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close this bookData Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)
View the document(introduction...)
View the documentDEEDS WRITING COMMITTEE
View the documentACKNOWLEDGMENTS
View the documentINTRODUCTION
Open this folder and view contentsSECTION 1 - PATIENT IDENTIFICATION DATA
Open this folder and view contentsSECTION 2 - FACILITY AND PRACTITIONER IDENTIFICATION DATA
Open this folder and view contentsSECTION 3 - ED PAYMENT DATA
Open this folder and view contentsSECTION 4 - ED ARRIVAL AND FIRST ASSESSMENT DATA
Open this folder and view contentsSECTION 5 - ED HISTORY AND PHYSICAL EXAMINATION DATA
Open this folder and view contentsSECTION 6 - ED PROCEDURE AND RESULT DATA
Open this folder and view contentsSECTION 7 - ED MEDICATION DATA
View the documentTECHNICAL NOTES
View the documentREFERENCES
View the documentAPPENDIX - DEEDS DATA ELEMENTS GROUPED INTO HL7 SEGMENTS FOR MESSAGE TRANSMISSION
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APPENDIX - DEEDS DATA ELEMENTS GROUPED INTO HL7 SEGMENTS FOR MESSAGE TRANSMISSION

Most DEEDS data elements can be transmitted in existing Health Level 7, Version 2.3 segments. The 3-character identifier and name for these segments (and the section in HL7 where they are defined) are as follows:

AL1

Patient Allergy Information Segment (3.3.6)

AUT

Authorization Information Segment (11.5.2)

CTD

Contact Data Segment (11.5.4)

DG1

Diagnosis Segment (6.4.2)

IN1

Insurance Segment (6.4.6)

NK1

Next of Kin/Associated Parties Segment (3.3.5)

OBR

Observation Request (4.5.1)

OBX

Observation/Result Segment (7.3.2)

ORC

Common Order Segment (4.3.1)

PID

Patient Identification Segment (3.3.2)

PRA

Practitioner Detail Segment (8.6.3)

PV1

Patient Visit Segment (3.3.3)

RXA

Pharmacy/Treatment Administration Segment (4.8.14)

RXO

Pharmacy/Treatment Order Segment (4.8.2)

RXR

Pharmacy/Treatment Route Segment (4.8.3)

STF

Staff Identification Segment (8.6.2)

Several DEEDS data elements cannot be transmitted in segments defined in HL7, Version 2.3. In accordance with HL7 messaging standards, these data elements are to be transmitted in externally defined segments known as Z segments. Data elements 3.07- 3.10 (the ED Payment Authorization Group) are to be transmitted in a DEEDS-defined ZAU segment, and data elements 8.08-8.12 (the ED Referral Group) are to be transmitted in a DEEDS-defined ZRF segment.

The following table is intended to aid implementation of DEEDS, Release 1.0 in accordance with HL7, Version 2.3. Groups of DEEDS data elements are organized into message segments, separated from one another by a row of white space. For example, the white space between data elements 1.13 and 1.14 represents the division between an OBX segment and an NK1 segment. Additional data fields are needed for HL7-compliant message transmission. These data fields are listed in the table’s right-most column.

DEEDS Data Element Number and Name

Data Type

Field Length

Corresponding HL7 Segment Data Field

Additional Required HL7 Segment Data Fields

1.01 Internal ID

CX - extended composite ID with check digit

20

PID-3

None

1.02 Name

XPN - extended person name

48

PID-5


1.03 Alias

XPN - extended person name

48

PID-9


1.04 Date of Birth

TS - time stamp

26

PID-7


1.05 Sex

IS - coded value for user- defined tables

1

PID-8


1.06 Race

IS - coded value for user-

1

PID-10


1.07 Ethnicity

IS - coded value for user- defined tables

3

PID-22


1.08 Address

XAD - extended address

106

PID-11


1.09 Telephone Number

XTN - extended telecommunication number

40

PID-13


1.10 Account Number

CX - extended composite ID with check digit

20

PID-18


1.11 Social Security Number

ST - string data

16

PID-19


1.12 Occupation

CE - coded element

200

OBX-5

OBX-2





OBX-3





OBX-11

1.13 Industry

CE - coded element

200

OBX-5

OBX-2





OBX-3





OBX-11

1.14 Emergency Contact Name

XPN - extended person name

48

NK1-2

NK1-1 Set NK1-7 to code indicating

1.15 Emergency Contact Address

XAD - extended address

106

NK1-4

that the role of the individual

1.16 Emergency Contact Telephone Number

XTN - extended telecommunication number

40

NK1-5

identified in NK1-2 is the.

