Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.): APPENDIX - DEEDS DATA ELEMENTS GROUPED INTO HL7 SEGMENTS FOR MESSAGE TRANSMISSION

Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)

		(introduction...)
		DEEDS WRITING COMMITTEE
		ACKNOWLEDGMENTS
		INTRODUCTION
		SECTION 1 - PATIENT IDENTIFICATION DATA
		SECTION 2 - FACILITY AND PRACTITIONER IDENTIFICATION DATA
		SECTION 3 - ED PAYMENT DATA
		SECTION 4 - ED ARRIVAL AND FIRST ASSESSMENT DATA
		SECTION 5 - ED HISTORY AND PHYSICAL EXAMINATION DATA
		SECTION 6 - ED PROCEDURE AND RESULT DATA
		SECTION 7 - ED MEDICATION DATA
		TECHNICAL NOTES
		REFERENCES
		APPENDIX - DEEDS DATA ELEMENTS GROUPED INTO HL7 SEGMENTS FOR MESSAGE TRANSMISSION

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.