17 2 ID R 0271 00928 Document Table 18 Completion Status 18 2 ID O 0272 00929 Document Table 19 Confidentiality Status 19 2 ID O 0273 Document Table 20 Availability Status 20 2 ID O 0275 Document Table 21 Storage Status 21 30 ST C 00933 Document Required if changes Change are made to the Reason document 22 60 CM C Y Authentication Required when Person, Time is equal to or “AU” Stamp “LA “ Required if is an Authentication Person 22.1 C ID Number The ID number for the 22.13 qualifier. NOTE: The ID number is the NPI. 22.2 FN R Family Name 22.3 ST R Given Name 22.4 ST O Second and Recommend use, if further given available names or initials thereof 22.5 ST O Suffix Recommend use, if available 22.6 ST O Prefix 22.8 N/A thru 22.12 22.13 ID C Identifier Type Code Values are limited:“NPI” NOTE: is limited to: “NPI”(National Provider Identifier) 23 60 XCN O Y 00935 Distributed Copies (Code and name of Recipients)
17 2 ID R 0271 00928 Document Completion Status Table 18 18 2 ID O 0272 00929 Document Confidentiality Status Table 19 19 2 ID O 0273 Document Availability Status Table 20 20 2 ID O 0275 Document Storage Status Table 21 21 30 ST C 00933 Document Change Reason Required if changes are made to the document 22 60 CM C Y Authentication Person, Time Stamp Required when is equal to “AU” or “LA “ Required if is an Authentication Person 22.1 C ID Number The ID number for the 22.13 qualifier. NOTE: The ID number is the NPI. 22.2 FN R Family Name 22.3 ST R Given Name 22.4 ST O Second and further given names or initials thereof Recommend use, if available 22.5 ST O Suffix Recommend use, if available 22.6 ST O Prefix 22.8 thru 22.12 N/A 22.13 ID C Identifier Type Code Values are limited:“NPI” NOTE: is limited to: “NPI”(National Provider Identifier) 23 60 XCN O Y 00935 Distributed Copies (Code and name of Recipients)
Discharge-Summary-Standard.docx