1.17 Emergency Contact Relationship

CE - coded element

60

NK1-3

emergency contact

2.01 ED Facility ID

PL - person location

80

PV1-3

PV1-2

2.02 Primary Practitioner Name

XPN - extended person name

48

NK1-2

NK1-1 Set NK1-7 to code indicating

2.03 Primary Practitioner ID

CX - extended composite ID with check digit

32

NK1-33

that the role of the individual identified in

2.04 Primary Practitioner Type

CE - coded element

60

NK1-3

NK1-2 is the

2.05 Primary Practitioner Address

XAD - extended address

106

NK1-4

primary practitioner.

2.06 Primary Practitioner Telephone Number

XTN - extended telecommunication number

40

NK1-5


2.07 Primary Practitioner Organization

XON - extended composite name and ID number for organizations

60

NK1-13


2.08 ED Practitioner ID

CX - extended composite ID with check digit

60

STF-2

STF-1

2.09 ED Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

2.10 ED Practitioner Current Role

IS - coded value for user- defined tables

3

PRA-3

PRA-1

2.11 ED Consultant Practitioner ID

CX - extended composite ID with check digit

60

STF-2

STF-1

2.12 ED Consultant Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

2.13 Date/Time ED Consult Request Initiated

TS - time stamp

26

OBX-5

OBX-2
OBX-3
OBX-11

2.14 Date/Time ED Consult Starts

TS - time stamp

26

OBX-5

OBX-2
OBX-3
OBX-11

3.01 Insurance Coverage or Other Expected Source of Payment

IS - coded value for user- defined tables

3

IN1-15

IN1-1
IN1-3

3.02 Insurance Company

XON - extended composite name and ID number for organizations

130

IN1-4


3.03 Insurance Company Address

XAD - extended address

106

IN1-5


3.04 Insurance Plan Type

CE - coded element

60

IN1-2


3.05 Insurance Policy ID

ST - string data

15

IN1-36


3.06 ED Payment Authorization Requirement

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

3.07 Status of ED Payment Authorization Attempt

CE - coded element

60

ZAU-2

ZAU-1(10-character sequence

3.08 Date/Time of ED Payment Authorization Attempt

TS - time stamp

26

ZAU-4

number)

