED 1:CLOSED 2:RE-TRANSMITTED 3:RECEIVED/UPLOADED 4:RECEIVED/NO UPLOAD | This field will indicate the status of the query. When a query needs to be re-sent due to non-response, the status of the original query will be changed to RE-TRANSMITTED. If a response is no longer required, its status can be changed to CLOSED to prevent it from being re-sent. | |
| .05 | message id(+) | 0;5 | FREE TEXT | C | This field contains the unique identifier assigned to query by the HL7 package. | |
| .06 | dt/tm response | 0;6 | DATE-TIME | Used to document when the query reply was received. | ||
| .07 | response message id | 0;7 | FREE TEXT | The HL7 message id contained in the query response. | ||
| .08 | notify | 0;8 | POINTER | 200 | If the user requests to be notified when a query response is recieved, this field should be completed with the person to notify. | |
| .09 | first dt/tm(+) | 0;9 | DATE-TIME | This field indicates when the query was first sent. It will be different from the DT/TM SENT field only in the event of a retransmission. | ||
| 1 | error message | 10;1 | FREE TEXT | If the query reply is received, but the eligibility/enrollment upload is unsuccessful, this field should show the reason. |
Not Referenced