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Appendix B: HL7 Segment and Event Checklists
10
11
12
13
14
15
16
17
18
01107
01108
01109
01110
01111
01112
01113
01114
01115
19
20
21
01116
01117
01118
22
23
01119
01120
B.1.66
Indication For Product Use
Product Problem
Product Serial/Lot Number
Product Available for Inspection
Product Evaluation Performed
Product Evaluation Status
Product Evaluation Results
Evaluated Product Source
Date Product Returned to
Manufacturer
Device Operator Qualifications
Relatedness Assessment
Action Taken in Response to the
Event
Event Casuality Observations
Indirect Exposure Mechanism
CE
IS
ST
IS
CE
CE
CE
ID
TS
(60)
(8)
(30)
(1)
(60)
(60)
(60)
(8)
(26)
ID
ID
ID
(1)
(1)
(2)
( )
(0242)
(0250)
(0251)
ID
ID
(2)
(1)
( )
( )
(0232)
(0253)
DT
IS
IS
XON
XCN
Len (Max)
(2)
(2)
(90)
(90)
Reps
( )
IS
IS
IS
IS
ID
CX
CE
ID
(2)
(2)
(2)
(2)
(2)
(2)
(1)
(1)
(0239)
( )
(0239)
(0248)
PD1 - Patient Additional Demographic
Seq#
1
2
3
4
Item#
00755
00742
00756
00757
5
6
7
8
9
10
11
12
00745
00753
00759
00760
00761
00762
00743
01283
Page B-36
Final Version 6/98
Name
Living Dependency
Living Arrangement
Patient Primary Facility
Patient Primary Care Provider Name
& ID Number
Student Indicator
Handicap
Living Will
Organ Donor
Separate Bill
Duplicate Patient
Publicity Indicator
Protection Indicator
OPT
Sender Variable
Receiver Variable
Notes
(0223)
(0220)
( )
( )
(0231)
(0295)
(0315)
(0316)
(0136)
( )
( )
(0125)
(0129)
Health Level Seven Implementation Support Guide
for HL7 Standard Version 2.3 1998. All rights reserved.