3.09 ED Payment Authorization Decision

CE - coded element

60

ZAU-5


3.10 Date/Time of ED Payment Authorization Decision

TS - time stamp

26

ZAU-6


3.11 Entity Contacted to Authorize ED Payment

ST - string data

45

AUT-3

AUT-2

3.12 ED Payment Authorization Code

EI - entity identifier

30

AUT-6


3.13 Person Contacted to Authorize ED Payment

XPN - extended person name

106

CTD-2

CTD-1

3.14 Telephone Number of Entity or Person Contacted to Authorize ED Payment

XTN - extended telecommunication number

100

CTD-5


3.15 Total ED Facility Charges

MO - money

12

OBX-5

OBX-2
OBX-3
OBX-11

3.16 Total ED Professional Fees

MO - money

12

OBX-5

OBX-2
OBX-3
OBX-11

4.01 Date/Time First Documented in ED

TS - time stamp

26

OBX-5

OBX-2
OBX-3
OBX-11

4.02 Mode of Transport to ED

CE - coded element

200

OBX-5

OBX-2
OBX-3
OBX-11

4.03 EMS Unit that Transported ED Patient

CX - extended composite ID with check digit

60

OBX-5

OBX-2
OBX-3
OBX-11

4.04 EMS Agency that Transported ED Patient

CX - extended composite ID with check digit

60

OBX-5

OBX-2
OBX-3
OBX-11

4.05 Source of Referral to ED

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

4.06 Chief Complaint

CE - coded element

200

OBX-5

OBX-2
OBX-3
OBX-11

4.07 Initial Encounter for Current Instance of Chief Complaint

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

4.08 First ED Acuity

CE - coded element

60

OBX-5

OBX-2
OBX-3

4.09 Date/Time of First ED Acuity Assessment

TS - time stamp

26

OBX-14

OBX-11

4.10 First ED Acuity Assessment Practitioner ID

XCN - extended composite ID number and name for persons

80

OBX-16


4.11 First ED Acuity Assessment Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

4.12 First ED Responsiveness Assessment

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

4.13 Date/Time of First ED Responsiveness Assessment

TS - time stamp

26

OBX-14


4.14 First ED Glasgow Eye Opening Component Assessment

NM - numeric

1

OBX-5

OBX-2
OBX-3
OBX-4 (used
to group
data elements
4.14–4.17)
OBX-11
OBX-14

4.15 First ED Glasgow Verbal Component Assessment

NM - numeric

1

OBX-5

OBX-2
OBX-3
OBX-4 (used
to group
data elements
4.14–4.17)
OBX-11
OBX-14

4.16 First ED Glasgow Motor Component Assessment

NM - numeric

1

OBX-5

OBX-2
OBX-3
OBX-4 (used
to group
data elements
4.14–4.17)
OBX-11
OBX-14

4.17 Date/Time of First ED Glasgow Coma Scale Assessment

TS - time stamp

26

OBX-14

Transmit with data elements4.14–4.17.

4.18 First ED Systolic Blood Pressure

NM - numeric

3

OBX-5

OBX-2
OBX-3

4.19 Date/Time of First ED Systolic Blood Pressure

TS - time stamp

26

OBX-14

OBX-11

4.20 First ED Diastolic Blood Pressure

NM - numeric

3

OBX-5

OBX-2
OBX-3
OBX-11

4.21 First ED Heart Rate

NM - numeric

3

OBX-5

OBX-2

4.22 First ED Heart Rate Method

CE - coded element

60

OBX-17

OBX-3
OBX-11

4.23 Date/Time of First ED Heart Rate

TS - time stamp

26

OBX-14


4.24 First ED Respiratory Rate

NM - numeric

3

OBX-5

OBX-2
OBX-3

4.25 Date/Time of First ED Respiratory Rate

TS - time stamp

26

OBX-14

OBX-11

4.26 First ED Temperature Reading

NM - numeric

4

OBX-5

OBX-2
OBX-3

4.27 First ED Temperature Reading Route

CE - coded element

60

OBX-17

OBX-6
OBX-11

4.28 Date/Time of First ED Temperature Reading

TS - time stamp

26

OBX-14


4.29 MeasuredWeightinED

NM- numeric

5

OBX-5

OBX-2
OBX-3
OBX-6
OBX-11

4.30 Pregnancy Status Reported in ED

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

4.31 Date of Last Tetanus Immunization

TS - time stamp

26

OBX-5

OBX-2
OBX-3
OBX-11

4.32 Medication Allergy Reported in ED

CE - coded element

60

ALI-3

AL1-1
AL1-2

5.01 Date/Time of First ED Practitioner Evaluation

TS - time stamp

26

OBX-14

OBX-2
OBX-3
OBX-11

5.02 Date/Time of Illness or Injury Onset

TS - time stamp

26

OBX-5

OBX-2
OBX-3
OBX-11

5.03 Injury Incident Description

ST - string data

200

OBX-5

OBX-2
OBX-3
OBX-11

5.04 Code Cause of Injury

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

5.05 Injury Incident Location Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

5.06 Injury Activity

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

5.07 Injury Intent

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

5.08 Safety Equipment Use

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

5.09 Current Therapeutic Medication

CE - coded element

100

RXO-1

None

5.10 Current Therapeutic Medication Dose

NM - numeric

20

RXO-2


5.11 Current Therapeutic Medication Dose Units

CE - coded element

60

RXO-4


5.12 Current Therapeutic Medication Schedule

TQ - timing/quantity

200

ORC-7

ORC-1

5.13 Current Therapeutic Medication Route

CE - coded element

60

RXR-1

None

5.14 ED Clinical Finding Type

CE - coded element

590

OBX-3

OBX-2
OBX-4 (used to

5.15 ED Clinical Finding

Variable data type

up to65,536

OBX-5

group data elements 5.14–5.19)

5.16 Date/Time ED Clinical Finding Obtained

TS - time stamp

26

OBX-14

OBX-6
OBX-11

5.17 ED Clinical Finding Practitioner ID

XCN - extended composite ID number and name for persons

80

OBX-16


5.18 ED Clinical Finding Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-4 (used to group data elements5.14–5.19)
OBX-11

5.19 ED Clinical Finding Data Source

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-4 (used to group data elements5.14–5.19)
OBX-11

