2 N/A 00105 Patient Not used at this time ID(external ID) forOperative ReportMessage(s) 3 20 CM R [1..*] Patient ID Composite (Internal ID) This includes the provider patient identification number and/or the attachment control number (see 3.5). 3.1 ST R ID Number The ID number for the 3.5 qualifier. 3.2 N/A 3.3 N/A 3.4 R Assigning Refers to the source Authority organization or enterprise 3.4.1 R Namespace Identifier to be defined by trading ID partner 3.4.2 O Universal ID 3.4.3 O Universal ID Type 3.5 R Identifier Type Provider patient identification Code number(s) values are limited to at least one identifier arerequired. Medical Record “MR” – Number. National unique “NI” – individual identifier National person “NNxxx” – identifier Patient internal identifier “PI” – Person number;OR “PN” – Patient external “PT” – identifier”. If used as a Claim “Unsolicited theClaim Attachment”, AttachmentIdentifier Type is also required. The following value isalso required if sending this message as aunsolicted attachmentto a payer: Attachment Control “ACN” – Number (The in the X12 837 or 278 transaction). 3.6 R Assigning Refers to the facility within the facility organization or enterprise (only needed if ID is facility specific).
2 N/A 00105 Patient ID(external ID) Not used at this time forOperative ReportMessage(s) 3 20 CM R [1..*] Patient ID (Internal ID) Composite This includes the provider patient identification number and/or the attachment control number (see 3.5). 3.1 ST R ID Number The ID number for the 3.5 qualifier. 3.2 N/A 3.3 N/A 3.4 R Assigning Authority Refers to the source organization or enterprise 3.4.1 R Namespace ID Identifier to be defined by trading partner 3.4.2 O Universal ID 3.4.3 O Universal ID Type 3.5 R Identifier Type Code Provider patient identification number(s) values are limited to at least one identifier arerequired. “MR” – Medical Record Number. “NI” – National unique individual identifier “NNxxx” – National person identifier “PI” – Patient internal identifier “PN” – Person number;OR “PT” – Patient external identifier”. If used as a “Unsolicited Claim Attachment”, theClaim AttachmentIdentifier Type is also required. The following value isalso required if sending this message as aunsolicted attachmentto a payer: “ACN” – Attachment Control Number (The in the X12 837 or 278 transaction). 3.6 R Assigning facility Refers to the facility within the organization or enterprise (only needed if ID is facility specific).
Operative-Report-Standard.docx