6.01 ED Procedure Indication

CE - coded element

300

OBR-31

None

6.02 ED Procedure

CE - coded element

200

OBR-4


6.03 Date/Time ED Procedure Ordered

TS - time stamp

26

OBR-6


6.04 Date/Time ED Procedure Starts

TS - time stamp

26

OBR-7


6.05 Date/Time ED Procedure Ends

TS - time stamp

26

OBR-8


6.06 ED Procedure Practitioner ID

XCN - extended composite ID number and name for persons

80

OBR-16


6.07 ED Procedure Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

6.08 Date/Time ED Diagnostic Procedure Result Reported

TS - time stamp

26

OBR-22

Transmit as part of the OBR segment containing data elements6.01–6.06.

6.09 ED Diagnostic Procedure Result Type

CE - coded element

590

OBX-3

OBX-2
OBX-4
OBX-6
OBX-11

6.10 ED Diagnostic Procedure Result

Variable data type

up to65,536

OBX-5


7.01 Date/Time ED Medication Ordered

TS - time stamp

26

ORC-9

ORC-1

7.02 ED Medication Ordering Practitioner ID

XCN - extended composite ID number and name for persons

120

ORC-12


7.03 ED Medication Ordering Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

7.04 ED Medication

CE - coded element

100

RXA-5

RXA-1
RXA-2

7.05 ED Medication Dose

NM - numeric

20

RXA-6 for medications in which dose is expressed in simple units(e.g., mg)

RXA-13 for medications in which dose is expressed in compound units (e.g., mg/ kg or mg/kg/hr)


7.06 ED Medication Dose Units

CE - coded element

60

RXA-7 for medications in which dose is expressed in simple units(e.g., mg)

RXA-14 for medications in which dose is expressed in compound units (e.g., mg/ kg or mg/kg/hr)


7.07 ED Medication Schedule

TQ - timing/quantity

200

ORC-7

Transmit as part of the ORC segment containing data elements7.01 and 7.02.

7.08 ED Medication Route

CE - coded element

60

RXR-1

None

7.09 Date/Time ED Medication Starts

TS - time stamp

26

RXA-3

Transmit as part of the RXA segment

7.10 Date/Time ED Medication Stops

TS - time stamp

26

RXA-4

containing data elements7.04–7.06.

7.11 ED Medication Administering Practitioner ID

XCN - extended composite ID number and name for persons

200

RXA-10


7.12 ED Medication Administering Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

8.01 Date/Time of Recorded ED Disposition

TS - time stamp

26

PV1-45

PV1-2

8.02 ED Disposition

IS - coded value for user- defined tables

3

PV1-36


8.03 Inpatient Practitioner ID

XCN - extended composite ID number and name for persons

60

PV1-7


8.04 Inpatient Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

8.05 Facility Receiving ED Patient

PL - person location

80

PV1-42

Transmit as part of the PV1 segment containing data elements8.01–8.03.

8.06 Date/Time Patient Departs ED

TS - time stamp

26

OBX-5

OBX-2
OBX-3
OBX-11

8.07 ED Follow-Up Care Assistance

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

8.08 Referral at ED Disposition

CE - coded element

60

ZRF-2

ZRF-1(10-character sequence number)

8.09 ED Referral Practitioner Name

XPN - extended person name

48

ZRF-3


8.10 ED Referral Practitioner ID

XCN - extended composite ID number and name for persons

80

ZRF-4


8.11 ED Referral Practitioner Type

CE - coded element

60

ZRF-5


8.12 ED Referral Organization

XON - extended composite name and ID number for organizations

90

ZRF-6


8.13 ED Discharge Medication Order Type

ID - coded value for HL7 tables

2

ORC-1

None

8.14 ED Discharge Medication Ordering Practitioner ID

XCN - extended composite ID number and name for persons

120

ORC-12


8.15 ED Discharge Medication Ordering Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

8.16 ED Discharge Medication

CE - coded element

100

RXO-1

None

8.17 ED Discharge Medication Dose

NM - numeric

20

RXO-2


8.18 ED Discharge Medication Dose Units

CE - coded element

60

RXO-4


8.19 ED Discharge Medication Schedule

TQ - timing/quantity

200

ORC-7

Transmit as part of the ORC segment containing data elements8.13 and 8.14.

8.20 ED Discharge Medication Route

CE - coded element

60

RXR-1

None

8.21 Amount of ED Discharge Medication to be Dispensed

NM - numeric

20

RXO-11

Transmit as part of the RXO segment containing

8.22 Number of ED Discharge Medication Refills

NM - numeric

3

RXO-13

data elements
8.16–8.18.

8.23 ED Disposition Diagnosis Description

ST - string data

400

DG1-4

DG1-1
DG1-2
DG1-6

8.24 ED Disposition Diagnosis Code

CE - coded element

60

DG1-3


8.25 ED Disposition Diagnosis Practitioner ID

XCN - extended composite ID number and name for persons

60

DG1-16


8.26 ED Disposition Diagnosis Practitioner Type

CE - coded element

60

DG1-11


8.27 ED Service Level

CE - coded element

60

OBX-5

OBX-2
OBX-3

8.28 ED Service Level Practitioner ID

XCN - extended composite ID number and name for persons

80

OBX-16

OBX-11

8.29 ED Service Level Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-11

8.30 Patient Problem Assessed in ED Outcome Observation

CE - coded element

200

OBX-5

OBX-2
OBX-3
OBX-4 (used to group data elements8.30–8.34)
OBX-11

8.31 ED Outcome Observation

CE - coded element

200

OBX-5

OBX-2
OBX-3

8.32 Date/Time of ED Outcome Observation

TS - time stamp

26

OBX-14

OBX-4 (used to group data elements8.30–8.34)

8.33 ED Outcome Observation Practitioner

XCN - extended composite ID number and name for persons

80

OBX-16

OBX-11

8.34 ED Outcome Observation Practitioner Type

CE - coded element

60

OBX-5

OBX-2
OBX-3
OBX-4 (used to group data elements8.30–8.34)
OBX-11

8.35 ED Patient Satisfaction Report Type

CE - coded element

200

OBX-5

OBX-2
OBX-3
OBX-4 (used to group data elements8.35 and 8.36)
OBX-11

8.36 ED Patient Satisfaction Report

CE - coded element

200

OBX-5

OBX-2
OBX-3
OBX-4 (used to group data elements8.35 and 8.36)
OBX-11

IF YOU’RE INTERESTED IN OTHER NCIPC PUBLICATIONS.

For readers who would like more information about injury control, a variety of publications are available free of charge from the National Center for Injury Prevention and Control. They can be ordered through the NCIPC home page on the Internet at www.cdc.gov/ncipc/ncipchm.htm or from the addresses given below.

On acute care, rehabilitation, and disabilities...

Guidelines for Surveillance of Central Nervous System Injury (1995)

Copies may be obtained by contacting the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Acute Care, Rehabilitation Research, and Disability Prevention, MS F-41, 4770 Buford Highway NE, Atlanta, GA 30341-3724.

On injuries that take place in the home or during leisure activities...

Major Causes of Unintentional Injuries Among Older Persons (1996)

Efforts to Increase Smoke Detector Use in U.S. Households: An Inventory of Programs (1996)

Home and Leisure Injuries in the United States: A Compendium of Articles from the Morbidity and Mortality Weekly Report, 1985-1995 (1996)

Prevention of Motor Vehicle-Related Injuries: A Compendium of Articles from the Morbidity and Mortality Weekly Report, 1985-1996 (Available in Summer 1997)

Copies may be obtained by contacting the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention, MS K-63, 4770 Buford Highway NE, Atlanta, GA 30341-3724.

On violence...

Suicide in the United States, 1980-1992 (1995)
Homicide and Suicide Among Native Americans, 1979-1992 (1996)
The Prevention of Youth Violence: A Framework for Community Action (1993)
Youth Suicide Prevention Programs: A Resource Guide (1992)
Youth Violence Prevention: Descriptions and Baseline Data from 13 Evaluation Projects (1996)

Copies may be obtained by contacting the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention, MS K-60, 4770 Buford Highway NE, Atlanta, GA 30341-3724.

Of general interest...

Injury Control in the 1990s: A National Plan (1993)
Guide to Applying for Injury Research Grants (1995)

The National Center for Injury Prevention and Control also publishes a quarterly newsletter, Injury Control Update, featuring the latest work in injury control by the center and others in the injury control field. If you would like to order these publications or be placed on the mailing list for the newsletter, contact the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Office of Communication Resources, MS K-65, 4770 Buford Highway NE, Atlanta, GA 30341-3724.